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Epic Test Code LAB52 Bilirubin: Direct

Performing Location(s)

BMC,FOX,FTT,CRH,LFH,OCH,FCC,HRK

Specimen Type

Serum or Plasma

Preferred Container

Gold or Red top tube

Alternate Container

Green top

Minimum Volume to Submit for Testing

0.5 mL Serum or Plasma

  • Multiple test can be performed from this volume. For question please contact the lab at 547-3975.  

Storage Requirements

Bilirubin is extremely photosensitive. A 50% decrease in bilirubin within 1 hour has been reported for samples exposed to direct sunlight. For optimal stability, serum samples should be stored in the darkness (or wrapped in foil) at low temperatures refrigerated

Sample tubes should be centrifuged within 2 hours of collection 

Protect from light, stable 8 hours unprotected

Gold tops are stable in original tubes for 7 days DO NOT ALIQUOT 

Aliquot Red tops

See Causes of Rejection for temperature requirements.

Transportation Needs

 Deliver specimen to laboratory within 1 hour of collection if unspun. If not possible see "storage Requirements". 

Causes for Rejection

Mislabeled or unlabeled specimen

Less than 50% draw for Vacutainer tubes|
>3 days refrigerated
> 24 hrs Room Temperature
>3 months Frozen
Hemolysis > 25 mg/dL HgB
Lipemia > 500 mg/dL Trig
Protect from light, stable 8 hours unprotected
Hemolysis criteria does not apply if ordered as PBIL

Limitations

Bilirubin is extremely photosensitive. A 50% decrease in bilirubin within 1 hour has been reported for samples exposed to direct sunlight.

Hemolyzed specimens are unacceptable for direct bilirubin testing.

 

See chart for limitations

 

Hemoglobin (mg/dL) Direct Bilirubin (mg/dL)

0

0.3

3.2

4.3

50

0.3

3.1

4.1

100

0.2

2.9

3.9

250

0.2

2.8

3.4

500

0.1

2.3

2.8

 

Reference Values

Population Units Reference Range
All Populations mg/dL 0.0-0.2

 

Available STAT

Yes

Includes

Measurement of mono- and diglucuronides and albumin complexed bilirubin

Methodology

Beckman AU/Dx Series

CPT Code

82248

Days of Analysis

All

Last Updated

26-OCT-24 MS