Laboratory Test: What It Is, Why It Is Done, and How to Prepare
A blood test that measures the level of 25-hydroxyvitamin D in your blood to evaluate vitamin D status.
{"Measures the main form of vitamin D in your blood (25-hydroxyvitamin D)","Helps diagnose vitamin D deficiency or excess","Simple blood draw from a vein in your arm","Results help doctors assess bone health and calcium metabolism","No special fasting is typically required"}
Key facts at a glance
- LOINC
- 86918-0
- Short code
- 25-OH Vit D
- Synonyms
- 25(OH)D3+25(OH)D2 goal mCnc SerPl
- Category
- chemistry
- Sample
- serum
- Container
- Serum separator tube (SST) or plain red top tube; EDTA plasma also acceptable
- Units
- N/A
- Ref low
- 30
- Ref high
- 100
- Critical range
- 10 N/A – 150 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 0–120 years
- Method
- Liquid chromatography-tandem mass spectrometry (LC-MS/MS) or chemiluminescent immunoassay (CLIA)
- CPT
- 82306
- SNOMED
- 371671009
- Specimen volume
- 1.0 mL minimum, 2.0 mL preferred
- Stability
- Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
- Hemolysis max
- 50
- Lipemia max
- 300
- Icterus max
- 20
- TAT
- 24–72 hours
- Order
- routine
This test is a laboratory procedure that helps your doctor evaluate your health by measuring specific substances in a sample taken from your body. The results provide a clear picture of how well certain organs and body systems are functioning and can help detect a medical condition early, sometimes before you notice any symptoms.
The 25-hydroxyvitamin D test measures the amount of 25-hydroxyvitamin D in your blood. This form of vitamin D is produced when your liver processes vitamin D from sunlight, food, or supplements. It is considered the best indicator of your overall vitamin D status because it reflects all sources of vitamin D and has a relatively long half-life in the blood.
Your doctor may order this test to help diagnose a health problem, to monitor a condition you already have, or to check how well a treatment is working. It can also be part of a routine checkup to screen for risk factors and to guide decisions about your ongoing care and follow-up plan.
Your doctor may order this test if you have symptoms of vitamin D deficiency such as bone pain, muscle weakness, or fatigue. It is also used to monitor vitamin D levels in people with conditions that affect vitamin D absorption (such as Crohn's disease or celiac disease), kidney disease, or those taking medications that affect vitamin D metabolism. Additionally, it may be used to check vitamin D levels in people with osteoporosis, rickets, or osteomalacia.
The test is usually performed in a clinic, hospital, or laboratory. A trained health professional will collect a small sample, such as blood or urine, using a standard procedure. The sample is then sent to a laboratory for analysis, and your doctor will review the results with you once they are available, often within a few days.
A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The blood is collected into a tube and sent to a laboratory for analysis. The test is simple and only takes a few minutes. You may feel a brief sting or pinch when the needle is inserted.
Preparation depends on the type of test being done. Your care team will give you specific instructions, which may include fasting for a certain number of hours, avoiding certain foods, drinks, or medications, and drinking plenty of water beforehand. Tell your doctor about all medicines, vitamins, or supplements you take, and plan to arrive on time for your appointment.
Generally, no special preparation such as fasting is required for this test. However, it's important to inform your doctor about all medications, supplements, and vitamins you are taking, as some can affect vitamin D levels. Your doctor will provide specific instructions if needed.
Reference range
Deficiency: <20 ng/mL; Insufficiency: 20-29 ng/mL; Sufficiency: 30-100 ng/mL; Excess: >100 ng/mLN/A
No fasting required. Patient should inform about supplements containing vitamin D. Specimen can be collected at any time of day.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The 25-hydroxyvitamin D test helps diagnose vitamin D deficiency, which can lead to bone diseases such as rickets in children and osteomalacia or osteoporosis in adults. Low levels may also be associated with increased risk of fractures, muscle weakness, and certain chronic diseases. High levels of vitamin D (vitamin D toxicity) can cause hypercalcemia, leading to symptoms like nausea, vomiting, weakness, and kidney problems. The test results, along with your clinical symptoms and other test results, help your doctor determine if you need vitamin D supplementation or lifestyle changes.
Frequently asked questions
What do low vitamin D levels mean?
What do high vitamin D levels mean?
What is the normal range for 25-hydroxyvitamin D?
How often should I have this test?
Sources
- 1
- 2Mayo Clinic - Vitamin DSource
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy