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Calcium, Serum (Total)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of calcium in your blood serum. Calcium is an essential mineral that helps with muscle and nerve function, bone health, and blood clotting.

Quick summary

["Your doctor may check your calcium levels to monitor bone health, detect conditions like low calcium, or assess kidney function."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
21644-0
Short code
CACNA1S R528H
Synonyms
CACNA1S p.R528h Bld/T Ql
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender-top) blood collection tube for whole blood; sterile container for tissue specimens
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
81230
SNOMED
5304004
Specimen volume
3-5 mL whole blood in EDTA tube; 5-10 mg tissue in sterile container
Stability
Whole blood: Room temperature for 7 days, refrigerated (2-8°C) for 30 days, frozen (-20°C or below) for 1 year. Tissue: Refrigerated for 24 hours or frozen at -80°C for long-term storage.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
168–720 hours
Order
routine

Why Is This Test Done?

Doctors order this test to diagnose or monitor conditions such as hypocalcemia (low calcium), hypercalcemia (high calcium), kidney disease, or metabolic bone diseases. It may also be used during pregnancy to check for calcium-related issues or in patients with certain cancers that affect calcium metabolism.

What Does the Result Mean?

Results are not provided with specific reference ranges here. Your healthcare provider will interpret your results in relation to your overall health and medical history. Abnormally low or high levels may signal underlying health concerns that need further evaluation.

Common Reasons for Testing

This test is commonly requested if you have symptoms like muscle spasms, weakness, frequent bone fractures, or if you have a history of conditions like osteoporosis, kidney disease, or thyroid disorders.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The blood is then separated into serum (the liquid part without clotting factors) for testing. No special preparation is needed, but fasting may be advised depending on your specific situation.

Reference range

Negative (no p.Arg528His mutation detected). Positive indicates presence of the R528H variant in the CACNA1S gene, associated with Malignant Hyperthermia susceptibility.N/A

Specimen: whole-blood

No fasting required. Patients should provide informed consent for genetic testing. Genetic counseling is recommended prior to and following testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Serum Calcium

Frequently asked questions

Low calcium levels can cause muscle cramps, numbness, or irregular heartbeats. High calcium levels may lead to nausea, confusion, or kidney stones. Regular monitoring is important for patients with chronic conditions affecting calcium balance.
This test is typically done as part of a routine blood panel or to investigate specific symptoms or medical conditions. It is important to discuss any medications you are taking, as some can affect calcium levels.
What happens if my calcium level is out of range?
If your calcium level is outside the expected range, your doctor may recommend further tests or treatments to address the underlying cause. This could include dietary changes, medication adjustments, or additional diagnostic procedures.
How often should I get this test?
The frequency depends on your health status and medical needs. Your doctor will determine how often you need this test based on your symptoms, medical history, and treatment plan.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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 16, 2026. · Read our editorial policy