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Low-Density Lipoprotein Receptor (LDLR) Gene, Full Mutation Analysis — Blood, DNA Sequencing

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

A blood-based DNA test that checks the LDLR gene for variants that can cause familial hypercholesterolemia and increase the risk of early heart disease.

Quick summary

["This test can identify inherited LDLR gene variants that may cause very high cholesterol and increase cardiovascular risk."]

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

Key facts at a glance

LOINC
90258-5
Short code
LDLR gene Full Mut Anl Bld/T Seq
Synonyms
LDLR gene Full Mut Anl Bld/T Seq
Category
lipid
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
0
Ref high
100
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
sequencing
CPT
83721
SNOMED
113079007
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test analyzes DNA from a blood sample for changes, called pathogenic variants, in the LDLR gene. The LDLR gene helps the body remove LDL cholesterol from the blood.

Why might I need this test?

It may be ordered when someone has a high LDL cholesterol level, a family history of high cholesterol or early heart disease, or physical signs that can occur with familial hypercholesterolemia. It can clarify whether an inherited condition is contributing to the cholesterol problem.

How is the test performed?

A healthcare professional draws blood, and laboratory staff analyze the DNA to look for disease-causing changes in the LDLR gene. The results are interpreted in the context of your cholesterol levels, family history, and other clinical findings.

How do I prepare for the test?

Usually, no special preparation is required for a routine blood draw. Follow any instructions from your healthcare professional, and tell the laboratory if you have had a blood transfusion or received a bone marrow transplant, because these can affect DNA testing.

Reference range

Optimal: <100 mg/dLN/A

Specimen: whole-blood

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 pathogenic LDLR variant may indicate heterozygous or homozygous familial hypercholesterolemia, which can cause high LDL cholesterol and early atherosclerosis. A negative result does not exclude all inherited causes of high cholesterol because other genes and factors may be involved. Results should be interpreted by a clinician or genetic counselor alongside the rest of your evaluation.

Short name

LDLR genetic testing

Frequently asked questions

Does this test measure my cholesterol?
No. This is a genetic test that examines the LDLR gene; a standard lipid panel measures the cholesterol levels in your blood.
What does a positive result mean?
A positive result means a disease-causing variant was found in the LDLR gene. This can confirm a genetic form of high cholesterol and may affect treatment, cardiovascular risk assessment, and testing recommendations for relatives.
Should relatives be tested?
Relatives may benefit from testing because certain LDLR variants can be inherited within a family. A genetic counselor or clinician can explain the results and help determine whether family testing is appropriate.
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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