CREATININE CLEARANCE

Test Code

LAB383

CPT Codes
82575

Preferred Specimen

Urine, 24 hour collection jug AND 1 Serum/Plasma specimen (collected when urine jug presented by patient)

Minimum Volume

0.5 mL urine AND 1mLserum or plasma

Instructions

Store specimen jug in refrigerator during collection. Do not add preservatives. Time of collection in hours must be written on label. Serum creatinine must also be ordered to perform clearance calculation.

Transport Temperature

Refrigerated

Specimen Stability

Ambient: 2 days Refrigerated: 6 days Frozen: 6 months

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Time of urine collection not indicated on urine specimen, Urine jug not labeled, No serum specimen submitted with the urine specimen

Methodology
Alkaline Picrate-Kinetic

Setup Schedule

Sunday-Saturday

Reference Range

Age	Sex	Reference Range (ml/min/BSA)
0 days-17 years	Female	No reference interval established
18-29 years	Female	75-160
30-49 years	Female	70-150
50-72 years	Female	60-135
≥ 73 years	Female	No reference interval established
0 days- 18 years	Male	No reference interval established
19-75 years	Male	75-160
≥ 76 years	Male	No reference interval established

Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Garrett Regional Medical Center
Harrison Community Hospital Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hosiptal Center
Uniontown Hospital
Wheeling Hospital

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.