BILIRUBIN, Direct
Test:
106
CPT:
82248
Synonyms
Special Instructions
Expected Turnaround Time
Within 1 day
Specimen Requirements
Specimen
Within 1 day
Volume
1 mL
Minimum Volume
0.7 mL (Note: This volume does not allow for repeat testing.)
Container
Red-top tube, gel-barrier tube, or green-top (lithium heparin) tube. Do not use oxalate, EDTA, or citrate plasma.
Collection
Separate serum or plasma from cells within 45 minutes of collection.
Storage Instructions
Refrigerate
Causes for Rejection
Gross hemolysis; improper labeling; gross lipemia
Test Details
Use
Evaluate liver and biliary disease. Increased direct bilirubin occurs with biliary diseases, including both intrahepatic and extrahepatic lesions. Hepatocellular causes of elevation include hepatitis, cirrhosis, and advanced neoplastic states. Increased with cholestatic drug reactions, Dubin-Johnson syndrome, and Rotor syndrome. In the latter two syndromes, the level is usually <5 mg/dL.