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Calcium, Serum or Plasma (Mass Concentration)

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

This test measures the amount of calcium in your blood, which is important for strong bones, healthy nerves, and proper muscle function.

Quick summary

["Checks your blood calcium levels for health or potential issues like bone disorders or other conditions."]

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

Key facts at a glance

LOINC
107499-6
Short code
CALC20
Synonyms
Calcit 20M p chal SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top serum tube or serum separator tube (SST)
Units
N/A
Critical range
— – 1000 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Immunoassay (Chemiluminescent or Electrochemiluminescent)
CPT
82308
SNOMED
39565006
Specimen volume
1.0 mL serum (minimum 0.5 mL)
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 24 hours; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

Why It’s Done

Your doctor may order this test if you have symptoms like muscle cramps, fatigue, or unusual bone pain. It’s also used to monitor conditions like osteoporosis, kidney disease, or hyperparathyroidism. Some people get it as part of a routine check or before certain treatments.

What to Expect

A small needle is used to draw blood from a vein in your arm. The process takes about 5 minutes. You may feel a slight pinch, but it usually doesn’t cause pain. The blood sample is sent to a lab for testing.

What the Results Mean

Calcium levels can vary based on diet, health conditions, and medications. While reference ranges differ by lab, low or high levels may signal underlying health concerns that need further evaluation.

Common Causes of Abnormal Results

Low calcium (hypocalcemia) might be due to vitamin D deficiency, kidney problems, or certain medications. High calcium (hypercalcemia) could result from overactive thyroid, bone diseases, or prolonged bed rest.

Reference range

Reference ranges for calcitonin post-stimulation challenge vary by laboratory and assay methodology. Typically, a peak calcitonin level >100 pg/mL in females or >150 pg/mL in males following pentagastrin or calcium stimulation is suggestive of medullary thyroid carcinoma (MTC). Consult the performing laboratory's reference values.N/A

Specimen: serum

No special fasting required. Patient should remain supine for at least 15 minutes prior to and during specimen collection. The stimulating agent (pentagastrin or calcium gluconate) must be administered as per the stimulation protocol prior to the 20-minute post-challenge specimen draw.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Calcium Level

Frequently asked questions

Why might my doctor ask for this test?
Your doctor may check calcium levels to diagnose or monitor conditions affecting bones, nerves, or muscles. It can also help identify issues like kidney disease, thyroid disorders, or metabolic problems.
What if my calcium level is too low or too high?
If your results are outside normal ranges, your doctor will discuss next steps, which could include further tests or treatments to address the underlying cause.
How often should I get this test?
Frequency depends on your health status. Some people get it once a year, while others may need it more often if they have ongoing conditions like kidney disease or osteoporosis.
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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