Bile Acids, Fractionated & Total (BILEAC)

Test Code

Quest Code

CPT Codes

Cholic Acid
Deoxycholic Acid
Chenodeoxycholic Acid
Total Bile Acids

Preferred Specimen
1 mL serum in gold top tube

Patient Preparation
Overnight fasting is preferred

Minimum Volume
0.2 mL

Other Acceptable Specimens
Plain red top tube

After clot formation, centrifuge sample and pour off serum into a transport tube

Transport Container
Transport tube

Transport Temperature
Room temperature

Specimen Stability
Room temperature: 14 days
Refrigerated: 21 days
Frozen: 30 days

Chromatography/Mass Spectrometry

FDA Status
This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Setup Schedule
Monday, tuesday, wednesday, thursday, friday, saturday

Report Available
4 days

Reference Range
See Laboratory Report

Clinical Significance
Bile acids are formed in the liver, from cholesterol, stored and concentrated in the gallbladder, and excreted into the intestines in response to food. Elevated concentrations often suggest impaired hepatic clearance due to liver disease. Patients with intestinal malabsorption and metabolic disorders such as Gilbert's disease do not exhibit elevated bile acids concentrations.

Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042

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.