Bile Acids, Total, Pregnancy, Enzymatic

Test code

14801

CPT code(s)*

82239

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Clinical significance

Bile Acids, Total, Pregnancy, Enzymatic - Used to screen pregnant women for obstetric cholestasis. Symptoms of cholestasis included persistent itching in the third trimester of pregnancy and possible risks of unborn baby including stillbirth, premature labor and bleeding. The frequency of obstetric cholestasis varies and is 1 in 100 in pregnant European women vs. 1 in 10 in South American women. Total bile acids levels are the most sensitive indicator for monitoring the effectiveness of interferon treatment of chronic hepatitis C patients.Total bile acids are metabolized in the liver and, hence, serve as a marker for normal liver function. Serum total bile acids are increased in patients with…

Test resources

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Details

Test details

Methodology

Enzymatic

Specimen requirements
Patient preparation	⁠⁠⁠⁠⁠⁠⁠Fast for 8 hours. Note: Fasting does not apply to women with intrahepatic cholestasis of pregnancy, samples should be collected post-prandially.
Preferred specimen(s)	1 mL serum
Minimum volume	0.5 mL
Collection instructions	Centrifuge serum samples within 1 hour of collection and transfer serum into sterile transport tube(s).
Transport container	Transport tube
Transport temperature	Refrigerated (cold packs)
Specimen stability	Room temperature: Unacceptable Refrigerated: 7 days Frozen: 30 days
Reject criteria	Unspun serum separator tube (SST) • Red-top tube (no gel)

Reference range(s)

0-10 umol/L

LOINC® codes

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Service Area Information

Performing lab & setup schedule

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Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.

*The CPT codes provided are based on AMA guidance and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core are copyright © 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.