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Parathyroid Hormone (PTH) - Active, Intact

Published: August 9, 2026Updated: August 16, 2026

This test measures the active, intact form of parathyroid hormone, a key hormone that regulates calcium levels in your blood.

Quick summary

["Active PTH helps maintain healthy calcium and bone metabolism."]

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

Key facts at a glance

LOINC
45190-6
Short code
CASR
Synonyms
CASR gene Mut Anl Bld/T
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender-top) tube for whole blood; sterile container for tissue specimens
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
81405
SNOMED
5304004
Specimen volume
3-5 mL whole blood in EDTA tube; minimum 1 mL for pediatric samples; 5-10 mg tissue
Stability
Whole blood: stable for 7 days at 2-8°C; long-term storage at -20°C or -80°C. DNA extracted from samples stable for years at -20°C. Tissue: stable in DNA preservative or frozen at -80°C indefinitely.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
168–720 hours
Order
routine

Why This Test Is Done

Your doctor may order this test to diagnose or monitor conditions affecting calcium balance, such as hypoparathyroidism (low PTH), hyperparathyroidism (high PTH), or kidney-related disorders. It may also be used to evaluate symptoms like bone pain, muscle weakness, or abnormal calcium levels in the blood.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample, typically drawn from a vein in your arm. If you’re on certain medications (like calcium supplements or vitamin D), your doctor may advise timing them around the test to avoid interference.

What the Results Mean

Results help determine if your PTH levels are too high or too low, which can indicate underlying health issues. While reference ranges vary by lab, abnormal results may prompt further testing or adjustments to treatment.

Common Conditions Linked to PTH Levels

High PTH levels may suggest hyperparathyroidism, while low levels could point to hypoparathyroidism. Other conditions like kidney disease, vitamin D deficiency, or certain cancers may also affect PTH levels.

Reference range

No mutations detected (Negative) is considered a normal result. The report will specify any identified CASR gene variants with classification (pathogenic, likely pathogenic, variant of uncertain significance, likely benign, or benign) according to ACMG guidelines.N/A

Specimen: whole-blood

No special patient preparation is required. Patients should provide informed consent for genetic testing and disclose any relevant family history of calcium metabolism disorders.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

PTH Active

Frequently asked questions

What causes abnormal PTH levels?
Abnormal PTH levels can result from thyroid disorders, kidney problems, or genetic conditions. Medications, dietary calcium intake, or chronic illnesses (like multiple myeloma) may also influence results.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Follow-up with your doctor to discuss findings.
Can diet affect PTH test results?
Yes, high calcium intake or vitamin D supplements may temporarily alter PTH levels. Your doctor may advise fasting or timing your diet around the test to ensure accurate results.
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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