what is the cpt code for total bilirubin

What are the reasons for an elevated bilirubin, total?

What is bilirubin?

• Before reaching the liver. Some conditions cause bilirubin levels to be high before it reaches the liver. ...
• In the liver. If the liver is not working properly, it may be unable to make bilirubin water-soluble. ...
• After leaving the liver. Once the bilirubin has left the liver, levels may be high because the bilirubin is unable to leave the body.

What does total bilirubin mean?

What is total bilirubin mean? Bilirubin – a term that means any form of a yellowish pigment made in the liver when red blood cells are broken down and normally excreted with the bile; also termed "total bilirubin." Bilirubin can be classified as indirect while it is circulating in the body. Click to see full answer.

What are acceptable bilirubin levels?

• Bilirubin direct level is higher than the total bilirubin level, for instance; direct 1.0 and total 0.8 mg/dl.
• Bilirubin levels show slight increase above the upper normal limit; for ex. Total 1.1 and 1.2 mg/dl.
• Total bilirubin results are very low: 0, 0.1, 0.2, 0.3 mg/dl which could be false low results or wrong test.

What is total bilirubin in blood work?

Total serum bilirubin, TSB . What is this test? This is a blood test that measures the amount of a substance called bilirubin. This test is used to find out how well your liver is working. It is often part of a panel of tests that measure liver function. A small amount of bilirubin in your blood is normal, but a high level may be a sign of liver disease.

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What is the code for bilirubin?

LOINC MapOrder CodeOrder Code NameOrder Loinc001214Bilirubin, Total/Direct, Serum34543-9001214Bilirubin, Total/Direct, Serum34543-9001214Bilirubin, Total/Direct, Serum34543-9

What is the CPT code for bilirubin direct?

001222: Bilirubin, Direct | Labcorp.

Is total bilirubin the same as direct bilirubin?

Total bilirubin is a combination of direct and indirect bilirubin. Typically, you'll get results for direct and total bilirubin. Typical results for a total bilirubin test are 1.2 milligrams per deciliter (mg/dL) for adults and usually 1 mg/dL for those under 18.

What lab test includes bilirubin?

Doctors often order a bilirubin test along with other tests performed on a single blood or urine sample, such as in a comprehensive metabolic panel, a liver panel, or a urinalysis.

What is procedure code 82247?

Bilirubin;To report this service, you will need to use codes 82247, “Bilirubin; total,” and 82248, “Bilirubin; direct.” On a related note, CPT 2001 includes a new code, 88400, for “Bilirubin, total, transcutaneous.” This describes a non-invasive procedure for the detection of hyperbilirubinemia using transcutaneous ...

What is procedure code 80053?

Based on the AMA CPT® manual for code 80050 (general health panel), this code includes comprehensive metabolic panel (80053), blood count, thyroid stimulating hormone (TSH) (84443), and complete blood count (CBC) (85025).

Which is more important total bilirubin or direct bilirubin?

Direct Bilirubin Is More Valuable than Total Bilirubin for Predicting Prognosis in Patients with Liver Cirrhosis - PMC. The . gov means it's official.

What is direct and total bilirubin?

The direct bilirubin is soluble in water. The total bilirubin of our body is the sum of direct and indirect bilirubin. Normal bilirubin values for adults are: Total bilirubin: 0.3 to 1.9 mg/dL. Direct bilirubin: 0.0 to 0.3 mg/dL.

What is difference between direct bilirubin and indirect bilirubin?

Some bilirubin is bound to a certain protein (albumin) in the blood. This type of bilirubin is called unconjugated, or indirect, bilirubin. In the liver, bilirubin is changed into a form that your body can get rid of. This is called conjugated bilirubin or direct bilirubin.

Is bilirubin included in CMP?

The CMP typically includes 14 tests. The basic metabolic panel (BMP) is a subset of the CMP and usually includes 8 tests. It does not include the liver tests (ALP, ALT, AST, and bilirubin) and protein tests (albumin and total protein).

What blood tests measure liver function?

Some common liver function tests include:Alanine transaminase (ALT). ... Aspartate transaminase (AST). ... Alkaline phosphatase (ALP). ... Albumin and total protein. ... Bilirubin. ... Gamma-glutamyltransferase (GGT). ... L-lactate dehydrogenase (LD). ... Prothrombin time (PT).

How bilirubin test is done?

During the bilirubin test, a blood sample is taken from your arm through a small needle. A little sting may be felt as the needle goes in. After the test you will be able to go about normal activities. Later, you will discuss the results with your doctor.

Can 82247 and 82248 be billed together?

