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Test Code BAFS Bile Acids, Fractionated and Total, Serum

Important Note

This test is only available if the Total Bile Acid is "HIGH"

Specimen Type

Serum


Ordering Guidance


This test is useful in diagnosing intrahepatic cholestasis of pregnancy and does not support the assessment of either peroxisomal biogenesis disorders or inborn errors of bile acid metabolism.

 

For diagnostic testing for peroxisomal biogenesis disorders, order BAIPD / Bile Acids for Peroxisomal Disorders, Serum.



Specimen Required


Patient Preparation: Patient must be fasting for 12 to 14 hours.

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.5 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Specimen Minimum Volume

0.3 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Refrigerated (preferred) 90 days
  Ambient  90 days
  Frozen  90 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK

Reference Values

Total cholic acid: ≤5.00 nmol/mL

Total chenodeoxycholic acid: ≤6.00 nmol/mL

Total deoxycholic acid: ≤6.00 nmol/mL

Total ursodeoxycholic acid: ≤2.00 nmol/mL

Total bile acids: ≤19.00 nmol/mL

Day(s) Performed

Monday through Friday

Report Available

3 to 5 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

82542

Method Name

Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS)

Testing Algorithm

For more information see Bile Acid-Associated Tests Ordering Guide

Forms

If not ordering electronically, complete, print, and send a Gastroenterology and Hepatology Test Request (T728) with the specimen.