Bilirubin, Neonatal

Last Modified: 10/1/2020 12:55:34 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation: This test is for infants 6 months and younger
Specimen Requirements: 0.4 mL Plasma from a Green Top Microtainer - Li Heparin in a Plastic Vial 
Collection Instructions: Avoid Hemolysis

If potiential prolonged exposure to sunlight specimen should be protected from the light by placing in an Opaque bag
Minimum Volume: 0.2 mL Plasma
Neonatal Volume: 0.3 mL Whole Blood Green Microtainer
Transport & Storage: Temperature/Stability: 5 days Refrigerated

72 hours unspun
Reference Range:
0 to 1 day: 0.0-5.0 mg/dl
1 day to 2 days: 0.0-6.0 mg/dl
2 days to 6 months: 0.0-7.0 mg/dl
Critical Ranges:

0 to 1 day: >=7.0 mg/dL 
2 days: >=12.0 mg/dL 
3 days to 6 months: >15.0 mg/dL

Test Comments:  
Methodology: Colormetric
Clinical Significance:  
Custom Panel: No


Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: BILIN
EPIC Test Code: LAB51
Included Tests:  
CPT Coding: 82247

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