Resources

Creatinine Clearance Adult

Message
Performed in Chemistry
Plasma/Serum and Urine are required.


Test Code
CRCLA


Alias/See Also
CRCLP
PECAL
24 Hr


Preferred Specimen
1 mL plasma from Green top (Lithium Heparin), WyMCC - SST
AND
Entire specimen or 10 mL well mixed aliquot from 24 hour Urine Collection


Minimum Volume
0.5 mL plasma or serum
0.5 mL urine


Other Acceptable Specimens
 1 mL serum from SST or Red Top


Instructions
Creatinine Clearances are performed on 24-hour urine collections only. Cerner will need a serum creatinine for calculations:
• Cerner will use a serum creatinine result if available in the chart from last 48 hours.
• If there is no serum creatinine result from the last 48 hours and a serum creatinine is ordered within the next 24 hours, a CREAT4CLR will NOT be ordered.
• If there is no serum creatinine result in the last 48 hours and one is not ordered within the next 24 hours, CREAT4CLR will be automatically ordered.
Height and Weight are required for processing.
• Refrigerate specimen during collection.
Starting and ending times of collection are required for processing.
Total Volume is required for processing.


FDA Status
FDA Approved

Setup Schedule
Daily, Sunday through Saturday


Report Available
Less than 4 hours


Clinical Significance
Creatinine is an endogenous substance most commonly used to measure the glomerular filtration rate (GFR) of the
kidneys. The linear decrease of creatinine clearance over time, as renal function fails, has been thoroughly documented
for several forms of chronic glomerulonephritis (including chronic membranous glomerular nephritis, diabetic
nephropathy, chronic interstitial nephritis, and at least some cases of chronic pyelonephritis).




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.