Bilirubin, Direct


Sunquest Code:DBIL  
Epic Code:LAB52Epic Name:Bilirubin Direct
Synonyms:LFTS; Liver, DBIL
Methodology:Bichromatic end point
CPT Code:82248
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, Fairview Range - FRMC, UMMC-East Bank, Oxboro Bloom, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank, M Health Clinic and Surgery Center, Grand Itasca GICH)


Interpretive

Reference Range:
Age  
0 - 14 d 0-0.5 mg/dL
15 d and older 0-0.2 mg/dL
GICH: All ages 0-0.2 mg/dL
Breast-feeding is significantly associated with hyperbilirubinemia in the first three days of life.
Use:Suspected hepatic disease.


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