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Non-HDL Cholesterol, Serum/Plasma

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

Measures cholesterol carried by all lipoprotein particles except high-density lipoprotein (HDL), providing information about overall cholesterol-related cardiovascular risk.

Quick summary

["Higher non-HDL cholesterol can indicate increased cardiovascular risk, especially when combined with other risk factors."]

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

Key facts at a glance

LOINC
47228-2
Short code
NonHDLc SerPl
Synonyms
NonHDLc SerPl
Category
lipid
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
40
Ref high
60
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83700
SNOMED
113079008
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?

Non-HDL cholesterol measures the amount of cholesterol in all cholesterol-carrying particles except high-density lipoprotein (HDL). It includes cholesterol in low-density lipoprotein (LDL), very-low-density lipoprotein (VLDL), and other lipoproteins.

Why might I need this test?

This test may be used to assess cholesterol-related cardiovascular risk, particularly if your LDL cholesterol or total cholesterol is elevated. It can also help guide lifestyle changes or treatment decisions.

How is the test performed?

A blood sample is drawn from a vein and analyzed in a laboratory. Non-HDL cholesterol is usually calculated by subtracting the HDL cholesterol value from the total cholesterol value in the same sample.

How do I prepare for the test?

Follow your clinician's instructions about fasting. Fasting for 9 to 12 hours may be requested when this test is part of a lipid panel, but the requirement can vary. Avoid heavy meals and alcohol shortly before testing if you have been told to fast.

Reference range

Adult males: >40 mg/dL; Females: >50 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-than-expected non-HDL cholesterol level may indicate increased cardiovascular risk, particularly in people with high blood pressure, diabetes, smoking history, or a family history of early heart disease. A lower level generally reflects a more favorable cholesterol profile. Your clinician should interpret the result alongside your other cholesterol values and overall risk factors.

Short name

Non-HDL Cholesterol

Frequently asked questions

How is non-HDL cholesterol different from LDL cholesterol?
Non-HDL cholesterol includes cholesterol carried by LDL, VLDL, and other lipoproteins, while LDL cholesterol measures only the cholesterol in LDL particles.
Is non-HDL cholesterol calculated or measured directly?
It is usually calculated by subtracting HDL cholesterol from total cholesterol. The laboratory may report it as part of a standard lipid panel.
Do I need to fast for this test?
Fasting may be required when the test is ordered with a lipid panel, but not always. Confirm the instructions with your clinician or laboratory before the blood draw.
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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