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Test Directory

Bile Acids, Fractionated and Total

Test Summary

Bile acids are formed in the liver, from cholesterol, stored and concentrated in the gallbladder, and excreted into the intestines in response to food. Elevated concentrations often suggest impaired hepatic clearance due to liver disease. Patients with intestinal malabsorption and metabolic disorders such as Gilbert's disease do not exhibit elevated bile acids concentrations.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum

Minimum Volume

0.2 mL

Instructions

Collect blood in a red-top (no gel), or SST tube. After clot formation centrifuge sample and pour off serum into transport tube. Store sample refrigerated or frozen.

Patient Preparation

Overnight fasting is preferred

Storage

Plastic screw-cap vial

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 14 days
  • Refrigerated: 21 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

N/A

Order Code

BILEF

EPIC (Premier) Code

LAB3539

Includes

Cholic Acid
Deoxycholic Acid
Chenodeoxycholic Acid
Total Bile Acids

CPT Code

  • 82542

Billing Code

  • 670588

CPT Statement

Methodology

Chromatography/Mass Spectrometry

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano CA, 92675

Department

Reference Testing

Reference Range

Cholic Acid≤1.8 umol/L
Deoxycholic Acid≤2.4 umol/L
Chenodeoxycholic Acid≤3.1 umol/L
Total Bile Acids≤6.8 umol/L

Setup Schedule / Expected Turnaround Time

Sunday - Friday; Report available: 4 - 6 days

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum

Minimum Volume

0.2 mL

Instructions

Collect blood in a red-top (no gel), or SST tube. After clot formation centrifuge sample and pour off serum into transport tube. Store sample refrigerated or frozen.

Patient Preparation

Overnight fasting is preferred

Storage

Plastic screw-cap vial

Transport Temperature

Room temperature

Specimen Stability

  • Room temperature: 14 days
  • Refrigerated: 21 days
  • Frozen: 30 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

N/A

Billing

CPT Code

  • 82542

Billing Code

  • 670588

CPT Statement

Result Information

Methodology

Chromatography/Mass Spectrometry

Testing Laboratory

N/A

Reference Range

Cholic Acid≤1.8 umol/L
Deoxycholic Acid≤2.4 umol/L
Chenodeoxycholic Acid≤3.1 umol/L
Total Bile Acids≤6.8 umol/L

Setup Schedule / Expected Turnaround Time

Sunday - Friday; Report available: 4 - 6 days