Bilirubin, Fractionated

Test Code

7286

CPT Codes
82247, 82248

Includes

Bilirubin, Total
Bilirubin, Direct
Bilirubin, Indirect (calculated)

Preferred Specimen

1 mL serum collected in a serum separator tube (SST) - protect from light

Minimum Volume

0.5 mL

Other Acceptable Specimens

Plasma collected in: Sodium heparin (green-top) tube or lithium heparin (green-top) tube

Instructions

Protect from light: Please place in an amber vial or wrap plastic vial in foil; avoid hemolysis.

Transport Temperature

Frozen

Specimen Stability

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

Set up: Daily; Report available: Next day

Reference Range

Bilirubin, Total
≤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

Bilirubin, Direct	≤0.2 mg/dL

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

Clinical Significance

Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstructive disease.

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.