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HDL Cholesterol, Serum/Plasma — Substance Concentration

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

Measures high-density lipoprotein (HDL) cholesterol in blood, often as part of a lipid panel, to help assess cardiovascular risk.

Quick summary

["HDL cholesterol, sometimes called “good cholesterol,” is one part of a broader assessment of heart and blood-vessel risk."]

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

Key facts at a glance

LOINC
14646-4
Short code
HDLc SerPl-sCnc
Synonyms
HDLc 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 your blood. HDL helps transport cholesterol away from blood vessels to the liver, so it is often referred to as “good cholesterol.” It is usually reported with a complete lipid panel.

Why might I need this test?

HDL cholesterol is measured to help assess your risk of heart disease and stroke. Your clinician will interpret it alongside LDL cholesterol, triglycerides, total cholesterol, medical history, and other risk factors.

How is the test performed?

A blood sample is collected, usually from a vein in your arm, and analyzed in a laboratory. The test is generally performed as part of a lipid panel.

How do I prepare for the test?

Fasting is usually not required for routine HDL cholesterol testing, but follow your clinician’s instructions if the test is part of a complete lipid panel. Tell your clinician if you have recently been ill, changed your diet or exercise routine, or are taking cholesterol-lowering medicines.

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.

Higher HDL cholesterol levels are generally associated with a lower risk of cardiovascular disease, while lower levels may indicate increased risk. Low HDL can be related to genetics, smoking, diet, physical inactivity, obesity, diabetes, or other health conditions. A single result does not diagnose heart disease, and HDL should be interpreted together with the rest of your lipid panel and your overall medical history.

Short name

HDL cholesterol

Frequently asked questions

Is HDL cholesterol the same as total cholesterol?
No. Total cholesterol measures all cholesterol in the blood, including cholesterol carried by HDL and LDL. HDL cholesterol measures only the cholesterol within high-density lipoprotein.
Do I need to fast before this test?
Fasting is usually unnecessary for routine HDL testing, although instructions may vary when it is ordered with a full lipid panel. If fasting is requested, follow the timing instructions provided by your clinician.
Can I improve my HDL cholesterol?
Regular physical activity, a balanced diet, and not smoking can support cardiovascular health and may help improve HDL levels. Your clinician can recommend steps based on your complete lipid results and medical history.
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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