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Bilirubin, Plasma, Serum, or Body Fluid
Test Code269
CPT Codes
82247
Preferred Specimen
Submit only 1 of the following specimens:
Plasma
Container/Tube: Green-top (heparin) tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of plasma
Collection Instructions: Avoid hemolysis. Protect specimen from light.
Note: 1. Indicate plasma. 2. Label specimen appropriately (plasma).
Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of serum
Collection Instructions: Avoid hemolysis. Protect specimen from light.
Note: 1. Indicate serum. 2. Label specimen appropriately (serum).
Body Fluid
Container/Tube : Sterile container
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of fluid
Collection Instructions: Protect specimen from light
Note: 1. Indicate body fluid type 2. Label specimen appropriately (fluid type and specimen source)
Plasma
Container/Tube: Green-top (heparin) tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of plasma
Collection Instructions: Avoid hemolysis. Protect specimen from light.
Note: 1. Indicate plasma. 2. Label specimen appropriately (plasma).
Serum
Container/Tube: Serum gel tube(s)
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of serum
Collection Instructions: Avoid hemolysis. Protect specimen from light.
Note: 1. Indicate serum. 2. Label specimen appropriately (serum).
Body Fluid
Container/Tube : Sterile container
Specimen Volume: 3 mL (minimum volume: 0.5 mL) of fluid
Collection Instructions: Protect specimen from light
Note: 1. Indicate body fluid type 2. Label specimen appropriately (fluid type and specimen source)
Transport Temperature
Refrigerate
Methodology
Modified Jendrassik-Grof
Setup Schedule
Monday through Sunday
Reference Range
Plasma or Serum
<1 day: 2.0-6.0 mg/dL
1 day to 2 days: 6.0-10.0 mg/dL
2 days to 5 days: 4.0-8.0 mg/dL
5 days to 30 days: 0.0-1.0 mg/dL
>30 days: 0.2-1.0 mg/dL
Critical value (automatic call-back): >15.0 mg/dL (neonate)
Body Fluid Not established (The test result should be integrated into the clinical context for interpretation) "
<1 day: 2.0-6.0 mg/dL
1 day to 2 days: 6.0-10.0 mg/dL
2 days to 5 days: 4.0-8.0 mg/dL
5 days to 30 days: 0.0-1.0 mg/dL
>30 days: 0.2-1.0 mg/dL
Critical value (automatic call-back): >15.0 mg/dL (neonate)
Body Fluid Not established (The test result should be integrated into the clinical context for interpretation) "
Performed By
CoxHealth
