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Small Dense LDL Cholesterol, Serum/Plasma — Substance Concentration

Published: August 9, 2026Updated: August 16, 2026

Measures cholesterol carried in small dense LDL particles, a blood lipid subset that may be associated with cardiovascular risk.

Quick summary

["Higher small dense LDL cholesterol can indicate increased cardiovascular risk, so discuss the result with your clinician."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
96959-2
Short code
Chol.in LDL.small dense SerPl-sCnc
Synonyms
Chol.in LDL.small dense SerPl-sCnc
Category
lipid
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
100
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83721
SNOMED
113079007
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This blood test measures the amount of cholesterol carried in small dense low-density lipoprotein (LDL) particles. LDL is the type of cholesterol commonly described as “bad” cholesterol, and small dense LDL is a subset that may circulate more readily through blood vessel walls.

Why might I need this test?

Your clinician may order this test as part of a broader evaluation of cholesterol and cardiovascular risk. It may be considered when standard lipid results do not fully explain your risk or when additional information about LDL particle characteristics is helpful.

How is the test performed?

A blood sample is collected, and serum or plasma is separated for laboratory analysis. The laboratory then measures the concentration of cholesterol in the small dense LDL fraction.

How do I prepare for the test?

No special preparation is usually required unless your clinician or laboratory gives specific instructions. Follow any fasting or medication guidance provided for your order, and tell the laboratory if you have recently started or stopped cholesterol medicine.

Reference range

Optimal: <100 mg/dLN/A

Specimen: serum

Fasting for 12-14 hours preferred. Water is permitted. Avoid alcohol for 24 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher concentration of small dense LDL cholesterol may indicate an increased amount of atherogenic cholesterol in the blood. This can be associated with greater risk of atherosclerosis and cardiovascular disease, particularly when other risk factors are present. Your clinician should interpret the result alongside your total, LDL, and HDL cholesterol, triglycerides, medical history, and other risk factors.

Short name

Small dense LDL cholesterol

Frequently asked questions

Is small dense LDL cholesterol the same as LDL cholesterol?
It is a specific fraction of LDL cholesterol, so it is not the same as a standard total LDL measurement. A standard lipid panel usually does not report small dense LDL separately.
Why does small dense LDL matter?
Small dense LDL particles may more readily enter and build up within artery walls, contributing to plaque formation. Their presence is one marker that may be used in assessing cardiovascular risk.
What should I do if my result is high?
Discuss the result with your clinician, who can interpret it with the rest of your lipid profile and cardiovascular risk factors. Lifestyle changes or cholesterol-lowering treatment may be appropriate depending on your overall risk.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy