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Carbon Dioxide (Total) in Blood Gas Analysis

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

This test measures the amount of carbon dioxide in your blood, which helps assess how well your body is balancing acidity and alkalinity (pH) and how efficiently your lungs are removing waste gases.

Quick summary

["Your blood gas CO₂ levels help doctors check lung function and acid-base balance."]

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

Key facts at a glance

LOINC
60924-8
Short code
CO2 during insp VFr/PPres Away adap
Synonyms
CO2 during insp VFr/PPres Away adap
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
22
Ref high
28
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82374
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why It Matters in Your Health

CO₂ in your blood is produced during normal metabolism and exhaled by your lungs. Abnormal levels can indicate issues like poor lung function, fluid overload, or metabolic problems. This test is often part of a broader blood gas evaluation, especially if you have symptoms like shortness of breath, rapid breathing, or fatigue.

When You Might Need This Test

Your healthcare provider may order this test if you have symptoms like difficulty breathing, chest pain, confusion, or rapid heartbeat. It’s also used before surgeries, during intensive care, or if you have conditions like heart failure, kidney disease, or respiratory infections.

What to Expect During the Test

A small blood sample is taken from a vein, usually in your arm. The blood is analyzed immediately or sent to a lab to measure CO₂ levels, often alongside oxygen and pH. The process takes a few minutes and is generally painless.

Possible Results and Next Steps

Results are compared to standard ranges to identify imbalances. If your levels are too high or too low, your doctor may recommend further tests or treatments, such as breathing exercises, medications, or adjustments to your condition management plan.

Reference range

Adult: 22-28 mmol/LN/A

Specimen: serum

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.

High CO₂ levels (hypercapnia) can cause respiratory acidosis, leading to symptoms like headache, confusion, or even coma in severe cases. Low CO₂ levels (hypocapnia) may indicate overbreathing or lung hyperinflation. Monitoring CO₂ helps doctors diagnose and treat conditions like chronic obstructive pulmonary disease (COPD), asthma, or metabolic disorders.

Short name

Total CO₂ (Blood Gas)

Frequently asked questions

What does a high or low CO₂ level mean?
A high CO₂ level may suggest your lungs aren’t working well to remove waste gases, or your body isn’t producing enough carbon dioxide naturally. This could be due to conditions like chronic lung disease, fluid in the lungs, or certain medications.
What if my CO₂ level is outside the normal range?
If your CO₂ level is abnormal, your doctor will review your symptoms, medical history, and other test results to determine the cause. They may recommend lifestyle changes, medications, or further tests to address the underlying issue.
Does this test require fasting?
No fasting is required for this test. However, if you’re on oxygen therapy or have certain medications, your doctor may ask you to stop them temporarily before the test.
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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