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Epic Code LAB168 Bilirubin Total and Direct

Test Name Alias

Bilirubin Total and Direct Blood Level | 61

Interface Order Alias

10017

Quick Collect

NO LIGHT

Clinical Information

Total Bilirubin minus Direct Bilirubin equals Indirect Bilirubin.

Collection Instructions

Specimen Collection: Blood

 

Container(s): 4.5 mL Mint Green Top (Lithium Heparin Gel) or 5.0 mL Gold Top (Serum Separator-SST Gel)

 

Preferred Volume to Collect: 4.5 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 0.5 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • Protect from light after collecting - avoid prolonged exposure to light.
    • Inpatient collection - deliver to lab as soon as possible
    • Outpatient collection - wrap tube in paper towel or tinfoil or use amber aliquot tube.
  • Avoid hemolysis.
  • After collection, gently invert tube 8-10 times.
  • Specimen should be processed within 2 hours – See Processing Instructions.

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

  • Processed Specimen: Plasma or Serum
  • Centrifuge/Spin: Yes
  • Aliquot: Yes
  • Processing Instructions:
    • Protect from light after collecting - avoid prolonged exposure to light.
      • Inpatient collection - deliver to lab as soon as possible
      • Outpatient collection - wrap tube in paper towel or tinfoil or use amber aliquot tube.
    • Plasma is preferred specimen type
    • Green Tube/Plasma: Centrifuge after collection.
    • Gold Tube/Serum: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.
  • Transport Temperature: Refrigerate

 

Specimen Stability

Ambient: 8 hours

Refrigerate: 72 hours

Frozen: aliquot plasma/serum for longer storage

Laboratory Retention: 72 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

Bili Direct
Male/Female

0 Minutes up to 3 Days: 0.0 – 1.0 mg/dL

3 Days up to 8 Days: 0.0 – 1.5 mg/dL

8 Days up to 15 Days: 0.0 – 1.0 mg/dL

15 days up to 150 Years: 0.0 -0.4 mg/dL

 

 

Bili Total
Male/Female
0 Minutes up to 72 Hours: 0.1 – 3.0 mg/dL
72 Hours up to 8 Days: 0.1 – 8.0 mg/dL

8 Days up to 15 Days: 0.1 – 3.0 mg/dL
15 Days up to 10 Years: 0.1 – 1.0 mg/dL
10 Years up to 150 Years: 0.2 – 1.0 mg/dL

 

Bili Indirect

Male/Female

0 Minutes up to 3 Days: 0.0 - 2.5 mg/dL
3 Days up to 8 Days: 0.0 - 7.0 mg/dL
8 Days up to 15 Days: 0.0 - 2.5 mg/dL
15 Days up to 10 Years: 0.1 - 0.6 mg/dL
10 Years up to 150 Years: 0.2 - 0.8 mg/dL

 

Laboratory Critical Values Table

Performing Department

Chemistry

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Blodgett Laboratory, Grand Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Kelsey Laboratory, Lakeview, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Zeeland Laboratory, Zeeland, MI

Methodology

Diazo

CPT

82247, 82248

CDM Code

3018224703, 3018224801

Epic Test ID

1230100386

LOINC

Bili Direct: 1968-7

Bili Total: 1975-2

Bili Indirect: 1971-1

Reviewed Date

3/7/2024