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Test Code BILITDI Bilirubin, Total and Direct

Additional Codes

LAB168

Special Handling

Protect from light

Collection Method

Venous Collection

Minimum Volume

1ml

Container

Lt Green / Plasma Separator / Lithium Heparin

 

Acceptable Specimens

Serum:

  • Gold Top SST
  • Red Top

Plasma:

  • Light Geen Top (lithium heparin)

Reportable Units

mg/dL

Critical Value

Total Bilirubin

0-15 days old  ≥ 15.0 mg/dL

 

Direct Bilirubin 

Not defined for this assay

 

Reasons for Rejection

 

Total Bilirubin

Hemolysis Threshold 1000 mg/dL
Icterus Threshold N/A
Lipemia Threshold 1000 mg/dL
Other QNS, contaminated, improperly Labeled, improper specimen type, not protected from light

 

Direct Bilirubin

Hemolysis Threshold 30 mg/dL
Icterus Threshold N/A
Lipemia Threshold 100 mg/dL
Other QNS, contaminated, improperly Labeled, improper specimen type, not protected from light

 

Specimen Stability

 

Total Bilirubin

Ambient 1 day
Refrigerated (4°C to 8°C) 7 days
Frozen(-40°C to 0°C) 6 months

 

Direct Bilirubin

Ambient 2 days
Refrigerated (4°C to 8°C) 7 days
Frozen(-40°C to 0°C) 6 months

Performance Information

Days and Time Performed 24/7
Expected Turn Around Time Stat: 1 hour
Routine: 4 hours
Stat Availability Yes
Performing Bench CPH Chemistry
Methodology/Method Description Roche Cobas

Reference or Target Ranges

 

Total Bilirubin

Age Male Female
0 - 7 days < 12 < 12
8 days - 1 month < 10 < 10
> 1 month < 1.2 < 1.2

 

Direct Bilirubin

Age Male Female
< 1 month 0.0 - 0.6 0.0 - 0.6
> 1 month 0.0 - 0.3 0.0 - 0.3

 

Indirect Bilirubin

0.2 to 0.8 mg/dL

CPT Codes

82248, 82247

Last review/edit date

March 2024

Panel Components

Total Bilirubin

Direct Bilirubin

Indirect Calculation