Bilirubin, Total

Message
Order alone or as part of a liver function panel
Total Bilirubin may also be performed on a neonate's blood on our blood gas analyzers.
Available STAT
Performed in the Chemistry Laboratory x5820
10.2018


Test Code
TBIL


CPT Codes
82247

Preferred Specimen
Plasma from a green top (PST) tube
Neonatal total bilirubin may also be performed on whole blood from a lithium heparin tube or syringe.
 


Minimum Volume
1 mL


Instructions
Centrifuge within 2 hours of collection


Transport Container
Green Top (PST) tube
Lithium heparin tube or syringe for Neonates only


Transport Temperature
Room temperature


Specimen Stability
Bilirubin is photosensitive, protect specimen from light.
2 - 8 oC: 7 days


Methodology
Diazonium Salt
Neonatal bilirubin performed on blood gas analyzer uses spectrophotometry.

Setup Schedule
This assay is performed 24 hours per day, 7 days per week


Reference Range
0 - 5.9 mg/dL (0 - 1 day old)
0 - 7.9 mg/dL (1 - 2 days old)
0 - 11.9 mg/dL (2 days to 1 week old)
0 - 6.9 mg/dL (1 week - 1 month old)
0.2 - 1.1 mg/dL (> 1 month old)

Critical Value: Greater than or equal to 15 mg/dL for infants less than 2 days old.


Clinical Significance
This test is used in the diagnosis and treatment of liver, hemolytic, hematological, and metabolic disorders.




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.