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Low-Density Lipoprotein Cholesterol and High-Density Lipoprotein Cholesterol, Serum/Plasma

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

Measures LDL and HDL cholesterol in blood to help assess cardiovascular risk and guide cholesterol treatment.

Quick summary

["LDL and HDL cholesterol levels help estimate your risk of heart disease and stroke."]

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

Key facts at a glance

LOINC
44717-7
Short code
LDL/HDL SerPl
Synonyms
LDL/HDL SerPl
Category
liver
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 two types of cholesterol. Low-density lipoprotein (LDL) cholesterol carries cholesterol to body tissues, while high-density lipoprotein (HDL) cholesterol helps transport cholesterol back to the liver.

Why might I need this test?

Your clinician may order this test as part of a cholesterol screening or follow-up. It can help estimate your risk of heart disease and stroke, especially if you have high blood pressure, diabetes, smoking history, or a family history of cardiovascular disease.

How is the test performed?

A sample of blood is drawn from a vein and analyzed in a laboratory for LDL and HDL cholesterol. LDL cholesterol may be directly measured or calculated from other cholesterol values, depending on the laboratory method.

How do I prepare for the test?

Fasting for about 9 to 12 hours may be required, although some laboratories do not require fasting for routine cholesterol testing. Follow your clinician's or laboratory's instructions and avoid vigorous exercise, smoking, and alcohol for the day before the test if advised, as these can temporarily affect cholesterol levels.

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.

Higher LDL cholesterol is associated with a greater buildup of cholesterol in artery walls and increased cardiovascular risk. Higher HDL cholesterol is generally associated with a lower risk, but HDL levels alone do not determine whether treatment is needed, and medications are not usually recommended solely to raise HDL.

Short name

LDL and HDL Cholesterol

Frequently asked questions

Is a low HDL cholesterol level harmful?
Low HDL cholesterol can be associated with increased cardiovascular risk, but it is interpreted together with LDL cholesterol, triglycerides, blood pressure, diabetes status, and other risk factors. Treatment generally focuses on overall risk reduction rather than raising HDL alone.
Does this test require fasting?
It depends on the laboratory and the reason for testing. Fasting for 9 to 12 hours is commonly requested for complete lipid testing, so confirm the instructions before your appointment.
Can lifestyle changes improve cholesterol results?
Regular physical activity, a heart-healthy diet, weight management, and not smoking may improve cholesterol levels and overall cardiovascular health. Your clinician can recommend changes based on your complete results and health 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