CREATININE CLEARANCE

Test Code
CRECL (OE), CRCL (LAB)


CPT Codes
82575

Includes
  • Height, Weight, BSA (Body Surface Area)
  • Total Volume
  • Serum Creatinine
  • Urine creatinine
  • Creatinine clearence


Preferred Specimen
1 Gold tube (SST)


AND

24 hour urine container without preservative


Patient Preparation
Avoid alcoholic beverages. Follow instructions on collecting a 24 hour collection (see below)

 

Minimum Volume
  • 10 mL urine aliquot (20 mL urine aliquot optimal)
  • 0.5 mL serum (1 mL serum optimal)


Other Acceptable Specimens
1 Green tube (Lithium Heparin)


AND

24 hour urine container without preservative


Instructions
Please provide patient height and weight. If sending aliquot of sample, MUST include total volume.
  • Mix the urine specimen well and measure the 24-hour volume
  • RECORD THE TOTAL VOLUME
  • Aliquot 20 mL of urine into urine tube or sterile container
  • Centrifuge blood tube(s) for complete separation of serum or plasma from red cells
  • If whole blood was collected, aliquot plasma
  • Refrigerate both urine and serum or plamsa specimens until tested. 


Transport Container
Gold tube & Transfer tube


Transport Temperature
Refrigerate


Specimen Stability
2-8°C up to 4 days


Methodology
Enzymatic Rate

Setup Schedule
M, T, W, Th, F, Sa, Sun

As received; STAT testing not available


Report Available
Same day received


Reference Range
Creatinine Urine 24hr 0.7-1.6 G/24 hr
Creatinine 0.6-1.2 mg/dL
Creatinine Clearance 71-151 mL/min
eGFR Non-African American >60
eGFR African American >60


Clinical Significance
Creatinine Clearance is used to evaluate the glomerular filtration rate (GFR). Clearance is defined as that volume of plasma from which a measured amount of substance could be completely eliminated into the urine per unit of time.


Performing Laboratory
Alverno Central Lab

Additional Information
24 hour urine collection instructions


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.