Test Code BILEA Bile Acids, Total, Serum
Additional Codes
| Epic Ordering Code | LAB3041437 |
| NBS code | LBC13193 |
| Service code | 36697 |
Reporting Name
Bile Acids, Total, SSecondary ID
84689Specimen Type
SerumOrdering Guidance
This test is for evaluation of hepatobiliary dysfunction.
For evaluation of bowel dysfunction, order BA48F / Bile Acids, Bowel Dysfunction, 48 Hour, Feces.
For evaluation of patients treated with urso or cholate, order BAFS / Bile Acids, Fractionated and Total, Serum.
For evaluation of inborn errors of metabolism, order BAIPD / Bile Acids for Peroxisomal Disorders, Serum.
Specimen Required
Patient Preparation:
Fasting: 12 hours, required; Infants and pregnant patients do not need to fast.
Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 0.5 mL
Collection Instructions:
1. Serum gel tubes should be centrifuged within 2 hours of collection.
2. Red-top tubes should be centrifuged and serum aliquoted into plastic vial within 2 hours of collection.
NUH Outreach Laboratories:
Specimen Requirements
Submit only one of the following:
Preferred: Gold Top
Acceptable: Red Top
Fasting: 12 hours, required; Infants and pregnant patients do not need to fast.
Processing Requirements
Centrifuge and aliquot serum into a plastic vial within 2 hours.
Specimen type: Serum
Volume: 0.5 mL
Storage/transport requirements: Refrigerated
Forms
If not ordering electronically, complete, print, and send a Gastroenterology and Hepatology Test Request (T728) with the specimen.
Special Instructions
Specimen Minimum Volume
0.25 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum | Refrigerated (preferred) | 7 days |
| Frozen | 30 days | |
| Ambient | 24 hours |
Reject Due To
| Gross hemolysis | Reject |
| Gross lipemia | OK |
| Gross icterus | Reject |
Method Name
Enzymatic
Day(s) Performed
Monday through Sunday
Report Available
Same day/1 to 2 daysReference Values
≤10 mcmol/L
Reference interval applies to fasting total bile acid concentrations.
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
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Test Classification
This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
82239
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| BILEA | Bile Acids, Total, S | 14628-2 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| BILEA | Bile Acids, Total, S | 14628-2 |
Testing Algorithm
Last updated 30/06/2026