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Test Code BFBL Bilirubin, Body Fluid

Reporting Name

Bilirubin, BF

Performing Laboratory

Mayo Clinic Laboratories in Rochester

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

Method Name

Photometric, Diazonium Salt


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 Type

Body Fluid

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

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

Reference Values

An interpretive report will be provided.

Interpretation

Bilirubin may be measured in other fluids although the decision limits are not well defined in fluids other than pleural fluid. Fluid to serum bilirubin ratios are expected to be less than or equal to 1.0 and should be interpreted in conjunction with other clinical findings.

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 to 2 days

Test Classification

This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82247

LOINC Code Information

Test ID Test Order Name Order LOINC Value
BFBL Bilirubin, BF 1974-5

 

Result ID Test Result Name Result LOINC Value
BRNBF Bilirubin (BF) 1974-5
FLD14 Fluid Type: 14725-6