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Serum/plasma cholesterol (total) with high-sensitivity measurement

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

This test measures the total amount of cholesterol in your blood, which includes both the cholesterol carried by low-density lipoproteins (LDL) and high-density lipoproteins (HDL). Cholesterol is a fat-like substance that plays a role in cell function and is important for hormone production.

Quick summary

["Cholesterol levels help assess your risk for heart disease and other cardiovascular conditions."]

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

Key facts at a glance

LOINC
40097-8
Short code
PT 12h p chal PPP
Synonyms
PT 12h p chal PPP
Category
chemistry
Sample
plasma
Container
Lavender-top (EDTA) or Green-top (Heparin)
Units
N/A
Ref low
44
Ref high
147
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
coag-tissue-factor-induced
CPT
84075
SNOMED
27550007
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

Why This Test Matters

Cholesterol is a critical component of your blood that helps maintain healthy cell membranes and produces hormones. However, high cholesterol levels can increase the risk of plaque buildup in your arteries, leading to heart disease or stroke. This test helps healthcare providers monitor your cardiovascular health and guide treatment plans.

What to Expect Before the Test

No special preparation is needed for this test. You may have a small needle inserted into your arm to draw blood. If you’re fasting, your provider will confirm whether you should eat or drink before the test. Avoid smoking or consuming alcohol for at least 24 hours before the test if instructed.

How the Test Works

Blood is drawn from a vein in your arm and sent to a lab. The lab uses a specialized method to measure the total cholesterol in your serum or plasma. This includes all types of cholesterol, including those bound to proteins in your blood.

What the Results Mean

Results are typically reported as a numerical value (e.g., mg/dL or mmol/L), but your healthcare provider will interpret them in the context of your overall health. They may compare your results to your baseline or to standard reference ranges to assess your risk.

Reference range

Adult: 44-147 U/LN/A

Specimen: plasma

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High total cholesterol levels are a major risk factor for atherosclerosis (plaque buildup in arteries), which can restrict blood flow and increase the risk of heart attack or stroke. Low levels may indicate potential deficiencies in fat-soluble vitamins (like vitamin D) or liver issues. Regular monitoring helps manage cardiovascular health and prevent complications.

Short name

Total Cholesterol

Frequently asked questions

How often should I get this test?
Your healthcare provider will determine how often you need this test based on your medical history, risk factors, and overall health. Typically, it may be recommended every 1–5 years for adults with no known risk factors or more frequently if you have conditions like high blood pressure, diabetes, or a family history of heart disease.
What can affect my cholesterol levels?
Several factors influence cholesterol levels, including diet (e.g., saturated fats, trans fats), physical activity, genetics, weight, and certain medications. Lifestyle changes like eating heart-healthy foods, exercising regularly, and maintaining a healthy weight can help improve cholesterol levels.
Do I need to fast for this test?
Some tests for cholesterol require fasting (e.g., LDL cholesterol), but this test for total cholesterol may not. Always follow your healthcare provider’s instructions, as fasting guidelines can vary depending on the specific test being performed.
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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