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Bilirubin, Urine — Test Strip, Mass Concentration

Published: August 9, 2026Updated: August 16, 2026

A urine test strip that checks for bilirubin, a breakdown product of hemoglobin, which may be present when bile flow is impaired.

Quick summary

["Detects bilirubin in urine and may help evaluate possible liver or bile duct problems."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
20505-4
Short code
Bilirub Ur Strip-mCnc
Synonyms
Bilirub Ur Strip-mCnc
Category
liver
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
test-strip
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test uses a chemical reagent strip to detect bilirubin in urine. Bilirubin is a yellow pigment formed when the body breaks down hemoglobin and is normally processed by the liver.

Why might I need this test?

Your clinician may order this test as part of a urinalysis, especially if you have symptoms of liver disease, a bile duct obstruction, or a condition that causes increased red blood cell breakdown.

How is the test performed?

A urine sample is collected and a reagent strip is dipped into it or placed in the urine. The color change on the strip's bilirubin pad is compared with the manufacturer's color chart to provide a result.

How do I prepare for the test?

For a routine urinalysis, collect urine in a clean, dry container as instructed by your healthcare provider. Tell your clinician if you are pregnant, taking medications, or have recently had antibiotics or urine dyes, as these may affect some strip results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Bilirubin in urine may indicate that bilirubin is entering the blood faster than the liver can process and excrete it. This can occur with liver inflammation or damage, obstruction of bile ducts, or increased breakdown of red blood cells.

A positive result is not diagnostic by itself and should be interpreted with the rest of your urinalysis, liver tests, symptoms, and medical history. Light-colored urine, dark urine, yellowing of the skin or eyes, itching, or abdominal pain should be discussed promptly with a clinician.

Short name

Urine Bilirubin Test

Frequently asked questions

What does a positive urine bilirubin result mean?
It means bilirubin was detected in the urine, which can occur with liver disease, bile duct obstruction, or increased red blood cell breakdown. Additional testing is usually needed to determine the cause.
Is urine bilirubin the same as a serum bilirubin test?
No. This test detects bilirubin in urine using a reagent strip, while a serum bilirubin test measures bilirubin concentration in the blood. They can help evaluate different aspects of liver and bile function.
Can exercise, food, or medications affect the result?
Some medications and urine pigments may interfere with reagent strips. Your clinician can interpret the result in context and advise whether repeat or confirmatory testing is needed.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy