Calcium

Test Code
CA


Alias/See Also
Ca


Preferred Specimen
1.0 mL plasma (0.5 mL minimum)


Transport Container
PST (light green top). Red top and SST also acceptable


Specimen Stability
Room temperature: 8 hours, Refrigerated: 2 days, Frozen: 45 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly hemolyzed specimens are unacceptable.


Limitations
Calcium values may be falsely decreased in the presence of gadolinium-containing contrast agents such as Omniscan™. The manufacturer recommends to avoid drawing samples for serum calcium 24 hours after administration of this.


Reference Range
 
Age Female Male
Adult (>19 years): 8.4 – 10.6 mg/dL 8.4 – 10.6 mg/dL
Pediatric:    
0 – 7 days 7.8-11.2 7.6-11.3
8 – 30 days 8.6-11.8 8.8-11.6
31– 90 days 8.2-11.0 8.7-11.2
91– 180 days 8.0-11.4 8.5-11.3
6 – 11 months 8.1-11.0 8.0-10.9
1 – 3 years 8.9-9.9 8.9-9.9
4 – 6 years 9.0-10.1 9.0-10.1
7 – 9 years 9.0-10.1 9.0-10.1
10 –11 years 9.0-10.1 9.0-10.1
12 –13 years 9.0-10.6 9.0-10.6
14 –15 years 9.3-10.7 9.3-10.7
16 –19 years 9.0-10.7 9.0-10.7



Clinical Significance
Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation. Calcium blood levels are controlled by a complex interaction of parathyroid hormone, vitamin D, calcitonin and adrenal cortical steroids. Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease. A low level of calcium results in tetany.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.