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Peptide C (with Propeptide) in Serum or Plasma

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

This test measures the levels of Peptide C, a fragment of proprotein convertase subtilisin/kexin type 9 (PCSK9), which plays a role in cholesterol regulation. It may be used to assess certain metabolic or cardiovascular conditions.

Quick summary

["Peptide C levels can help evaluate how your body processes cholesterol and may support diagnosis of related health concerns."]

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

Key facts at a glance

LOINC
25578-6
Short code
C peptide sp5 p chal SerPl-sCnc
Synonyms
C peptide sp5 p chal SerPl-sCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85610
SNOMED
396252006
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

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms or risk factors for conditions like familial hypercholesterolemia, certain heart disease risks, or metabolic disorders. It may also be part of a broader evaluation for genetic or inherited lipid disorders.

What to Expect Before the Test

No special preparation is typically needed. You may fast for 8–12 hours before the test if instructed, but always follow your provider’s specific instructions. Bring any medications you’re currently taking to your appointment.

During the Test Process

A healthcare professional will draw blood from a vein in your arm. You may feel slight discomfort, but the process usually takes a few minutes. You can resume normal activities immediately afterward.

What the Results Mean

Results help assess whether your body’s cholesterol metabolism is functioning normally. Abnormal levels may indicate conditions requiring further evaluation, such as genetic disorders or metabolic issues. Your provider will discuss findings in detail with you.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

Inform your healthcare provider if you are taking blood thinners. No special preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Peptide C is involved in regulating cholesterol and lipoprotein metabolism. Elevated or low levels may signal underlying conditions like familial hypercholesterolemia, which can increase cardiovascular risk. This test may be part of a broader diagnostic workup to identify genetic or metabolic disorders affecting lipid profiles.

Short name

Peptide C Screening/Confirmatory

Frequently asked questions

How often will I need this test?
The frequency depends on your health status and provider’s recommendations. Some patients may need it annually or as part of routine cardiovascular screening, while others may require it less often or only if symptoms arise.
What are the most common causes of abnormal results?
Abnormal Peptide C levels can result from inherited metabolic disorders, certain genetic mutations affecting cholesterol metabolism, or conditions like hyperlipidemia. Other factors, such as medications or underlying metabolic syndromes, may also influence results.
Can I adjust my diet or medications before this test?
Follow your healthcare provider’s instructions carefully. Avoid dietary changes or stopping medications unless directed, as they may affect test accuracy. Always confirm with your provider before making adjustments.
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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