Test Directory

Test Code
BAFRC
Test Name
Bile Acids, Fractionated and Total
CPT Codes
82542
Included Tests
  • Cholic Acids
  • Deoxycholic Acids
  • Chenodeoxycholic Acids
  • Total Bile Acids
  • Ursodeoxycholic Acids
Expected Turnaround Time
5 - 10 days
Clinical Utility

This assay uses LC/MS-MS to quantify the free acid, glycine-conjugate and taurine-conjugate forms of cholic acid, chenodeoxycholic acid, deoxycholic acid, and ursodeoxycholic acid. Bile acids may be measured to investigate obstructive cholestasis in pregnancy. In addition, bile acids are required for cholesterol absorption, fat-soluble vitamin absorption, and to provide resistance to overgrowth of intestinal bacteria. Bile acid levels may be reduced or elevated due to various genetic defects.

Specimen and Container Info

Preferred Specimen Type: Serum

Alternate Specimen Type: Plasma

Preferred Collection Container: Gold Top, Serum Separator

Alternate Collection Container: Red Top Plain, Lavender Top (EDTA), or Green Top (Sodium or Lithium Heparin)

Desired Specimen Volume: 1 mL

Collection Instructions
  1. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells within two hours of collection.
  2. Transfer 1 mL of serum to a LabCorp pp transpak frozen purple tube.
Patient Preparation

Patient should be fasting.

Transport Instructions

Transport to the laboratory frozen. 

Stability Requirements

Room Temperature

1 day

Refrigerated

3 days

Frozen

14 days

Freeze/Thaw Cycles

 Stable x6

Causes for Rejection
  • Whole blood
Methodology
Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry (HPLC/MS-MS)
Reference Intervals

See patient report.

Reference Lab
Labcorp Of America Holdings
Testing Schedule
Routine, 3 times per week