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HelpTest Code TBIL or LAB50 Bilirubin, Total, Serum or Plasma
Specimen Requirements
| Container Type: |
Optimal: Gold or Mint* *For STAT requests |
|
Acceptable: Red or Green |
|
| Optimal Collection Volume: |
4.5mL; full tube |
| Minimum Volume: |
|
| Collection Instructions: |
Gently invert the sample 5-6 times after collection. Note: The specimen should be protected from light. |
| Specimen Transport: |
Refrigerate |
| Processing Instructions: |
1. If serum, allow the specimen to clot for 30 minutes. 2. Centrifuge specimen within 2 hours of collection. 3. After centrifugation, specimen tubes without a gel barrier should have the serum or plasma aliquoted to a false bottom container. 4. Keep the serum or plasma refrigerated until testing can be performed. |
Specimen Stability
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum* | Refrigerated | 7 days |
| Room Temperature | 1 day | |
| Frozen | 6 months |
*Note: Heparinized plasma in gel separator tubes is less stable than serum and is only suitable for add-on testing up to 2 days following sample collection.
Specimen Rejection Criteria
| Hemolysis | Mild OK; Moderate OK; Gross Reject |
| Lipemia | Mild OK; Moderate OK; Gross Reject |
| Icterus | N/A |
| Other | Quantity not sufficient |
Useful For
Evaluating a wide range of diseases affecting the production, uptake, storage, metabolism, or excretion of bilirubin; assessing liver function; monitoring the efficacy of neonatal Phototherapy.
Methodology
Roche Cobas - Spectrophotometric
Reference Ranges
| Age | Reference Range and Reporting Units |
|---|---|
| Adults and children (> 3 months) | < 1.2 mg/dL |
| 0 to 1 day | 2.0-6.0 mg/dL |
| 1 to 3 days | 6.0-10.0 mg/dL |
| 3 days to 1 month | 4.0-8.0 mg/dL |
| 1 month up to 3 months | 0.0-1.2 mg/dL |
Critical Value: > 18 mg/dL for infants < 3 months old
Day(s) Performed
24/7
Expected TAT
Same day
Performing Laboratory
Bronson Laboratory, Chemistry - Kalamazoo, Battle Creek, Paw Paw, South Haven
Sample Retention Time
7 days
CPT Code
82247
LOINC Code
1975-2