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Calcium concentration in urine (24-hour collection)

Published: August 9, 2026Updated: August 17, 2026

This test measures the total amount of calcium excreted in your urine over a full day. It helps assess how well your body is balancing calcium levels between what you absorb and what you excrete.

Quick summary

["Understanding your daily urine calcium helps diagnose or monitor conditions like kidney stones or calcium metabolism disorders."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
17809-5
Short code
Hct VFr Ur Calc
Synonyms
Hct VFr Ur Calc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
36
Ref high
50
Critical range
18 N/A – 60 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
calculated
CPT
85014
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 This Test Is Done

Your doctor may order this test if you have symptoms like frequent kidney stones, unexplained bone pain, or if you have a family history of calcium-related conditions. It’s also used to evaluate kidney function or monitor treatment for conditions like hyperparathyroidism.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period, typically starting and ending at the same time (e.g., midnight to midnight). Drink plenty of fluids but avoid foods high in calcium (like dairy) unless instructed otherwise.

How the Test Is Performed

You’ll use a clean container to collect all urine over 24 hours. The sample is then sent to a lab for analysis. No special preparation is needed beyond following the collection instructions precisely.

What the Results Mean

Results are compared to a general reference range, but individual ranges can vary based on age, health, and other factors. High levels may indicate kidney stones or overactive parathyroid glands, while low levels could suggest malabsorption or other metabolic issues.

Reference range

Adult males: 38-50%; Females: 36-44%N/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.

Abnormal urine calcium levels can signal underlying health concerns. For example, high levels may raise the risk of kidney stones or calcium deposits in tissues, while low levels might indicate problems with calcium absorption or bone health. Your doctor will interpret results in the context of your overall health and symptoms.

Short name

24-Hour Urine Calcium

Frequently asked questions

What causes high urine calcium levels?
High urine calcium can be caused by conditions like hyperparathyroidism (where the body produces too much parathyroid hormone), excessive vitamin D, or certain medications. Lifestyle factors, such as a high-salt or high-protein diet, may also contribute.
What causes low urine calcium levels?
Low urine calcium is less common but can result from malabsorption issues (like celiac disease), certain medications, or metabolic disorders. It may also occur if you’re not consuming enough calcium in your diet.
How often should I get this test?
Your doctor will determine how often you need this test based on your health status, symptoms, and treatment plan. Regular monitoring may be recommended if you have a history of kidney stones or related conditions.
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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 17, 2026. · Read our editorial policy