BILIRUBIN TOTAL NEONATAL

Test Code

LAB51

Quest Code

20381

CPT Codes
82247

Preferred Specimen

0.3 mL serum
*Stat to Mercy lab, see link below for specimen requirement

Minimum Volume

0.2 mL

Other Acceptable Specimens

Plasma collected in: Lithium heparin (green-top) tube or sodium heparin (green-top) tube • Serum transferred to an amber or non-light protected transport vial

Instructions

Patient should be less than 60 days of age.
Draw 2 amber Microtainer® serum separator tubes (SSTs) or wrap 2 spun Microtainer® serum separator tubes (SSTs) in foil. Avoid hemolysis.

Transport Container

2 spun amber Microtainer® serum separator tubes (SSTs) or transport vial

Transport Temperature

Room temperature

Specimen Stability

If protected from light
Room temperature: 24 hours
Refrigerated: 72 hours
Frozen: 90 days

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Hemolysis • Anticoagulants other than heparin

Methodology
Spectrophotometry (SP)

Setup Schedule

a.m. Mon-Sat

Report Available

3 days

Limitations

The formation of endogenous carotenoids in infants older than ten days may affect results.

Reference Range

≤1 Day	≤5.1	mg/dL
2 Days	≤7.2	mg/dL
3-5 Days	≤10.3	mg/dL
6-7 Days	≤8.4	mg/dL
8-9 Days	≤6.5	mg/dL
10-11 Days	≤4.6	mg/dL
12-13 Days	≤2.7	mg/dL
14 Days-9 Years	0.2-0.8	mg/dL
10-19 Years	0.2-1.1	mg/dL
≥20 Years	0.2-1.2	mg/dL

Clinical Significance

Elevated in jaundice of the newborn, obstructive jaundice.

Performing Laboratory

Quest Diagnostics-Lenexa

10101 Renner Blvd

Lenexa , KS 66219-9752

Additional Information
Mercy Labs Specimen Container Requirement

Last Updated: September 15, 2023

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.