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Test Code BILI Bilirubin, Total, Plasma or Serum

Important Note

Eltrombopag may be used in the treament of thrombocytopenia and/or aplastic anemia. Studies have shown a positive bias in total bilirubin and direct bilirubin results a t a therapeutic concentration, 25ug/mL of eltrombopag. Potential clinical impact would be mitigated by correlation to clinical symptomology and additional laboratory testing.

Performing Laboratory

MaineGeneral Medical Center

Reference Values

0.2-1.0 mg/dL

Critical value (automatic call-back):  >15 mg/dL (neonatal)

Day(s) Test Performed

Monday through Sunday

Specimen Requirements

Submit only 1 of the following specimens:

 

Preferred:

Plasma

Draw blood in a green-top (lithium heparin) tube(s). For neonate specimens, draw blood in an amber MICROTAINER(S)®. Spin down and send 1 mL of lithium heparin plasma refrigerated. Protect specimen from light. Label specimen with patient’s name (first and last), date of birth, date and time of draw, phlebotomist’s initials and as plasma.

 

Alternate:

Serum

Draw blood in a gold-top (serum separater) gel tube(s). Spin down and send 1 mL of serum refrigerated. Protect specimen from light. Label specimen with patient’s name (first and last), date of birth, date and time of draw, phlebotomist’s initials and as serum.

 

Hemolyzed or lipemic specimens are not acceptable.

 

Specimen stability:   8 hours at room temperature when spun
                                     5 days at 2-8°C
                                     3 months when frozen at  ≥-20°C 
Minimum volume:    1 mL
 

Test Classification and CPT Coding

82247