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LDL Cholesterol, Direct Assay — Mass Concentration

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

A blood test that directly measures low-density lipoprotein cholesterol, a substance that can contribute to plaque buildup in the arteries.

Quick summary

["This test measures LDL (“bad”) cholesterol directly to help assess cardiovascular risk."]

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

Key facts at a glance

LOINC
96597-0
Short code
LDLc DBS Direct Assay-mCnc
Synonyms
LDLc DBS Direct Assay-mCnc
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
Method
direct-assay
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 test directly measures the amount of LDL cholesterol in a blood sample. LDL is often called “bad” cholesterol because high levels can contribute to fatty plaque buildup in arteries.

Why might I need this test?

It may be used to assess cardiovascular risk, guide cholesterol-lowering treatment, or monitor how well therapy is working. It can also help clarify cholesterol results when standard calculated values are not appropriate.

How is the test performed?

A blood sample is collected, usually by a venous blood draw, and analyzed in the laboratory. A direct assay measures LDL cholesterol rather than calculating it from other cholesterol measurements.

How do I prepare for the test?

Follow your clinician’s instructions about fasting, as some laboratories recommend fasting for a complete lipid profile. If you are unsure, ask whether you should avoid food and drinks other than water for 9 to 12 hours beforehand.

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 higher LDL cholesterol result generally indicates greater potential for cholesterol to build up in the arteries, which can increase the risk of heart attack and stroke. A lower result generally indicates less LDL cholesterol, but interpretation also depends on overall cardiovascular risk, medical history, medications, and other cholesterol measurements.

Short name

LDL cholesterol (direct)

Frequently asked questions

What does LDL stand for?
LDL stands for low-density lipoprotein. It carries cholesterol in the blood and is commonly called “bad” cholesterol.
How is a direct LDL test different from a calculated LDL result?
A direct assay measures LDL in the blood sample. A calculated result estimates LDL using total cholesterol, HDL cholesterol, and triglyceride values.
Does a low LDL result always mean I am healthy?
No. LDL must be interpreted with your other risk factors, medical history, and laboratory results. Very low levels may occasionally be relevant in people taking cholesterol-lowering medicines.
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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