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Information provided for the test includes types of specimens required, volume and handling instructions. If you are unable to locate the test you need please call our Client Services Department at 1-800-877-7016.

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CREATG      Creatinine
Reported as: CREATININE
Also known as: CREAT, GFR, eGFR
  
Specimen Requirements
 
Collect:  One red gel 4.0 mL (also acceptable: plain red )
(FOR HOSPITALS ONLY: also acceptable one green Lithium Heparin gel, 5.0 mL)
 
Transport:   1.0 mL (min: 0.5 mL) serum or plasma refrigerated
Separate serum/plasma from cells ASAP.
 
Stability:  Ambient: 24 Hours serum or plasma / Refrigerated: 7 Days serum (plasma refrigerated: 3 days) / Frozen: 14 Days serum or plasma
  
Ordering Instructions
 
Order Remarks:  Refer to test code CREAFL (Creatinine, Body Fluid) for Creatinine testing on any other sample source besides blood.
  
Test Performance
 
Performed:  Daily
 
Reporting Time:  Final within 24 Hours
  
CPT Codes
 
82565
  
Interpretive Information
 
The estimated GFR (eGFR) is reported in two categories: African American and non-African American. Reporting is as follows:

*For patients who have values within the normal reference range, the patient eGFR result is reported as "greater than 60 mL/min/1.73m2".

*eGFR results <60 are reported as a numeric value.


The interpretive guidelines for numeric values are as follows:

*eGFR 30 - 59 = Stage 3 CKD (chronic kidney disease), or moderate kidney disease.

*eGFR 15 - 29 = Stage 4 CKD (chronic kidney disease), or severe kidney disease.

*eGFR <15 = Stage 5 CKD (chronic kidney disease), or kidney failure.


The MDRD equation is used for this estimation. The eGFR is invalid if the serum creatinine is changing on a daily basis, as in dialysis patients or patients with acute renal failure. The MDRD equation has not been validated in patients >70 years of age and the clinician must determine suitability of the value for the patient.


If the patient is <18 years of age, or age/sex of the patient is unknown, a statement is reported that reads, "GFR NOT CALCULATED FOR AGE LESS THAN 18 YEARS ."
  
Components
 
Creatinine (CREA)Estimated GFR African American (GFRA)
Estimated GFR Non-African American (GFRNA) 
  
Revision History
 
EffectiveTypeRevision
10/22/2013Annual ReviewAdded Order Remark to reference CREAFL for body fluid testing, as part of 2013 Annual Review.

The information on this page is current as of 07/24/2014.
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