If you perform HCPCS codes 82040, 84075, 84450, 84460, 82247, 82248 AND 84155 for the same date of service (DOS), do not report them separately.

What is direct vs indirect bilirubin?

Some bilirubin is bound to a certain protein (albumin) in the blood. This type of bilirubin is called unconjugated, or indirect, bilirubin. In the liver, bilirubin is changed into a form that your body can get rid of. This is called conjugated bilirubin or direct bilirubin.

What is direct bilirubin and indirect bilirubin?

Direct bilirubin is the conjugated form of bilirubin that is obtained as a catabolism product of haemoglobin. Indirect bilirubin is the direct product of the catabolism of haemoglobin. Solubility. Highly soluble in water.

What is the ICD-10 code for elevated bilirubin?

ICD-10 code E80. 7 for Disorder of bilirubin metabolism, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

What drugs cause jaundice?

Drugs causing cholestasis and/or hepatocellular damage include diphenylhydantoin, azathioprine, phenothiazines, erythromycin, penicillin, sulfonamides, oral contraceptives, anabolic-androgenic steroids, halothane, aminosalicylic acid, isoniazid, methyldopa, indomethacin, pyrazinamide, and others .

What causes high bilirubin levels?

Use. Causes of high bilirubin: Liver disease: hepatitis, cholangitis, cirrhosis, other types of liver disease (including primary or secondary neoplasia); alcoholism (usually with high AST (SGOT), G GT, MCV, or some combination of these findings); biliary obstruction (intrahepatic or extrahepatic); infectious mononucleosis ...

Does nicotinic acid increase bilirubin?

Nicotinic acid increases the formation of bilirubin in the spleen, leading to a rise in unconjugated bilirubin. This can be used as a test for Gilbert disease 1 in which there is a decreased hepatic clearance of unconjugated bilirubin. Although the indirect bilirubin level is increased in normal controls when nicotinic acid is given, the increase is much greater in patients with Gilbert disease. In the Crigler-Najjar syndrome type I, the unconjugated bilirubin is >20 μg/dL. In type II, the level is <20 μg/dL.

Can Gilbert's disease be tested for nicotinic acid?

This can be used as a test for Gilbert disease 1 in which there is a decreased hepatic clearance of unconjugated bilirubin. Although the indirect bilirubin level is increased in normal controls when nicotinic acid is given, the increase is much greater in patients with Gilbert disease.

Alternative Specimen (s)

Plasma collected in: Lithium heparin (green-top) tube or sodium heparin (green-top) tube • Serum transferred to an amber transport vial

Collection Instructions

Protect from light by wrapping a spun SST® in foil or transferring serum/plasma to an amber transport vial. Avoid hemolysis.

Setup Schedule

Protect from light by wrapping a spun SST® in foil or transferring serum/plasma to an amber transport vial. Avoid hemolysis.

Clinical Significance

Bilirubin, Total, Neonatal - Elevated in jaundice of the newborn, obstructive jaundice.

Alternative Specimen (s)

Plasma collected in: Lithium heparin (green-top) tube or sodium heparin (green-top) tube • Serum transferred to an amber transport vial

Collection Instructions

Patient should be less than 60 days of age. Draw 2 amber Microtainer® Serum Separator Tubes (SST®s) or wrap 2 spun Microtainer® Serum Separator Tubes (SST®s) in foil. Avoid hemolysis.

Clinical Significance

Bilirubin, Total and Direct, Neonatal - Elevated in jaundice of the newborn, obstructive jaundice.

Alternative Specimen (s)

Plasma collected in: Lithium heparin (green-top) tube or sodium heparin (green-top) tube • Serum transferred to an amber vial

Expected Turnaround Time

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Container

Red-top tube, gel-barrier tube, or green-top (lithium heparin) tube. Do not use oxalate, EDTA, or citrate plasma.

Collection

If a red-top tube or plasma is used, transfer separated serum or plasma to a plastic transport tube. Protect from light.

Collection Instructions

1. Centrifuge, separate supernatant, and send both supernatant and sediment. 2. Label specimens as sediment and supernatant. 3. Protect specimen from light. Note: Indicate specimen source.

Reject Criteria

Gross hemolysis • Grossly lipemic • Anticoagulant or additive • Amniotic fluid • Breast milk • Saliva • Sputum • Cerebrospinal fluid • Bronchoalveolar lavage (BAL) or bronchial washings • Colostomy • Ostomy • Gastric secretions • Nasal secretions • Urine • Feces • Vitreous fluid • Synovial fluid

Setup Schedule

1. Centrifuge, separate supernatant, and send both supernatant and sediment.