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24-Hour Urinary Calcium Mass Concentration

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

This test measures the total amount of calcium excreted in your urine over a 24-hour period. It helps assess kidney function and calcium metabolism.

Quick summary

["Understanding your kidney health and calcium balance through urine calcium levels."]

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

Key facts at a glance

LOINC
21203-5
Short code
Citrate 24h Ur-mCnc
Synonyms
Citrate 24h Ur-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have symptoms like kidney stones, high blood pressure, or conditions affecting calcium metabolism. It can also help diagnose or monitor kidney disease, bone disorders, or metabolic issues like hyperparathyroidism.

What to Expect Before the Test

You’ll need to collect all urine for 24 hours, starting and ending with your first morning urine. Drink plenty of fluids to help flush out calcium naturally. Avoid certain medications (like calcium supplements or some diuretics) that may affect results unless instructed otherwise.

How the Test Works

After collecting your urine sample, it’s analyzed in a lab to measure the total calcium content. The test provides a clear picture of how much calcium your kidneys are filtering and excreting over time.

What the Results Mean

Results are typically reported as a mass concentration (e.g., milligrams per day). High levels may indicate kidney stones, overactive parathyroid glands, or other metabolic disorders. Low levels could suggest kidney problems or malabsorption issues.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

24h Urine Calcium

Frequently asked questions

What does a high 24-hour urine calcium level mean?
A high result may signal conditions like nephrolithiasis (kidney stones), hypercalciuria (excess calcium in urine), or overactive parathyroid glands. It can also be linked to certain medications or metabolic disorders. Your doctor will discuss next steps based on your overall health.
What does a low 24-hour urine calcium level mean?
Low levels may suggest kidney dysfunction, vitamin D deficiency, or conditions that impair calcium absorption. It’s important to discuss this with your doctor to rule out underlying issues like chronic kidney disease or malabsorption syndromes.
How often should I get this test?
Your doctor will determine the frequency based on your medical history, symptoms, and other test results. Regular monitoring may be needed if you have a history of kidney stones, bone disorders, or conditions affecting calcium metabolism.
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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