Calcium, Ionized

CPT: 82330
Metabolic

What This Test Measures

Unbound, biologically active calcium; more accurate than total calcium, especially in abnormal albumin states.

Preparation

No fasting required
No special prep required. Results should be interpreted alongside albumin — low albumin falsely lowers total calcium. Corrected calcium = Measured Ca + 0.8 × (4.0 − Albumin).
💬 Patient Community Notes

For patients post-parathyroidectomy or with hypoparathyroidism, standard reference ranges may not reflect clinical targets set by their endocrinologist. Corrected calcium (adjusted for albumin) is more meaningful than total calcium alone: Corrected Ca = Measured Ca + 0.8 × (4.0 − Albumin). The functional medicine community also notes that calcium should always be interpreted alongside PTH, Vitamin D, and magnesium — not in isolation.

Reflects common practices in thyroid, BHRT, and functional medicine communities. This may differ from standard clinical guidelines. Not medical advice — always discuss with your provider.

General guidelines only. Requirements vary by lab and individual. Confirm with your provider before adjusting any medications.

Turnaround Time

Varies by lab

Clinical Notes

Preferred in critically ill patients; affected by pH

ICD-10 Codes

Common diagnosis codes associated with this test. Codes are assigned by your provider.

E20.9Hypoparathyroidism, unspecified
E21.0Primary hyperparathyroidism
E83.51Hypocalcemia
E83.52Hypercalcemia

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Lab Codes

Proprietary codes used by each lab for this test.

LabCorp
001545(order_code)
Quest Diagnostics
931(order_code)

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For informational purposes only

This page is for educational and research purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. ICD-10 and CPT codes are assigned by your healthcare provider. Always consult a qualified healthcare provider before ordering any lab test or making decisions about your health.