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HelpTest Code LAB2846 Bilirubin Total
Clinical System Name
Bilirubin Total Group for SCCA and RSH
Synonyms
SCCA Bili
TBILI GRP
Sample Requirements
Specimen: Whole Blood
Container(s): Lt. Green/Mint Top Lithium Heparin, Lt. Green/Lithium Heparin Microtainer, Gold SST, Gold Microtainer, Dark Green/Sodium Heparin, Red
Preferred Vol: 1.0 mL
Minimum Vol: 0.5 mL
Note: Avoid hemolysis. Protect sample from light. In-patients: wrap paper towel around tube and seal with one piece of tape. Off-site: wrap tube in foil. Specimen stable under fluorescent lighting for up to 4 hours. This test is only available for Seattle Cancer Care Alliance and research patients. The test includes Bilirubin Unconjugated, Conjugated, Delta, & Total. Method is affected by exposure to UV light, gross hemolysis, and lipemia (very slight lipemia OK).
Processing Instructions
Reject due to: Marked hemolysis, gross lipemia, prolonged light/UV exposure, age of specimen
Spin: Y
Aliquot: Y
Storage location: CORE 5 Refrigerator
Off-site collection: Avoid hemolysis. PROTECT FROM UV LIGHT (wrap specimen in foil). Specimen should be centrifuged within 2 hours of collection. Spin blood and transfer serum or plasma to plastic tube and refrigerate or freeze. Specimen stable under fluorescent lighting up to 4 hours.
Note: samples received at North Clinic laboratory will be sent stat to main lab for testing.
Stability
| Specimen Type | Temperature | Time |
|---|---|---|
| Plasma or Serum | RT |
≤ 4 h |
| Plasma or Serum | 2-8 C |
≤ 7 d |
| Plasma or Serum | -20 C or -70 C |
≤ 180 d |
Availability
| STAT | Performed | TAT |
|---|---|---|
| Y | 24/7 | 1 h |
Performing Laboratory
Seattle Children's Laboratory
Department
Department: Core Lab Chemistry
Phone Number: 206-987-2617 (Client Services)
CPT Codes
82248, 82247, 84311
Methodology
Method: Colorimetric by Vitros 4600
Analytical Volume: 22 uL + 30 uL dead space
Reference Range
|
Unconjugated (BU) |
Conjugated (BC) |
Total bili | Delta bili (calculated) | |
|
Neonate (0 - 1 month) |
0.6 - 10.5 mg/dL |
0.0 - 0.6 mg/dL |
||
| 2 weeks- adult | 0.1-1.3 mg/dL | 0.0-0.2 mg/dL | ||
|
1 month - adult |
0.0 - 1.1 mg/dL |
0.0 - 0.3 mg/dL |
||
|
Critical level for neonates up to one month |
≥ 20.0 mg/dL |
≥ 20.0 mg/dL |
≥ 20.0 mg/dL |
Critical Values
| 0-1 M |
≥ 20.0 mg/dL |