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Parathyroid Hormone (Active), Serum/Plasma Concentration

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

This test measures the active form of parathyroid hormone (PTH), a key regulator of calcium levels in your body. It helps assess whether your thyroid glands are producing enough PTH to maintain healthy calcium balance.

Quick summary

["Active PTH helps diagnose conditions affecting calcium metabolism and bone health."]

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

Key facts at a glance

LOINC
14866-8
Short code
PTH-Intact SerPl-sCnc
Synonyms
PTH-Intact 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 Is This Test Done?

Your doctor may order this test if you have symptoms like bone pain, frequent fractures, or unexplained fatigue. It’s also used to monitor conditions such as hypoparathyroidism, hyperparathyroidism, or kidney disease that can affect calcium levels.

What Does the Test Measure?

Active PTH is the biologically active form of the hormone that signals your bones to release calcium and your kidneys to retain it. Unlike total PTH, this test focuses on the fraction that directly influences calcium metabolism.

How Is the Test Performed?

A blood sample is drawn from a vein in your arm. The sample is sent to a lab where it’s analyzed using an immunoassay method to detect the active PTH concentration.

What Are Common Causes of Abnormal Results?

Low active PTH levels may indicate hypoparathyroidism, vitamin D deficiency, or certain medications. High levels could suggest hyperparathyroidism, kidney disease, or bone disorders.

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.

Active PTH plays a critical role in maintaining calcium and phosphate balance. Abnormal levels can lead to complications like osteoporosis, kidney stones, or abnormal heart rhythms. This test is essential for diagnosing and managing conditions affecting bone and mineral metabolism.

Short name

Active PTH

Frequently asked questions

What does an abnormal active PTH level mean?
An abnormal result may signal an underlying condition affecting your thyroid or kidneys. Your doctor will discuss the results with you and may recommend further testing or adjustments to your treatment plan.
How often should I get this test?
The frequency depends on your health condition and treatment. Your doctor will determine how often you need retests, especially if you’re managing a chronic condition like hyperparathyroidism.
Can lifestyle changes affect active PTH levels?
Yes, factors like calcium intake, vitamin D levels, and certain medications can influence PTH. Your doctor may suggest dietary or lifestyle changes if needed to support healthy PTH function.
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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