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Test Code LAB53 Calcium

Useful For

The diagnosis and monitoring of a wide range of disorders including diseases of bone, kidney, parathyroid gland, or gastrointestinal tract.  Calcium levels may also reflect abnormal vitamin D, PTH, or calcitonin levels.

Methodology

Photometric, 5-nitro-5'-methyl-BAPTA

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

Specimen Type: Plasma or serum
Container/Tube: Light-green top (lithium heparin gel), red top, or gold top
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL

Collection Instructions:  Allow specimen to clot completely.  Spin down and separate cells from serum or plasma within 2 hours of collection.  Prolonged contact with the clot may cause lower calcium values.

Specimen Transport Temperature

Ambient/Refrigerated

Specimen Stability

Specimen Type Temperature Time
Plasma or Serum Ambient 7 days
  Refrigerated 3 weeks
  Frozen 8 months

Reference Values

8.9-10.3 mg/dL

 

Critical values (automatic call-back): <6.0 mg/dL or  >12.0 mg/dL

 

Note:  If the patients albumin concentration is low or high, a corrected calcium level will be reported.  Calcium in serum is bound to proteins, principally albumin. As a result, the total serum calcium concentration in patients with low or high serum albumin levels may not accurately reflect the physiologically important ionized (or free) calcium concentration. It is important to verify with repeat measurement (ionized calcium or total serum calcium corrected for albumin) that there is a true decrease in the serum calcium concentration. If the patient has a low albumin-corrected serum calcium or ionized calcium concentration, further evaluation to identify the cause is indicated.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

82310