Last Modified:
7/1/2019 8:13:33 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
or
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:
5 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:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Stat Eligible:
Yes
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Cancer Institute, 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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