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Order Code LABBFBL Bilirubin, Body Fluid

Reporting Name

Bilirubin, BF

Useful For

Evaluating peritoneal fluid or abdominal drain fluid as a screening test for bile leakage

 

May aid in the distinction between a transudative and an exudative pleural effusion

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Body Fluid


Ordering Guidance


For bilirubin testing on urine specimens, order BILUR / Bilirubin, Random, Urine. Testing will be changed to BILUR if this test is ordered on urine specimens.



Shipping Instructions


Ship specimen in amber vial to protect from light.



Necessary Information


1. Date and time of collection are required.

2. Specimen source is required.



Specimen Required


Supplies: Amber Frosted Tube, 5 mL (T915)

Preferred Source:

-Peritoneal fluid (peritoneal, abdominal, ascites, paracentesis)

-Pleural fluid (pleural, chest, thoracentesis)

-Drain fluid (drainage, Jackson Pratt [JP] drain)

-Pericardial fluid

Acceptable Source: Other body fluid, write in source name with source location (if appropriate)

Collection Container/Tube: Sterile container

Submission Container/Tube: Opaque, amber vial

Specimen Volume: 1 mL

Collection Instructions:

1. Centrifuge to remove any cellular material and transfer into an amber vial to protect from light.

2. Indicate the specimen source and source location on label.


Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Body Fluid Frozen (preferred) 70 days LIGHT PROTECTED
  Refrigerated  14 days LIGHT PROTECTED

Reference Values

An interpretive report will be provided.

Day(s) Performed

Monday through Sunday

CPT Code Information

82247

Method Description

Total bilirubin, in the presence of a suitable solubilizing agent, is coupled with 3,5-dichlorophenyl diazonium in a strongly acidic medium to produce azobilirubin. The intensity of the color of the azobilirubin produced is proportional to the total bilirubin concentration and is measured at 546/600 nm.(Package insert: Bilirubin Total Gen. 3. Roche Diagnostics; V9.0. 01/2020)

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus OK
Anticoagulant or additive
Amniotic fluid
Breast milk
Saliva
Sputum
Cerebrospinal fluid
Bronchoalveolar lavage (BAL)
Bronchial washings
Colostomy
Ostomy
Gastric secretions
Nasal secretions
Urine
Feces
Vitreous fluid
Synovial fluid
Reject

Method Name

Photometric, Diazonium Salt