The continuous improvement of new energy penetration reduces the inertia of the system, which leads to the frequency deviation and the rate of change of frequency (RoCoF) being easily exceeded. To improve the frequency stability of sending-end power systems with large-scale renewable energy access via ultra-high voltage direct current (UHVDC), the coordinated frequency control for UHVDC participating in system frequency regulation (FR) including primary FR and system inertial response is presented. Based on the simplified system model, the mechanism of UHVDC participation in system frequency support and its influence on receiving-end system frequency response characteristics are analyzed. Compared with the inertia response and primary FR of traditional synchronous generators, the parameter calculating method of UHVDC coordinated frequency response control is proposed. Based on the system root trajectory analysis, the influence of the frequency response control parameters on the sending-end system’s stability is analyzed, and the constraints of UHVDC participating in the system frequency response control are analyzed. Then, based on the RTDS verification platform containing the Lingshao ±800 kV UHVDC control and protection system, the system frequency response characteristics under different control strategies, operating conditions and control parameters are verified and analyzed. The experimental results show that the UHVDC frequency coordinated control can effectively increase the equivalent inertia of the sending-end system, restrain the RoCoF and the frequency deviation, and increase the FR capability of the UHVDC system.