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Non-HDL Cholesterol, Serum/Plasma — Substance Concentration

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

A blood test that measures the cholesterol carried by all cholesterol-containing particles except high-density lipoprotein (HDL).

Quick summary

["Non-HDL cholesterol provides an estimate of atherogenic cholesterol burden and may help guide cardiovascular risk assessment."]

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

Key facts at a glance

LOINC
70204-3
Short code
NonHDLc SerPl-sCnc
Synonyms
NonHDLc SerPl-sCnc
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?

This test measures non-HDL cholesterol in blood. Non-HDL cholesterol includes cholesterol carried by LDL and other cholesterol-containing particles, but does not include HDL cholesterol. It is often calculated by subtracting HDL cholesterol from total cholesterol.

Why might I need this test?

Clinicians may use this test as part of evaluating cardiovascular risk, particularly in people with high triglycerides, diabetes, kidney disease, or a family history of early heart disease. It can also help monitor response to cholesterol-lowering treatment.

How is the test performed?

A blood sample is collected from a vein and analyzed in the laboratory. The result is usually calculated from the sample's total cholesterol and HDL cholesterol values.

How do I prepare for the test?

Follow your clinician's instructions about fasting. Fasting may be requested when triglycerides are also being measured, because recent meals can affect triglyceride levels and the calculated non-HDL result. Staying hydrated and telling the laboratory team about medicines or supplements can help ensure accurate interpretation.

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 non-HDL cholesterol level may indicate an increased amount of cholesterol in atherogenic particles, which can contribute to plaque formation in arteries. When interpreted with the rest of a lipid panel and your medical history, it can help clinicians assess cardiovascular risk and determine whether treatment or follow-up is needed. A single result does not by itself establish a diagnosis.

Short name

Non-HDL Cholesterol

Frequently asked questions

How is non-HDL cholesterol different from LDL cholesterol?
Non-HDL cholesterol represents cholesterol in all cholesterol-containing particles except HDL, while LDL cholesterol estimates the cholesterol carried specifically in LDL particles. Because non-HDL includes other atherogenic particles, it may be useful when LDL cholesterol is not a complete risk estimate.
Does a high non-HDL cholesterol result mean I have heart disease?
No. A high result indicates that atherogenic cholesterol levels may be elevated, but it does not prove that heart disease is present. Your clinician will interpret it alongside your overall lipid profile, medical history, and other risk factors.
Should I fast before this test?
Fasting may be recommended, especially if triglycerides are being measured at the same time. Follow the specific instructions provided by your clinician or laboratory, and ask if you are unsure.
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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