Resources

PARATHYROID HORMONE, INTACT WITH CALCIUM

Message
Sample types MUST be consistent between draws!  For this reason, and due to other sample type stability, serum will no longer be accepted as an alternate sample type for Parathyroid Hormone testing.
  • Plasma must be separated from cells within two hours of collection.
  • Transfer plasma into a transfer tube.
  • Specimens received uncentrifuged will be rejected.


Test Code
PTHCA


CPT Codes
83970; 82310

Includes

Test includes Parathyroid Hormone and Calcium




Preferred Specimen
Two tubes are needed for this test
  • 1 Green tube (Lithium Heparin) for the Parathyroid Hormone 
  • 1 Gold tube (serum separator) for the Calcium


Minimum Volume
0.5 mL for each tube


Other Acceptable Specimens
None


Instructions

Centrifuge immediately for complete separation of plasma and red cells within 2 hours of collection.  If gel-separator heparin tube is not used, aliquot (transfer) plasma into a transfer tube and refrigerate until tested.  Allow gold tube to clot then centrifuge to separate serum from cells.




Transport Temperature

Refrigerate



Specimen Stability
  • 2-8°C up to 2 days
  • 15-30°C up to 8 hours
  • Frozen up to 6 months


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed


Methodology

Chemilluminescent assay



Setup Schedule
M, T, W, Th, F, Sa, Sun


Report Available
Within 24 hours of receipt at the performing laboratory.


Reference Range
  • 12 - 88 pg/mL PTH
  • 8.6 - 10.3 mg/dL Calcium

 



Clinical Significance
The function of PTH is to increase the serum concentration of calcium and decrease that of phosphate.  The assay is useful in making the diagnosis of primary hyperparathyroidism, secondary hyperparathyroidism, and a differential diagnosis of hypercalcemia.


Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab  
NCHB2 (Chemistry, Beckman DxI)
NCHB1 (Chemistry, Beckman AU)


Last Updated: August 19, 2023


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.