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Homocysteine (Serum or Plasma, Mass Concentration)

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

This test measures the level of homocysteine, an amino acid in your blood. It can help assess risks related to heart disease, blood clots, or certain genetic conditions.

Quick summary

["Homocysteine levels may indicate risks for vascular health or genetic disorders."]

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

Key facts at a glance

LOINC
30033-5
Short code
Deprecated (Hcys)2 6h p Met SerPl-sCnc
Synonyms
Deprecated (Hcys)2 6h p Met SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 Is This Test Done?

Your healthcare provider may order this test if you have symptoms of heart disease, blood clots, or if you have a family history of conditions like homocystinuria. It may also be used to monitor treatment for conditions affecting blood vessels or nerves.

What Does a High or Low Level Mean?

High homocysteine levels may increase the risk of blood clots, heart disease, or stroke. Low levels are less commonly associated with health concerns unless linked to specific medications or genetic factors.

How Is the Test Performed?

A blood sample is drawn from a vein, usually in your arm. The sample is sent to a lab where it is analyzed to measure homocysteine concentration.

What Are Common Causes of Abnormal Results?

Factors that may affect homocysteine levels include diet (low in folate, vitamin B6, or B12), certain medications (like some antidepressants or diuretics), kidney disease, or genetic predispositions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Homocysteine plays a role in blood vessel health and nerve function. Elevated levels are often linked to increased cardiovascular risk, while very low levels may rarely indicate deficiencies in essential vitamins or metabolic disorders.

Short name

Homocysteine

Frequently asked questions

Why might my homocysteine test be ordered even if I don’t have symptoms?
Your doctor may recommend this test to check for underlying risks, especially if you have a family history of heart disease, stroke, or genetic conditions like homocystinuria. It can also help monitor treatment effectiveness for conditions affecting blood flow or nerve function.
What should I do if my homocysteine level is high?
If your results are high, your healthcare provider may suggest dietary changes (increasing folate, vitamin B6, and B12), lifestyle adjustments, or further testing to identify causes. Follow-up may include monitoring for heart disease or blood clots.
Do vitamins or supplements affect homocysteine levels?
Yes, certain vitamins like folate, vitamin B6, and B12 can lower homocysteine levels. If you’re taking supplements, discuss them with your doctor before testing, as they may impact results.
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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