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HelpTest Code LAB154 Bilirubin, Fractionated, Plasma or Serum
Additional Codes
| Test Name in EPIC | EPIC Test Code | Mnemonic |
|---|---|---|
| BILIRUBIN, FRAC | LAB154 | BILIF |
Methodology
Direct Bilirubin: Diazo Reaction
Total Bilirubin: Diazonium Salt
Indirect Bilirubin: Calculated
Specimen Requirements
Submit only 1 of the following specimens:
Preferred:
Specimen Type: Plasma
Container/Tube: Light-green top (lithium heparin gel)
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL
Collection Instructions:
1. Grossly hemolyzed specimen is not acceptable.
2. Separate plasma from cells within 2 hours of draw.
3. If plunger filters are used, immediate removal of plasma is indicated unless an air gap can be created between the device and specimen.
Additional Information:
1. Protect specimen from light.
2. Avoid repeated freeze/thaw cycles.
3. If extreme lipemia-use ultracentrifuged specimens.
4. Label specimen appropriately (plasma).
Alternate:
Specimen Type: Serum
Container/Tube: Serum gel
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL
Collection Instructions:
1. Grossly hemolyzed specimen is not acceptable.
2. Separate serum from cells within 2 hours of draw.
3. If plunger filters are used, immediate removal of serum is indicated unless an air gap can be created between the device and specimen.
Additional Information:
1. Protect specimen from light.
2. Avoid repeated freeze/thaw cycles.
3. If extreme lipemia-use ultracentrifuged specimens.
4. Label specimen appropriately (serum).
Specimen Transport Temperature
Refrigerate 5 days/Ambient 8 hours OK/Frozen OK
Day(s) Test Set Up
Monday through Sunday
Performing Laboratory
Chemistry -
Central Region: St. Joseph's - Baxter Clinic Lab, St. Joseph's - Brainerd Clinic Lab, St. Joseph's Medical Center Lab
East Region: Ashland Clinic Lab, Deer River Hospital Lab, Ely Clinic Lab, Hayward Clinic Lab, Sandstone Hospital Lab, SMDC Clinical Lab, Spooner Clinic Lab, St. Mary's Hospital - Superior Lab, Virginia Hospital Lab
West Region: Ada Hospital Lab, Fargo Hospital Lab, Fosston Hospital Lab, Holy Trinity Hospital Lab, Park Rapids Clinic Lab, South University Clinic Lab, St. Mary's - Detroit Lakes Hospital Lab
Test Classification and CPT Coding
82247-Bilirubin, total
82248-Bilirubin, direct
Reference Values
TOTAL
0-5 days: 0.2-10 mg/dL
6 days-1 year: 0.1-0.7 mg/dL
1-8 years: 0.1-0.4 mg/dL
9-11 years: 0.1-0.6 mg/dL
12-14 years: 0.1-0.7 mg/dL
15-18 years: 0.1-0.8 mg/dL
Adult: 0.2-1.2 mg/dL
DIRECT
0-14 days: 0.3-0.7 mg/dL
15 days-1 year: 0.1-0.3 mg/dL
1-8 years: 0.1-0.2 mg/dL
9-12 years: 0.1-0.3 mg/dL
13-18 years: 0.1-0.4 mg/dL
Adult: 0-0.5 mg/dL
INDIRECT
0 - 6 days: 0.1-10.0 mg/dL
6 days - 1 year: 0.1-0.7 mg/dL
1 - 9 years: 0.1-0.4 mg/dL
10 - 12 years: 0.1-0.6 mg/dL
13 - 15 years: 0.1-0.7 mg/dL
16 - 19 years: 0.1-0.8 mg/dL
Adult: 0.1-1.2 mg/dL