BILIRUBIN,TOTAL & DIRECT

Test Code

BILI

CPT Codes
82247, 82248

Includes

Total Bilirubin & Direct Bilirubin

Preferred Specimen

Gold Tube (SST)

Minimum Volume

0.5mL (1mL optimal)

Other Acceptable Specimens

Green Tube (Lithium Heparin)

Instructions

Centrifuge for complete separation of serum or plasma and red cells. MUST protect from light.

Transport Container

GOLD Tube (samples do not need to be wrapped to protect from light)

Transport Temperature

Room Temperature

Specimen Stability

2-8°C up to 3 days if protected from light

2-8°C up to 24 hours if not protected from light

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

Gross Hemolysis

Methodology
DPD

Setup Schedule

DAILY, as received

Report Available

STAT: <60 minutes
Routine: <4 hours

Reference Range

Test: TOTAL BILIRUBIN Male/Female Ages >=0 Days - <1 Day: Normal Range: 0.2-6.0 mg/dL Critical High : >=11.9 mg/dL Male/Female Ages >=1 Day - <3 Days: Normal Range: 0.2-8.0 mg/dL Critical High : >=11.9 mg/dL Male/Female Ages >=3 Days - <5 Days: Normal Range: 0.2-8.0 mg/dL Critical High : >=11.9 mg/dL Male/Female Ages >=5 Days - <6 Days: Normal Range: 0.2-1.2 mg/dL Critical High : >=11.9 mg/dL Male/Female Ages >=6 Days - <1 Month: Normal Range: 0.2-1.2 mg/dL Critical High : >=15.9 mg/dL Male/Female Ages >=1 Month - <1 Year: Normal Range: 0.2-1.2 mg/dL Male/Female Ages >=1 Year: Normal Range: 0.3-1.0 mg/dL Test: DIRECT BILIRUBIN,SERUM Male/Female All Ages: Normal Range: 0.0-0.2 MG/DL
Reference ranges may vary based on performing lab. Use lab reports when interpreting patient results.

Clinical Significance

Elevated bilirubin levels may be caused by liver disease (hepatitis), blood disorders (hemolytic anemia), or blockage of the bile ducts. Hyperbilirubinemia in a newborn baby can cause brain damage (kernicterus) and other serious problems.

Performing Laboratory
Mount Sinai Hospital
Holy Cross Hospital

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.