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Calcium, Serum

Published: August 9, 2026Updated: August 14, 2026

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

Quick summary

["Your blood calcium levels help ensure your body functions properly, including muscle and nerve activity."]

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

Key facts at a glance

LOINC
16511-8
Short code
CALC9
Synonyms
Calcit sp9 p chal SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top serum tube or serum separator tube (SST)
Units
N/A
Ref low
0
Ref high
10
Critical range
— – 1000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–99 years
Method
Chemiluminescent Immunoassay (CLIA) or Radioimmunoassay (RIA)
CPT
82308
SNOMED
39565008
Specimen volume
1-2 mL of serum per specimen; 9th specimen is the final timed collection in stimulation protocol
Stability
Serum stable at room temperature for 4 hours; refrigerated (2-8°C) for 24 hours; frozen at -20°C or below for up to 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
150
Icterus max
50
TAT
24–72 hours
Order
routine

Why Is This Test Done?

Doctors may order a serum calcium test to check for conditions like low or high calcium levels, which can affect bones, muscles, or heart function. It’s often done if you have symptoms such as muscle spasms, confusion, or unusual fatigue, or if you have conditions like kidney disease, thyroid disorders, or osteoporosis.

What to Expect Before the Test

No special preparation is needed for this test. You’ll have a small needle inserted into your arm or vein to draw blood. It usually takes a few minutes, and you may feel a slight pinch or discomfort.

What the Results Mean

Results help determine if your calcium levels are within the normal range. Abnormal levels can signal underlying health issues that may require further evaluation or treatment.

Common Conditions Linked to Calcium Levels

Low calcium levels (hypocalcemia) may cause muscle cramps, numbness, or irregular heartbeat, while high levels (hypercalcemia) can lead to nausea, frequent urination, or kidney stones. Both conditions can be managed with lifestyle changes or medical treatment.

Reference range

Reference ranges vary by laboratory and assay methodology. For the 9th specimen post-calcium or pentagastrin stimulation challenge, peak calcitonin values are evaluated. Baseline serum calcitonin: males <10 pg/mL, females <5 pg/mL. Stimulated peak values vary; consult laboratory-specific reference ranges.N/A

Specimen: serum

No special fasting required. Patient should be informed about the stimulation test procedure. Baseline and timed specimens are collected following IV administration of stimulating agent (calcium gluconate or pentagastrin). Patient should remain recumbent during the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Serum Calcium Level

Frequently asked questions

What causes changes in my calcium levels?
Changes in calcium levels can result from dietary factors (like low vitamin D or calcium intake), certain medications, kidney problems, or hormonal imbalances (such as thyroid or parathyroid issues). Lifestyle factors, like excessive vitamin D supplements or certain chronic illnesses, can also play a role.
How often should I get this test?
Your doctor will decide how often you need this test based on your health history, symptoms, and any ongoing conditions. Regular monitoring may be recommended if you have conditions like kidney disease, osteoporosis, or metabolic disorders.
Can diet affect my calcium test results?
Yes, diet can influence calcium levels. Eating foods rich in calcium (like dairy products, leafy greens, or fortified foods) or avoiding excessive calcium supplements may affect your test results. It’s best to discuss dietary habits with your healthcare provider before testing.
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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