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Test Code TDBIL Bilirubin, Total and Direct, Serum or Plasma

Methodology

Diazo Reaction

Specimen Requirements

Container/Tube:

Preferred: Lithium heparin (light green-top)

Acceptable: Serum Gel

 Draw blood, spin down and send 1 mL (pediatric:  0.2 mL) of plasma or serum.  Avoid hemolysis. Protect specimen from light.

Specimen Stability Information

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Reference Values

TOTAL
Birth-1 day:  <5.8 mg/dL
1-2 days:  <8.2 mg/dL
2-4 days:  <11.7 mg/dL

Adults:  <1.0 mg/dL

Critical value (neonates):  >15 mg/dL

 

DIRECT
Birth-5 days:  <0.6 mg/dL
Adults:  <0.3 mg/dL

Reject Due To

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Day(s) Test Set Up

Monday through Sunday

CPT Coding

82247 - bilirubin, total
82248 - bilirubin, direct

Performing Laboratory

Huntsville Hospital Laboratory/Madison Hospital Laboratory

LOINC Coding

Test Name LOINC Code
Bilirubin, Fractionated 34543-9
Bilirubin, Total 1975-2
Bilirubin, Direct 1968-7
Bilirubin, Indirect 1971-1