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Mayo Clinic Laboratories

Test Code Tbili Bilirubin Total, Blood

Aliases

Total Bilirubin

Patient Preparation

No special patient preparation required

Special Collection Instructions

Protect neonatal specimens from Light

Collection Method

Venous collection

Minimum Volume

  • Adults: 0.8ml
  • Pediatric: 0.5mL

Container

Lt Green / Plasma Separator / Lithium Heparin

Preferred Specimen

Light Green Top (lithium heparin) plasma

Acceptable Specimens

Serum:

  • Gold Top SST
  • Red Top

Plasma:

  • Light Geen Top (lithium heparin)

 

Reference or Target Ranges

0 – 24 hours < 8.0 mg/dL
24 – 72 hours < 12.0  mg/dL
72 – 120  hours < 16.0 mg/dL
> 120 hours 0.3-1.2 mg/dL
   

Reportable Units

mg/dL

Critical Value

0 – 24 hours > 11.0 mg/dL
24 – 72 hours >14.0 mg/dL
72 – 120 hours >19.0 mg/dL
>120 hours >15.0 mg/dL

Reasons for Rejection

 

Hemolysis Threshold 500 mg/dL
Icterus Threshold N/A
Lipemia Threshold 700 mg/dL
Other QNS, contaminated, improperly Labeled, improper specimen type, not protected from light

Specimen Stability

 

Ambient 1 day
Refrigerated (4°C to 8°C) 7 days
Frozen(-40°C to 0°C) 6 months

Performance Information

 

Days and Time Performed 24/7
Expected Turn Around Time Stat: 1 hour
Routine: 4 hours
Stat Availability Yes
Performing Bench UH Chemistry
Methodology/Method Description Siemens Atellica – Colorimetric 

Special Handling

Protect from light

Additional Information/Important Notes

Total bilirubin is a sum of the direct (conjugated) and indirect (unconjugated) values.

CPT Codes

82247