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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

Clinical Information

Total Bilirubin minus Direct Bilirubin equals Indirect Bilirubin.

Icons & Photos

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: 12 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 72 Hours: 0.0 - 2.5 mg/dL
> 72 Hours 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

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Diazo

CPT

82247-LAB-BILIRUBIN TOTAL
82248-LAB-BILIRUBIN DIRECT

CDM Code

4058087, 4058088

Epic Test ID

1230100386

LOINC

Bili Direct: 1968-7

Bili Total: 1975-2

Bili Indirect: 1971-1

Beaker LOINC

BILI INDIRECT: 1971-1
BILIRUBIN DIRECT: 1968-7
BILIRUBIN TOTAL: 1975-2
HEMOLYSIS INDEX: N/A
LIPEMIA INDEX, SERUM: N/A

Reviewed Date

3/5/2020

Beaker Names

Beaker Procedure Name: BILIRUBIN TOTAL/DIRECT (AKA INDIRECT BILIRUBIN OR FRACTIONATED BILIRUBIN)
Beaker Display Name: Bilirubin Total and Direct
BEAKER TEST NAME: BILIRUBIN TOTAL AND DIRECT
BEAKER TEST REPORT NAME: Bilirubin Total and Direct

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BW CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
BW CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
BL CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BL CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
BL CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
BR CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BR CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
BR CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
GM CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
GM CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
GM CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
KL CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
KL CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
KL CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
LH CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
LH CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
LH CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
PH CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
PH CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
PH CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
RC CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
RC CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
RC CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
UN CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
UN CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
UN CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
ZH CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
ZH CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
ZH CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated