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Epic Code LAB52 Bilirubin Direct Blood Level

Test Name Alias

Bilirubin Direct Blood Level | DBILI | 8088

Interface Order Alias

10015

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

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

 

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

82248-LAB-BILIRUBIN DIRECT

CDM Code

4058088

Epic Test ID

1230100385

LOINC

Bili Direct: 1968-7

Beaker LOINC

BILIRUBIN DIRECT: 1968-7
HEMOLYSIS INDEX: N/A
LIPEMIA INDEX, SERUM: N/A

Reviewed Date

3/5/2020

Beaker Names

Beaker Procedure Name: BILIRUBIN DIRECT
Beaker Display Name: Bilirubin Direct Blood Level
BEAKER TEST NAME: BILIRUBIN DIRECT
BEAKER TEST REPORT NAME: Bilirubin 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