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Serum Calcium (Total)

Published: August 9, 2026Updated: August 14, 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 blood calcium levels help your body stay strong and function properly."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 14, 2026Editorial policy

Key facts at a glance

LOINC
50474-6
Short code
CALC6
Synonyms
Calcit sp6 SerPl-mCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube; plasma may be collected in EDTA or heparin tubes
Units
N/A
Ref low
0
Ref high
11.5
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Chemiluminescent Immunoassay (CLIA) or Electrochemiluminescence Immunoassay (ECLIA)
CPT
82308
SNOMED
103225008
Specimen volume
1.0 mL of serum or plasma; minimum 0.5 mL
Stability
Serum/plasma stable for 8 hours at room temperature, 24 hours at 2-8°C, and up to 6 months frozen at -20°C or colder. Avoid repeated freeze-thaw cycles.
Hemolysis max
500
Lipemia max
1000
Icterus max
25
TAT
4–48 hours
Order
routine

Why Is This Test Done?

Doctors may order this test to check for conditions like low or high calcium levels, which can cause symptoms such as muscle cramps, weakness, or abnormal heart rhythms. It may also be done to diagnose or monitor diseases like osteoporosis, kidney problems, or certain cancers.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. You may feel a small pinch when the needle is inserted, but the procedure is quick. The blood sample is sent to a lab for analysis.

What Are Common Causes of Abnormal Results?

Low calcium levels (hypocalcemia) can result from conditions like vitamin D deficiency, kidney disease, or certain medications. High calcium levels (hypercalcemia) may be linked to overactive thyroid, certain cancers, or prolonged exposure to sunlight.

How Is the Test Performed?

The test uses a chemical method to measure the total calcium in your blood serum. No special preparation is usually needed, but you should inform your doctor about any medications you’re taking.

Reference range

Reference values vary by laboratory, assay method, age, and sex. Males typically have higher baseline values than females. Generally: Males <11.5 pg/mL; Females <5.0 pg/mL (pentagastrin-stimulated peak varies). For the 6th specimen in a stimulation series, results should be interpreted in the context of the full dynamic testing protocol.N/A

Specimen: serum

No special preparation required for basal calcitonin. For stimulation testing, patient should fast for at least 8 hours prior to testing. Pentagastrin or calcium stimulation tests require physician supervision due to potential adverse effects including flushing, nausea, and abdominal cramping.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Total Serum Calcium

Frequently asked questions

What are the normal reference ranges?
Reference ranges can vary by lab and may not be provided here due to ambiguity. Your doctor will interpret results in the context of your health and symptoms.
Do I need to prepare for this test?
No special preparation is typically required. However, inform your healthcare provider about any medications you’re taking, including supplements like calcium or vitamin D.
Can I eat or drink before the test?
You can eat and drink normally before the test unless instructed otherwise by your doctor.
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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 14, 2026. · Read our editorial policy