BILIRUBIN (QUAL), urine (Part of UA)

UA CHEM

Clinical Chemistry

Routine: 2 hours; STAT: 1 hour

Collect: Random, fresh urine specimen.  Urine specimen cup or 10 cc red top tube with no additives.

Storage/Transport: If not brought to the lab promptly, the specimen should be refrigerated at 2-8°C and protected from light.

Causes for Rejection:  Improperly labeled specimen, QNS specimen, specimen contaminated with feces, and specimen received in the lab 24+ hours after collection

If applicable, state clinical information that is required to be provided with specimen.

By report (reports may vary based on instrumentation, patient age and sex)

Bilirubin is rapidly decomposed once excreted, particularly in the presence of light or heat. Urine preservatives do not prevent this decomposition. Therefore, if a fresh specimen cannot be brought to the lab promptly, refrigerate the specimen immediately at 2-8°C and protect from light.

 N/A

When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient.  Components of the organ or disease panels may be ordered individually.  The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-9 code or its verbal equivalent.

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