Creatinine Clearance without Glomerular Filtration Rate, Estimated (eGFR)

Test Code
19118


CPT Codes
82575

Includes
Creatinine (serum and urine), Creatinine Clearance (calculation)


Preferred Specimen
10 mL aliquot from a well-mixed 24-hour urine collection - no preservative
and 1 mL serum


Minimum Volume
0.5 mL urine • 0.5 serum


Instructions
Record total volume and collection time on specimen container and requisition. Indicate the patient's height and weight on the test requisition.
Note: A serum creatinine level must be collected within 24 hours of the beginning or ending of the urine collection.


Transport Container
⁠⁠⁠⁠⁠⁠⁠Urine: Plastic urine container
Serum: Transport tube


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days


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


Methodology
Spectrophotometry (SP)

Reference Range
Serum Creatinine
AgeMale (mg/dL)Female (mg/dL)
≤2 days0.79-1.580.79-1.58
3-27 days0.35-1.230.35-1.23
1 month-9 years0.20-0.730.20-0.73
10-12 years0.30-0.780.30-0.78
13-15 years0.40-1.050.40-1.00
16-17 years0.60-1.200.50-1.00
18-29 years0.60-1.240.50-0.96
30-39 years0.60-1.260.50-0.97
40-49 years0.60-1.290.50-0.99
50-59 years0.70-1.300.50-1.03
60-69 years0.70-1.350.50-1.05
70-79 years0.70-1.280.60-1.00
≥80 years0.70-1.220.60-0.95

Creatinine, 24-Hour Urine
<3 YearsNot established
3-8 Years0.10-0.80 g/24 h
9-12 Years0.20-1.40 g/24 h
13-17 Years0.40-1.90 g/24 h
>17 Years0.50-2.15 g/24 h

Urine Creatinine Clearance
Male85-125 mL/minute
Female75-115 mL/minute


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. Daily creatinine production is fairly constant except when there is massive injury to muscle.



Last Updated: November 6, 2024


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.