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Calcium, Serum (Substance Concentration)

Published: August 9, 2026Updated: August 10, 2026

This test measures the amount of calcium, a mineral essential for strong bones, healthy nerves, and proper muscle function, in your blood serum.

Quick summary

["Your blood calcium levels help ensure your body’s vital functions stay balanced."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
59569-4
Short code
CALCPOST
Synonyms
Calcit p chal SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top serum tube or SST (Serum Separator Tube)
Units
N/A
Critical range
— – 1000 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Chemiluminescent Immunoassay (CLIA) or Radioimmunoassay (RIA)
CPT
82308
SNOMED
3952009
Specimen volume
1.0 mL serum minimum; 2.0 mL preferred for repeat testing
Stability
Stable for 4 hours at room temperature; 1 day at 2-8°C; may be frozen at -20°C or below for up to 6 months. Avoid repeated freeze-thaw cycles. Process and separate serum within 2 hours of collection.
Hemolysis max
100
Lipemia max
300
Icterus max
25
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Your doctor may order this test to check for conditions affecting bone health, kidney function, or calcium metabolism. It can also help diagnose or monitor symptoms like muscle cramps, unusual fatigue, or unexplained bone pain.

What to Expect Before the Test

No special preparation is needed. You may have a small needle inserted into your arm or hand to draw blood. If you’re on blood thinners or have a history of bleeding issues, let your doctor know beforehand.

What the Results Mean

Results are typically reported as a numerical value (in mg/dL or mmol/L), but your doctor will interpret them in relation to your overall health. Very low or very high levels can signal underlying health concerns.

Common Conditions Monitored

This test is often used to evaluate conditions like hypoparathyroidism (low calcium), hyperparathyroidism (high calcium), kidney disease, or vitamin D deficiency, which can disrupt calcium balance.

Reference range

Reference ranges vary by stimulation agent, baseline value, and laboratory methodology. Post-stimulation calcitonin values are interpreted in conjunction with baseline levels. A calcitonin stimulation test (pentagastrin or calcium challenge) showing a rise to >100 pg/mL (males) or >80 pg/mL (females) is suggestive of medullary thyroid carcinoma (MTC). Values should be interpreted by an endocrinologist in clinical context.N/A

Specimen: serum

Fasting is not required, but an overnight fast may be preferred. Patient should be supine for at least 15 minutes prior to blood draw. Patient should remain in supine position throughout the stimulation test. No special dietary restrictions unless specified by ordering physician. Document time of blood draw relative to stimulus administration.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Serum Calcium

Frequently asked questions

What causes low calcium levels?
Low calcium levels (hypocalcemia) can result from conditions like vitamin D deficiency, kidney disease, or certain medications. It may also occur after surgery (e.g., thyroid removal) or due to blood loss.
What causes high calcium levels?
High calcium levels (hypercalcemia) can stem from overactive thyroid (hyperparathyroidism), cancer, prolonged bed rest, or excessive vitamin D intake. It may also be linked to certain medications or kidney issues.
How often should I get this test?
Your doctor will determine how often you need this test based on your health status, symptoms, and risk factors. Regular monitoring may be recommended if you have chronic 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 10, 2026. · Read our editorial policy