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Test Code BC Bilirubin, Conjugated

Specimen and Container/Tube

Specimen Type: Plasma

Preferred Specimen: Li-Heparin Mint Green Top

Other Acceptable specimens: Serum/Red Top, Serum/Gold Top

Specimen Handling and Transport Instructions

UCMC Onsite Instructions: 

  • Collect specimen per standard collection procedure and send to laboratory immediately. 

 

UCMC Offsite and UC MedLab Outreach Instructions: 

  • Samples should be centrifuged within 2 hours of collection.
  • Centrifuge specimens at >2500 x g for 10 minutes at room temperature.
  • Aliquot sample into plastic transport tube containing a minimum of 0.2 mL of specimen.
  • Samples must be sent room temperature at 15-25oC.

Rejection Criteria

  • Common specimen rejected situations include: incorrect specimen type, insufficient volume, missing or incomplete specimen identifiers, incorrect specimen transport, or specimens outside stability limits. 
  • Specimens that are clotted or grossly hemolyzed.
  • Specimens that were transported unspun/whole blood and draw time is greater than 6 hours.

Reference Values

Test

Age

Sex

Reference Range

Bilirubin, Conjugated

<14 Days

All

0.0 - 0.6 mg/dL

Bilirubin, Conjugated

>14 Days

All

0.0 - 0.3 mg/dL

 

Test

Age

Sex

Reference Range

Bilirubin, Unconjugated

<24 hours

All

1.0 - 6.0 mg/dL

Bilirubin, Unconjugated

24 - 48 hours

All

2.0 - 8.0 mg/dL

Bilirubin, Unconjugated

3 - 5 Days

All

4.0 - 12.0 mg/dL

Bilirubin, Unconjugated

6 - 14 Days

All

0.6 - 7.0 mg/dL

Bilirubin, Unconjugated

>14 Days

All

0.1 - 1.0 mg/dL

 

NOTE: Unconjugated Bilrubin (BU) is a calculation of Total Bilirubin (TBIL) minus the Conjugated Bilirubin (BC).

Critical Values

Analyte

Unit

Low

High

Age

N/A

N/A

N/A

N/A

N/A

CPT Codes

82248

LOINC Codes

15152-2

Volume

Preferred Volume: 0.5 mL

Minimum Volume: 0.2 mL

Specimen Stability

Storage Temperature

Stability

Room temperature

2 days

Refrigerated

7 days

Frozen

6 months

Collection Instructions

Collect specimen per standard laboratory collection procedures. 

 

Test Components

Conjugated Bilirubin

Clinical Indications

Evaluation of jaundice and liver functions.

Methodology

Endpoint Colorimetric (Modified Jendrassik-Grof) (Roche Diagnostics)

Additional Information

  • Results should always be assessed in conjunction with patient's medical history, clinical examination and other findings.
  • Also included in Bilirubin Panel; BILN order code
  • For Pediatric orders use code PEDBC
  • Grossly hemolyzed specimens inhibit the diazo reaction and falsely low conjugated bilirubin results may be seen.

Turnaround Time

Turnaround times are relative to the time the specimen is received in the test laboratory. 

 

STAT Turnaround Time: 1 hour

Routine Turnaround Time: 4 hours

Testing Schedule: 24/7

Last Review Date

8/19/2024