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22250 Bilirubin, Total Only

Bilirubin, Total Only
Test Code: TBIL
Synonyms/Keywords
TBil, Total Bilirubin​
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No Plasma/Serum​ Lithium-heparin Plasma Separator (PST)​, Serum Separator Tube (SST) Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT)
 1 mL​ 0.3 mL​ 0.1 mL serum or plasma from 0.3 mL whole blood​​
Collection Processing Instructions
Protect from light.
Samples collected in a RTT or GTT must be removed from cells within one hour for storage or transport. Samples collected in SST or PST must be removed from the primary tube within 4 hours for storage or transport.​
Specimen Stability Information
Specimen Type Temperature Time
Plasma/Serum​ ​ ​ Ambient​ 24 hours​
Refrigerate​ 48 hours​
Frozen​ 3 months​
Rejection Criteria
​Samples not protected from light
​Drug Eltrombopag: interferes with the total bilirubin assays.
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Chippewa Falls​ ​Monday through Friday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Diagnostic Treatment Center ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Eau Claire ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Flambeau Hospital ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Ladysmith Medical Center ​Monday through Sunday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Lakeview Medical Center ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
Marshfield​ Monday through Sunday​ Less than 2 hours​ Diazonium Salt/DPD Endpoint Assay/Beckman AU
​Merrill ​Monday through Saturday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Minocqua ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Neillsville​​Monday through Sunday​​Less than 2 hours​​Modified Doumas Method/Siemens Dimension
Stevens Point​ ​Monday through Friday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Wausau ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Wisconsin Rapids ​Monday through Friday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
Reference Range Information
Performing Location Reference Range
All Performing Sites
using Dimension
 Newborn (0-1 mo.): 1.0-10.0 mg/dL
               > = 2 mo: 0.4 - 1.4 mg/dL​
Marshfield​
        0-14 days:   <= 11.0 mg/dL
15 days - <1 yr:     <= 0.7 mg/dL
    1 - <9 yr:     <= 0.4 mg/dL
  9 - <12 yr:     <= 0.6 mg/dL
12 - <15 yr:     <= 0.7 mg/dL
15 - <19 yr:     <= 0.9 mg/dL
     >=19 yr:     <= 1.0 mg/dL
​ See Critical Value List for list of current critical values​
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82247 ​ ​ ​ ​ ​
Synonyms/Keywords
TBil, Total Bilirubin​
Ordering Applications
Ordering Application Description
​Centricity Bilirubin, Total​
​Cerner ​Bilirubin Total (COMMON)
​COM ​Bilirubin - Total
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No Plasma/Serum​ Lithium-heparin Plasma Separator (PST)​, Serum Separator Tube (SST) Lithium or Sodium-heparin Green Top (GTT), Red Top Tube (RTT)
 1 mL​ 0.3 mL​ 0.1 mL serum or plasma from 0.3 mL whole blood​​
Collection Processing
Protect from light.
Samples collected in a RTT or GTT must be removed from cells within one hour for storage or transport. Samples collected in SST or PST must be removed from the primary tube within 4 hours for storage or transport.​
Specimen Stability Information
Specimen Type Temperature Time
Plasma/Serum​ ​ ​ Ambient​ 24 hours​
Refrigerate​ 48 hours​
Frozen​ 3 months​
Rejection Criteria
​Samples not protected from light
​Drug Eltrombopag: interferes with the total bilirubin assays.
Reference Range Information
Performing Location Reference Range
All Performing Sites
using Dimension
 Newborn (0-1 mo.): 1.0-10.0 mg/dL
               > = 2 mo: 0.4 - 1.4 mg/dL​
Marshfield​
        0-14 days:   <= 11.0 mg/dL
15 days - <1 yr:     <= 0.7 mg/dL
    1 - <9 yr:     <= 0.4 mg/dL
  9 - <12 yr:     <= 0.6 mg/dL
12 - <15 yr:     <= 0.7 mg/dL
15 - <19 yr:     <= 0.9 mg/dL
     >=19 yr:     <= 1.0 mg/dL
​ See Critical Value List for list of current critical values​
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Chippewa Falls​ ​Monday through Friday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Diagnostic Treatment Center ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Eau Claire ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Flambeau Hospital ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Ladysmith Medical Center ​Monday through Sunday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Lakeview Medical Center ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
Marshfield​ Monday through Sunday​ Less than 2 hours​ Diazonium Salt/DPD Endpoint Assay/Beckman AU
​Merrill ​Monday through Saturday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Minocqua ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Neillsville​​Monday through Sunday​​Less than 2 hours​​Modified Doumas Method/Siemens Dimension
Stevens Point​ ​Monday through Friday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Wausau ​Monday through Sunday​ ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
​Wisconsin Rapids ​Monday through Friday ​Less than 2 hours​ ​Modified Doumas Method/Siemens Dimension
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
82247 ​ ​ ​ ​ ​
For most current information refer to the Marshfield Laboratory online reference manual.