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HDL, LDL, and VLDL Cholesterol (Calculated), Serum/Plasma

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

Measures HDL cholesterol and estimates LDL and VLDL cholesterol to help assess cardiovascular risk and guide cholesterol treatment.

Quick summary

["This test shows how your cholesterol is distributed among HDL, LDL, and VLDL particles."]

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

Key facts at a glance

LOINC
48090-5
Short code
HDLc/HDLc+VLDLc SerPl-sRto
Synonyms
HDLc/HDLc+VLDLc SerPl-sRto
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 HDL cholesterol and provides calculated estimates of LDL and VLDL cholesterol. These lipoproteins carry cholesterol through the bloodstream and are evaluated as part of assessing cardiovascular risk.

Why might I need this test?

Clinicians use these results for routine heart-health screening, especially when you have high blood pressure, diabetes, a family history of heart disease, or other risk factors. Results can also help monitor the effects of diet, activity, and cholesterol-lowering treatment.

How is the test performed?

A blood sample is drawn from a vein and analyzed in a laboratory. LDL and VLDL values are often calculated from other measurements in a standard lipid panel, including total cholesterol, HDL cholesterol, and triglycerides.

How do I prepare for the test?

Follow your clinician's instructions about fasting, because eating can raise triglycerides and affect calculated cholesterol values. If fasting is requested, water is generally allowed; avoid alcohol and unusually large meals beforehand unless told otherwise.

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.

High LDL or VLDL cholesterol may increase the risk of fatty plaque buildup in artery walls, which can contribute to heart attack or stroke. Low HDL cholesterol can also be associated with increased cardiovascular risk, although HDL is not treated directly with medication. Interpret these results with your other risk factors and laboratory measurements.

Short name

Calculated Cholesterol Fractions

Frequently asked questions

What is HDL cholesterol?
HDL is a lipoprotein that carries cholesterol from tissues back toward the liver. It is often called good cholesterol, although the full cardiovascular risk assessment depends on the complete lipid panel and other risk factors.
What is LDL cholesterol?
LDL carries cholesterol from the liver to body tissues and is often called bad cholesterol because high levels can contribute to plaque in arteries. A calculated LDL value may also be called an estimated LDL cholesterol value.
What is VLDL cholesterol?
VLDL is a cholesterol-carrying particle produced by the liver. Its value is commonly calculated from triglycerides and is interpreted along with LDL and other lipid measurements.
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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