Skip to content

Homocysteine, Total (Mass Concentration)

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

This test measures the amount of homocysteine, a type of amino acid, in your blood. Homocysteine is important because high levels can increase your risk of certain health problems.

Quick summary

["High homocysteine levels may signal a need for further evaluation of heart, blood vessel, or nerve health."]

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

Key facts at a glance

LOINC
12470-1
Short code
Hcys Ur-mCnc
Synonyms
Hcys Ur-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why Might This Test Be Ordered?

Your healthcare provider may recommend this test if you have a history of heart disease, stroke, peripheral artery disease, or other vascular conditions. It may also be checked in people with kidney disease, certain genetic conditions, or those taking folic acid, vitamin B6, or vitamin B12 supplements. Sometimes it’s part of routine screening for those at higher risk of cardiovascular issues.

What Does It Measure?

Homocysteine is a sulfur-containing amino acid that your body produces naturally. It plays a role in the metabolism of other amino acids, but when levels are too high, it can damage blood vessels and nerves over time. This test helps assess whether your levels are within a healthy range.

How Is the Test Done?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab where it is analyzed to measure the total amount of homocysteine present. The test typically takes a few days for results to be processed and returned.

What Do the Results Mean?

There are no specific reference ranges provided here, as they can vary by lab and individual health status. Your healthcare provider will interpret the results in the context of your overall health and medical history. High levels may prompt further testing or lifestyle recommendations.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Total Homocysteine

Frequently asked questions

What Are Common Causes of High Homocysteine Levels?
High homocysteine levels can be caused by genetic factors, certain medications (like some antidepressants or diuretics), kidney disease, or deficiencies in vitamins B6, B9 (folate), and B12. Lifestyle factors such as smoking, alcohol use, or poor diet may also contribute.
What Are Common Causes of Low Homocysteine Levels?
Low homocysteine levels are less common and may occur with certain genetic conditions, excessive intake of folate or vitamin B supplements, or specific metabolic disorders. Your provider will discuss this with you if results are notably low.
How Often Should This Test Be Done?
The frequency of this test depends on your health status, risk factors, and medical history. Your healthcare provider will determine how often to check it, often as part of routine cardiovascular risk assessments or if you have known conditions affecting homocysteine levels.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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