Bile Acids (Total) (Sendout)

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General Information

Lab Name
Bile Acids (Total)
Lab Code
RBILEA
Epic Name
Bile Acids (Total)
External Test Id
BILEA
Description

Useful For:

  • An aid in the evaluation of liver function
  • Evaluation of liver function changes before the formation of more advanced clinical signs of illness such as icterus
  • An aid in the determination of hepatic dysfunction as a result of chemical and environmental injury
  • An indicator of hepatic histological improvement in chronic hepatitis C patients responding to interferon treatment
  • An indicator for intrahepatic cholestasis of pregnancy

Ordering Note: For fractionated bile acids, refer to test Bile Acids, Fractionated and Total (Sendout) [RBAFTS].

Patient Preparation: Patient must be fasting for 12 hours. Infants and pregnant patients do not need to fast.

Synonyms
Bile Acids Total, Bile Salts Total, BILEA
Components

Interpretation

Method

Enzymatic

Reference Range
Units: mcmol/L
Female Male
AgeRange AgeRange
0-0-10 0-0-10

Effective date: 03/22/2006

Ref. Range Notes

Reference interval applies to fasting specimens.

Interferences and Limitations

Cautions:

Serum total bile acid testing is generally not suitable for differentiation among the various types of liver diseases.

Total bile acid concentration is increased after meals; samples should be collected under fasting conditions.

Ordering & Collection

Specimen Type
Blood
Collection

2 mL blood in RED TOP tube or GOLD TOP SST

Patient Preparation: Non-fasting samples are acceptable for pregnant patients. Other patients must fast for a minimum of 12 hours prior to collection.

Handling Instructions

Outside Laboratories: Centrifuge sample and transfer serum to a separate plastic vial within 2 hours of collection. Refrigerate serum.

Stability: Refrigerated (preferred): 7 days; Frozen: 30 days; Ambient: 24 hours.

Reject Due To: Gross hemolysis, gross icterus. Gross lipemia is acceptable.

Quantity
Requested: 0.5 mL serum
Minimum: 0.25 mL serum

Processing

Receiving Instructions

Allow specimen to clot completely at room temperature before centrifugation. Serum gel tubes should be centrifuged within 2 hours of collection; red-top tubes should be centrifuged and aliquoted within 2 hours of collection. Refrigerate serum.

Sendouts:

  • Order Mayo Test: BILEA.
  • Interfaced: Yes.

Stability: Refrigerated (preferred): 7 days; Frozen: 30 days; Ambient: 24 hours.

Reject Due To: Gross hemolysis, gross icterus. Gross lipemia is acceptable.

Misc Sendout

Performance

Lab Department
Sendouts Mayo Lab (RF)(MARF)
Frequency
Performed: Monday - Sunday. Report Available: 1-2 days.
Available STAT?
No
Performing Location(s)
Sendout Mayo Clinic Laboratories
800-533-1710

200 First Street Southwest
Rochester, MN 55901

Billing & Coding

CPT Codes
82239
LOINC
14628-2
Interfaced Order Code
UOW1980
Interfaced Result Code
UOW1980