Bilirubin, Direct and Total


Sunquest Code:BBIL  
Epic Code:LAB168Epic Name:BILI Direct and Total
Synonyms:BBIL; Conjugated
Methodology:Bichromatic end point
CPT Code:----------CPTCODES HERE----------
Test Includes:Total and direct bilirubin
Turnaround Time:Performed and reported 24 hours/day.
Special Instructions:Add-ons to previous specimens are acceptable for 26 hours. (UMMC East - acceptable for up to 6 days).  Bilirubin is photosensitive and samples should be protected from both day light and fluorescent light to avoid photo-degradation.


Collection Instructions

Specimen:Blood
Optimal Volume:2.5 mL
Minimum\Peds Volume:0.6 mL
Container:Green (lithium heparin, gel) (Green (lithium heparin) on ICE, Purple (EDTA), Purple (EDTA) on ICE, Red (no gel), Red or gold (gel))


Processing and Shipping

Specimen Processing:Centrifuge and aliquot within 2 hours of collection 1.25 mL, 0.2 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Chemistry  (University of Minnesota Health Maple Grove Clinics, UMMC-East Bank, Oxboro Bloom, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank, Grand Itasca GICH)


Interpretive

Critical Range:

Less than 1 d

1-2 d

3 d – 6 mo

Greater than 6 mo

>8 mg/dL

>13 mg/dL

>15 mg/dL

Initial result >15 mg/dL

 

 

Reference Range:

Total

Age

mg/dL

0-23 h

0-5.8

1 d

0-8.2

2-13 d

0-11.7

14-20 d

0-6.5

21-30 d

0-3.9

1 mo and older

0.2-1.3

 

Direct

Age

mg/dL

0-14 d

0-0.5

15 d and older

0.0.2

Breast-feeding is significantly associated with hyperbilirubinemia in the first three days of life.

 

Use:

Suspected hepatic disease.

 



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