Bilirubin, Direct
Label Mnemonic: BILD
Epic code: LAB52
Downtime form: Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Chemistry
6240 RCP
356-3527
Specimen(s):
Plasma
Specimen Instructions:

Avoid hemolysis and unnecessary exposure to light.

Collection Medium:
Plasma Separator Tube 4.5 mL
Alternate Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:

3 mL whole blood from light green top tube or ONE light green Microtainer® for pediatric patients

Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
1 hour (upon receipt in laboratory)
Reference Range:

0.0 - 0.2 mg/dL

Test Limitations:

Hemolysis leads to decreased direct bilirubin concentrations. Direct bilirubin will not be reported for specimens with severe enough hemolysis to significantly impact results (40 – 150 mg/dL hemoglobin depending on direct bilirubin concentration).

 

No significant interference up to lipemia levels greater than 750 mg/dL (Intralipid).

Methodology:

Spectrophotometric

 

Assay updated to Roche cobas® Bilirubin Direct Gen.2 on 10/08/2024.

CPT Code:
82248
 
See Additional Information:
Chemistry Pediatric Reference Ranges