Bilirubin, Fractionated

Last Modified: 5/3/2022 6:21:17 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 Plasma from a PST Mint Green Top Tube - Li Heparin in a Plastic Vial 
1.0 Serum from a SST Gold Top Tube 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
Transport & Storage: Temperature/Stability: 7 days Refrigerated

6 hours unspun
Reference Range: Direct: 0.0 - 0.2 mg/dL
Indirect: 0.0 - 0.7 mg/dL
Total: 0.0 - 1.0 mg/dL
Critical Ranges:  
Test Comments:  
Methodology: Colorimetric
Clinical Significance:  
Custom Panel: No


Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Cancer Institute, Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: BILIF
EPIC Test Code: LAB168
Included Tests: Bilirubin Direct; Bilirubin Indirect; Bilirubin Total
CPT Coding: 82247, 82248

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