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Parathyroid Hormone (Active), Serum

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

This test measures the active form of parathyroid hormone (PTH) in your blood. PTH helps regulate calcium levels in your body and plays a key role in bone metabolism.

Quick summary

["Active PTH helps your body maintain healthy calcium and bone balance."]

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

Key facts at a glance

LOINC
50527-1
Short code
PTH-Intact sp3 SerPl-mCnc
Synonyms
PTH-Intact sp3 SerPl-mCnc
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 to check for conditions affecting calcium metabolism, such as hypoparathyroidism (low PTH), hyperparathyroidism (high PTH), or kidney disease. It can also help diagnose or monitor conditions like pseudohypoparathyroidism or vitamin D deficiency.

What Does a High or Low Result Mean?

High levels of active PTH may indicate overactive parathyroid glands or conditions that reduce calcium absorption. Low levels could suggest underactive glands or other metabolic issues.

Sample Preparation

This test uses a blood sample drawn from a vein. You may feel slight discomfort, but it usually doesn’t cause lasting pain. Avoid eating or drinking for a few hours before the test if instructed.

Common Conditions Monitored

Active PTH is often checked in patients with symptoms like muscle weakness, bone pain, or frequent fractures, which may signal abnormal calcium or bone health.

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 is clinically significant because it reflects the biologically active form of PTH, which directly influences calcium metabolism and bone turnover. While total PTH is commonly tested, active PTH provides more precise insights into its functional role in conditions like chronic kidney disease or metabolic bone disorders.

Short name

Active PTH

Frequently asked questions

What triggers a PTH test?
Your doctor may recommend this test if you have symptoms like unexplained bone pain, frequent fractures, muscle spasms, or if you have a history of kidney disease, low calcium, or abnormal blood test results.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Follow-up with your healthcare provider to discuss the results.
Can diet affect PTH levels?
Dietary calcium and vitamin D intake can influence PTH levels, but active PTH is less affected by short-term dietary changes than total PTH. Avoiding certain medications (like calcium supplements) for a few days before testing may help ensure accurate results.
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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