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High-Density Lipoprotein Cholesterol (HDL-C), Serum/Plasma — Calculated Substance Concentration

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

This blood test measures HDL cholesterol and is usually interpreted with total cholesterol, LDL cholesterol, and triglycerides to help assess cardiovascular risk.

Quick summary

["HDL cholesterol helps estimate how lipids may affect your risk of heart and blood vessel disease."]

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

Key facts at a glance

LOINC
56133-2
Short code
HDLc 2b SerPl-sCnc
Synonyms
HDLc 2b SerPl-sCnc
Category
lipid
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
40
Ref high
60
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83700
SNOMED
113079008
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 test measures the amount of cholesterol carried by high-density lipoprotein (HDL) in a blood sample. HDL is often called “good cholesterol” because it helps transport cholesterol away from the arteries and back toward the liver.

Why might I need this test?

HDL cholesterol is commonly checked as part of a lipid panel, which evaluates the amounts of several types of cholesterol and triglycerides in your blood. Your clinician may use these results, along with your overall health history, to assess your risk of heart attack, stroke, and other cardiovascular problems.

How is the test performed?

A blood sample is drawn from a vein and analyzed in the laboratory. The HDL result may be calculated from the results of other cholesterol measurements or measured directly, depending on the laboratory method.

How do I prepare for the test?

Fasting is not always required for HDL cholesterol, although some clinicians request a fasting lipid panel. Follow the instructions provided by your clinician or laboratory, and tell them if you have recently changed your diet, exercised intensely, or taken a medication that could affect the result.

Reference range

Adult males: >40 mg/dL; Females: >50 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 HDL level generally reflects a more favorable lipid pattern and may be associated with a lower cardiovascular risk. A lower HDL level can indicate increased cardiovascular risk, particularly when total cholesterol, LDL cholesterol, triglycerides, blood pressure, or other risk factors are also abnormal. An HDL result should not be interpreted alone because genetics, body weight, diabetes, smoking, medications, and other conditions can affect it.

Short name

HDL cholesterol

Frequently asked questions

Is a higher HDL cholesterol result always better?
Higher HDL is generally considered favorable, but HDL level alone does not determine your overall risk. Very high results may require context or evaluation for other causes, especially when unexpected or accompanied by other abnormalities.
Do I need to fast for this test?
Not always. Fasting may be requested when HDL is being checked with a complete lipid panel, so follow the specific instructions from your clinician or laboratory.
Can medications or lifestyle affect HDL cholesterol?
Yes. Exercise, weight changes, smoking, diabetes, and certain medications can influence HDL levels. Do not stop prescribed medication without discussing it with your clinician.
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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