Calcium, Ionized

Calcium, Ionized

Test Code

306
82330
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
306
82330
CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering.
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection may be available in your area for purchase through Quest Mobile.

Clinical Significance

Calcium, Ionized - Ionized calcium represents the true "bioavailable" calcium in the circulation. In situations where the total calcium is normal but does not fit the clinical picture, e.g. , hyperparathyroidism, a determination of the ionized calcium will, many times, show an elevation in the "bioavailable" calcium component. This may be due to alterations in protein concentrations, especially albumin, that binds most of the calcium in the circulation.

Test Details

Methodology

Ion Specific Electrode (ISE)

Reference Range(s)

<8 Months 5.3-6.3 mg/dL
8-11 Months5.2-6.1 mg/dL
1 Year5.1-6.0 mg/dL
2 Years4.9-5.8 mg/dL
3 Years4.9-5.7 mg/dL
4-6 Years4.8-5.7 mg/dL
7-12 Years4.8-5.6 mg/dL
13-17 Years4.8-5.5 mg/dL
18-89 Years4.7-5.5 mg/dL
≥90 Years4.5-5.5 mg/dL

Alternative Name(s)

CA++,CA, Ionized,Calcium Free,Calcium, Free,Free CA,Free Calcium,Ionized CA,Ionized Calcium

LOINC® Codes, Performing Laboratory

Methodology

Ion Specific Electrode (ISE)

Reference Range(s)

<8 Months 5.3-6.3 mg/dL
8-11 Months5.2-6.1 mg/dL
1 Year5.1-6.0 mg/dL
2 Years4.9-5.8 mg/dL
3 Years4.9-5.7 mg/dL
4-6 Years4.8-5.7 mg/dL
7-12 Years4.8-5.6 mg/dL
13-17 Years4.8-5.5 mg/dL
18-89 Years4.7-5.5 mg/dL
≥90 Years4.5-5.5 mg/dL

Alternative Name(s)

CA++,CA, Ionized,Calcium Free,Calcium, Free,Free CA,Free Calcium,Ionized CA,Ionized Calcium

Preferred Specimen(s)

2 mL serum collected in a gel barrier tube

Alternative Specimen(s)

SST (red/black-top) tube

Minimum Volume

0.6 mL

Collection Instructions

Let clot and spin immediately with the cap on. Do not open tube. Ship the unopened gel barrier tube at room temperature.
If submitting with any other assay, please submit a separate tube for this test.

Transport Container

Unopened gel barrier tube

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 7 days
  • Refrigerated: 7 days
  • Frozen: Unacceptable

Reject Criteria

Gross hemolysis • Grossly lipemic • Received frozen • Red-top tube (no gel)

Setup Schedule

2 mL serum collected in a gel barrier tube
SST (red/black-top) tube
0.6 mL

Let clot and spin immediately with the cap on. Do not open tube. Ship the unopened gel barrier tube at room temperature.
If submitting with any other assay, please submit a separate tube for this test.

Unopened gel barrier tube
Room temperature
Room temperature: 7 days
Refrigerated: 7 days
Frozen: Unacceptable
Gross hemolysis • Grossly lipemic • Received frozen • Red-top tube (no gel)
Not offered in Quest Diagnostics Nichols Institute (IFD) – San Juan Capistrano. Please provide SERVICE AREA INFORMATION to find available tests you can order.
In-home collection may be available in your area for purchase through Quest Mobile.
Test Details

Clinical Significance

Test Resources

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.

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