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Parathyroid Hormone (Active), Serum/Plasma Concentration

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

This test measures the active (bioactive) form of parathyroid hormone (PTH) in your blood. PTH is a hormone that helps regulate calcium and phosphate levels in your body.

Quick summary

["Active PTH helps assess calcium metabolism and potential hyperparathyroidism or hypoparathyroidism."]

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

Key facts at a glance

LOINC
33846-7
Short code
PTH-Intact 2h p chal SerPl-sCnc
Synonyms
PTH-Intact 2h p chal SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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 Might Be Ordered

Your doctor may recommend this test if you have symptoms like bone pain, frequent fractures, or unexplained kidney stones. It could also be done to monitor conditions like hypercalcemia (high calcium), hypocalcemia (low calcium), or kidney disease. Additionally, it may be used to check for overactive or underactive thyroid function or to evaluate metabolic bone diseases.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if your doctor specifies it, but this is not always required for PTH. Bring any medications you’re taking to your appointment.

What Happens During the Test

A healthcare provider will draw blood from a vein in your arm. You may feel a small pinch, but it usually doesn’t cause discomfort. The blood sample is then sent to a lab for analysis.

What the Results Mean

Results help doctors determine if your PTH levels are too high (hyperparathyroidism) or too low (hypoparathyroidism), which can affect calcium balance and bone health. Abnormal results may guide treatment, such as medication or lifestyle changes.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Active PTH

Frequently asked questions

What causes abnormal PTH levels?
Abnormal PTH levels can result from conditions like hyperparathyroidism (e.g., due to tumors or genetic disorders), hypoparathyroidism (e.g., after surgery or autoimmune disease), kidney disease, or vitamin D deficiency. Lifestyle factors like diet (low calcium intake) or medications (e.g., lithium) may also play a role.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your doctor will discuss the findings with you during your follow-up visit.
Can I eat or drink before this test?
Most often, no fasting is required for PTH testing. However, always follow your doctor’s instructions—some labs may specify fasting for accuracy. If you’re unsure, ask your healthcare provider.
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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