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Low-Density Lipoprotein Cholesterol (LDL-C), Serum/Plasma (HEDIS 2014)

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

Measures LDL (“bad”) cholesterol in the blood to help assess cardiovascular risk and guide cholesterol-lowering treatment.

Quick summary

["Higher LDL cholesterol generally increases the risk of heart disease and stroke."]

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

Key facts at a glance

LOINC
74249-4
Short code
HEDIS 2014 LDL-C
Synonyms
HEDIS 2014 LDL-C
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 low-density lipoprotein cholesterol, often called LDL-C or “bad” cholesterol. LDL carries cholesterol in the blood and can contribute to fatty buildup in artery walls.

Why might I need this test?

LDL cholesterol is usually checked as part of a lipid panel to evaluate cardiovascular risk. It may also be monitored to determine whether cholesterol-lowering medication or lifestyle changes are working.

How is the test performed?

A blood sample is drawn from a vein, usually from the inside of the elbow. LDL cholesterol may be measured directly or calculated using the results of other cholesterol measurements.

How do I prepare for the test?

Follow the instructions provided by the laboratory. Some lipid panels require fasting, commonly for 9 to 12 hours, while water is generally allowed. Tell the care team if you are pregnant, recently ill, or taking cholesterol-lowering medication.

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.

A high LDL cholesterol level can indicate increased risk of atherosclerosis, heart attack, and stroke. Risk interpretation depends on the full lipid panel and personal factors such as age, smoking, blood pressure, diabetes, and family history. Low LDL levels are generally not concerning, although very low levels may warrant review in certain clinical situations or with certain medications.

Short name

LDL cholesterol

Frequently asked questions

Is a high LDL cholesterol result dangerous?
High LDL cholesterol can increase the risk of artery disease, heart attack, and stroke over time. Your care team can interpret it using your overall cardiovascular risk and other health conditions.
Do I need to fast before this test?
It depends on the instructions for the lipid panel. Some tests require fasting, while nonfasting LDL measurements may be used in certain situations.
How can I lower LDL cholesterol?
Heart-healthy eating, regular physical activity, maintaining a healthy weight, and not smoking may help. Your clinician may also recommend medication if your LDL level or overall cardiovascular risk warrants it.
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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