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Calcium4hurmcnc

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

This test measures the amount of calcium in your urine collected over a 4-hour period to help evaluate calcium metabolism and diagnose related conditions.

Quick summary

{"Measures calcium levels in urine collected over 4 hours","Helps diagnose kidney stones, bone disorders, and calcium metabolism problems","Requires collecting all urine during the 4-hour period","Results may be affected by diet, medications, and kidney function"}

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

Key facts at a glance

LOINC
12511-2
Short code
U_CA_4HR
Synonyms
Calcium 4h Ur-mCnc
Category
electrolyte
Sample
urine
Container
Clean sterile plastic urine container (60-100 mL capacity for aliquot)
Units
not specified
Ref low
1
Ref high
20
Critical range
50 not specified – 400 not specified
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
Spectrophotometry (Arsenazo III method) or Atomic Absorption Spectroscopy (AAS)
CPT
82340
SNOMED
314889006
Specimen volume
Submit 10 mL aliquot from well-mixed 4-hour collection; record total collection volume
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 72 hours; Frozen (-20°C): 30 days
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

The 4-hour urine calcium test measures how much calcium your kidneys are excreting in your urine over a 4-hour period. Calcium is an essential mineral for strong bones, muscle function, and nerve signaling. This test helps doctors understand how your body processes calcium and whether your kidneys are working properly.

How is the test performed?

You will be given a special container to collect all your urine for exactly 4 hours. It's important to collect every drop during this period, including the first morning urine. The collected sample is then sent to a laboratory where technicians measure the calcium content. Your doctor may ask you to follow specific dietary instructions before the test.

What do the results mean?

High urine calcium levels (hypercalciuria) may indicate kidney stones, hyperparathyroidism, or certain bone diseases. Low urine calcium levels (hypocalciuria) may be seen in vitamin D deficiency, kidney disease, or certain genetic conditions. Your doctor will interpret your results based on your symptoms and other test findings.

Reference range

1.0-20.0 mg/dLnot specified

Specimen: urine

Complete timed 4-hour urine collection (often after overnight fast per protocol); avoid calcium supplements/dairy if specified

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?
Your doctor may ask you to fast overnight or follow a specific diet. Generally, you should maintain your normal calcium intake for accurate results. Follow your healthcare provider's specific instructions.
What medications can affect the test results?
Many medications can affect urine calcium levels, including diuretics (water pills), antacids containing calcium, vitamin D supplements, and certain seizure medications. Always inform your doctor about all medications and supplements you are taking.
Is the test painful?
No, this test is not painful. You simply need to collect your urine in a provided container. There is no blood draw or invasive procedure involved.
How long does it take to get results?
Results are typically available within 1-3 days, depending on the laboratory. Your doctor will contact you with the results and explain what they mean for your health.
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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