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Low-Density Lipoprotein Cholesterol, Serum/Plasma — Substance Concentration

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

This blood test measures LDL (“bad”) cholesterol, a lipid that builds up in artery walls and is associated with increased cardiovascular risk.

Quick summary

["LDL cholesterol helps assess cardiovascular risk and is often interpreted with total cholesterol, HDL cholesterol, and triglycerides."]

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

Key facts at a glance

LOINC
22748-8
Short code
LDLc SerPl-sCnc
Synonyms
LDLc SerPl-sCnc
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 test measures the amount of low-density lipoprotein cholesterol in blood. LDL is often called “bad” cholesterol because it can contribute to fatty plaque buildup in arteries.

Why might I need this test?

A clinician may order LDL cholesterol to assess cardiovascular risk, guide cholesterol management, or monitor treatment for high cholesterol. It is commonly part of a lipid panel.

How is the test performed?

A blood sample is drawn from a vein and analyzed in a laboratory to determine the LDL cholesterol concentration. It may be measured directly or calculated from other results in a lipid panel, depending on the laboratory method.

How do I prepare for the test?

Follow the instructions provided by your clinician. Some lipid tests are ordered after fasting, while others do not require it, and food and drinks can affect cholesterol measurements.

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 is associated with increased risk of atherosclerotic cardiovascular disease, which can include heart attack and stroke. A lower result generally indicates a lower level of circulating LDL cholesterol, but interpretation depends on your overall risk factors and medical history. The result is best reviewed with a clinician alongside HDL cholesterol, triglycerides, and other cardiovascular risk factors.

Short name

LDL cholesterol

Frequently asked questions

Does this test require fasting?
It depends on the test order and laboratory. Some lipid panels are performed after fasting, so follow the specific instructions from your clinician.
Is LDL cholesterol the same as “bad” cholesterol?
Yes. LDL is commonly called “bad” cholesterol because it can contribute to plaque buildup in artery walls.
Can I lower LDL cholesterol?
Cholesterol levels may be influenced by diet, physical activity, weight, genetics, and medical conditions. A clinician can recommend lifestyle changes or treatment based on your overall cardiovascular risk.
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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