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Calcium12hurmrate

Published: July 31, 2026Updated: August 16, 2026

A test that measures the amount of calcium in your urine collected over 12 hours to evaluate calcium metabolism and kidney function.

Quick summary

{"This test measures calcium excreted in urine over 12 hours","It helps diagnose conditions like kidney stones, bone disorders, and parathyroid problems","You will collect all urine in a special container for 12 hours","Results show if your body is excreting too much or too little calcium","Abnormal results may indicate kidney disease or metabolic disorders"}

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

Key facts at a glance

LOINC
18186-7
Short code
CA U12H
Synonyms
Calcium 12h Ur-mRate
Category
electrolyte
Sample
urine
Container
Clean, labeled plastic urine container (preferably amber or dark container to protect from light)
Units
not specified
Ref low
50
Ref high
150
Critical range
6 not specified – 14 not specified
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Atomic absorption spectrometry (AAS) or colorimetric method (arsenazo III dye binding)
CPT
82340
SNOMED
271567001
Specimen volume
10-20 mL from well-mixed 12-hour collection
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
24–72 hours
Order
routine

What is this test?

The 12-hour urine calcium test measures how much calcium your kidneys excrete in your urine over a 12-hour period. Calcium is an essential mineral important for bone health, muscle function, and nerve signaling. Normally, your kidneys filter calcium from the blood, and most of it is reabsorbed back into the body. This test helps doctors understand if your kidneys are handling calcium properly or if there are abnormalities in calcium metabolism.

How is the test performed?

You will receive a special container from your healthcare provider. On the day of the test, you will begin collecting your urine at a specific time (usually in the morning) and continue collecting every urine sample for the next 12 hours. It is important to collect all urine during this period, including the first morning urine on the second day. Keep the container refrigerated or on ice during the collection period. Once complete, return the container to your lab or healthcare provider as instructed.

Why might I need this test?

Your doctor may order this test if you have symptoms or conditions related to abnormal calcium levels, such as kidney stones, bone pain, weakness, fatigue, or frequent urination. It is also used to monitor patients with known kidney disease, parathyroid disorders, or certain bone diseases. Additionally, this test can help evaluate the effectiveness of treatments for calcium-related conditions.

What do the results mean?

High urine calcium levels (hypercalciuria) may indicate conditions such as kidney stones, hyperparathyroidism, certain cancers, osteoporosis, or excessive vitamin D intake. Low urine calcium levels (hypocalciuria) may be seen in hypoparathyroidism, vitamin D deficiency, kidney failure, or certain medications. Your doctor will interpret your results based on your overall health, symptoms, and other test results.

Are there any risks or preparations?

There are no significant risks associated with this test. However, your doctor may ask you to avoid certain foods, vitamins, or medications for 24 hours before and during collection, as these can affect results. It is important to stay well-hydrated during the collection period unless otherwise instructed. Follow all specific instructions provided by your healthcare team carefully to ensure accurate results.

Reference range

50-150 mg/12 hnot specified

Specimen: urine

Exact 12-hour timed urine collection required (empty bladder at start, collect all urine including final void); refrigerate specimen during collection; note dietary calcium intake

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before the test?
Typically, you do not need to fast for a urine calcium test. However, your doctor may ask you to avoid certain foods or supplements for 24 hours before the test. Follow your healthcare provider's specific instructions.
What happens if I miss collecting some urine during the 12-hour period?
It is important to collect all urine during the 12-hour period for accurate results. If you miss a sample, note the time and continue collecting. Inform the lab or your doctor about any missed collections when you return the sample.
Can I exercise during the collection period?
Avoid strenuous exercise during the collection period, as it can affect calcium levels in your urine. Light activities are generally acceptable. Consult your doctor for specific guidance.
How long does it take to get results?
Results are usually available within 1-3 days, depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
What happens if my results are abnormal?
An abnormal result does not necessarily mean you have a serious condition. Your doctor will consider your symptoms, medical history, and other test results to determine the cause. Additional tests may be needed to confirm a diagnosis.
Can I take my regular medications during the test?
Inform your doctor about all medications you are taking, as some drugs can affect calcium levels in urine. Your doctor will advise you on which medications to temporarily stop or continue.
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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