A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

Bilirubin,Total-Neonatal

Test Code
NBILI


Alias/See Also
Neonatal Total Bilirubin


CPT Codes
82247

Preferred Specimen

Serum (gold top) tube



Minimum Volume
0.5 mL


Other Acceptable Specimens
Lithium Heparin Plasma (green top) tube


Instructions

Protect specimen from prolonged exposure to light by transporting in a brown paper sack, aluminum foil, or a dark tube.

This test is for Neonatal Bilirubin (Total Bilirubin) measurement on Plasma or Serum on neonatal patients less than 30 days old. For Total Bilirubin measurement on patients 30 days old and older, order TBIL. For Total Bilirubin measurement on Body Fluids, order MISTBIL.



Transport Container

Serum (gold top) tube or Lithium Heparin Plasma (green top) tube



Transport Temperature
Room Temperature or Refrigeration


Specimen Stability
Room Temperature - 4 hours; Refrigerated - 7 days; protect from light


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Quantity Not Sufficient, EDTA (purple top tube) contamination, IV contamination


Methodology
Colorimetric

Setup Schedule

Daily upon receipt



Report Available
Upon completion of analysis


Reference Range

Birth - 1 Month:     0.6 - 10.5 mg/dL



Clinical Significance

Neonatal bilirubin is increased in erythroblastosis fetalis (hemolytic disease of the newborn), which causes jaundice in the first two days of life. Other causes of neonatal jaundice include physiologic jaundice, hematoma/hemorrhage, hypothyroidism, and obstructive jaundice.

This test is for Neonatal Bilirubin (Total Bilirubin) measurement on Plasma or Serum on neonatal patients less than 30 days old. For Total Bilirubin measurement on patients 30 days old and older, order TBIL. For Total Bilirubin measurement on Body Fluids, order MISTBIL.





The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.