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Bilirubin, Fractionated

Test Code

6086

CPT Code(s)

82247, 82248

Includes

Direct Bilirubin, Indirect Bilirubin (calculated), Total Bilirubin

Preferred Specimen(s)

1 mL serum

Minimum Volume

0.5 mL

Transport Container

Amber plastic screw-cap vial or foil-wrapped plastic screw-cap vial

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Room temperature: 1 day
Refrigerated: 30 days
Frozen: 3 months

Reject Criteria

Gross hemolysis

Methodology

Spectrophotometry (SP)

Setup Schedule

Set up: Daily; Report available: 1 day

Reference Range(s)

Bilirubin, Direct ≤0.2 mg/dL
Bilirubin, Indirect    
≤1 Day ≤5.1 mg/dL (calc)
2 Days ≤7.2 mg/dL (calc)
3-5 Days ≤10.3 mg/dL (calc)
6-7 Days ≤8.4 mg/dL (calc)
8-9 Days ≤6.5 mg/dL (calc) 
10-11 Days ≤4.6 mg/dL (calc)
12-13 Days ≤2.7 mg/dL (calc)
14 Days - 9 Years 0.2-0.8 mg/dL (calc)
10-19 Years 0.2-1.1 mg/dL (calc)
≥20 Years 0.2-1.2 mg/dL (calc)
Bilirubin, Total    
≤1 Day ≤5.1 mg/dL
2 Days ≤7.2 mg/dL
3-5 Days ≤10.3 mg/dL
6-7 Days ≤8.4 mg/dL
8-9 Days ≤6.5 mg/dL
10-11 Days ≤4.6 mg/dL
12-13 Days ≤2.7 mg/dL
14 Days - 9 Years 0.2-0.8 mg/dL
10-19 Years 0.2-1.1 mg/dL
≥20 Years 0.2-1.2 mg/dL

Clinical Significance

Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstructive disease.

LOINC®' Code(s)

The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.

NOTE: The codes listed in the table below are not orderable Test Codes.

Result
Code
Result NameLOINC CodeComponent Name
DBILDirect Bilirubin1968-7Bilirubin.glucuronidated+Bilirubin.albumin bound
IBILIndirect Bilirubin1971-1Bilirubin.non-glucuronidated
TBILTotal Bilirubin1975-2Bilirubin

Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.

* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.