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Unconjugated bilirubin (serum/plasma mass concentration)

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

This test measures the amount of bilirubin in your blood that hasn’t yet been processed by your liver. Bilirubin is a yellow pigment produced when red blood cells break down. High levels may indicate liver or bile duct issues.

Quick summary

["Your doctor may check this test to diagnose or monitor liver problems or jaundice."]

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

Key facts at a glance

LOINC
57337-8
Short code
Citrate 12h Ur-mCnc
Synonyms
Citrate 12h Ur-mCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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

Why This Test Matters

Bilirubin is a natural byproduct of red blood cell breakdown. Normally, your liver removes it from your blood and sends it to your bile ducts for excretion. If your liver isn’t working properly, bilirubin can build up in your bloodstream, leading to jaundice (yellowing of the skin and eyes). This test helps identify whether your liver or bile ducts may be having trouble processing bilirubin.

Common Causes of Abnormal Results

Elevated levels may suggest conditions like hemolysis (destruction of red blood cells), liver disease, or blockages in the bile ducts. Low levels are less common but might occur with certain genetic disorders or severe liver damage.

What to Expect During the Test

A blood sample is taken from a vein, usually in your arm. You may feel a small pinch, but it’s quick. The sample is sent to a lab for analysis. No special preparation is needed unless instructed otherwise.

Factors That Could Affect Results

Certain medications, infections, or recent blood transfusions can influence bilirubin levels. If you’re taking any medications or have recent health changes, let your doctor know.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Bilirubin (unconjugated)

Frequently asked questions

What does a high bilirubin level mean?
A high bilirubin level often signals a problem with your liver’s ability to process bilirubin, which can lead to jaundice. It may also indicate conditions like hepatitis, cirrhosis, or bile duct obstructions. Your doctor will review your symptoms and other test results to determine the cause.
What does a low bilirubin level mean?
Low bilirubin levels are less common and may occur with severe liver damage or certain genetic disorders. They might also be seen in newborns during the first few days of life. Your doctor will consider your overall health and other tests to understand why levels are low.
How often should I get this test?
Your doctor will decide how often you need this test based on your medical history, symptoms, and other health conditions. Regular monitoring may be needed if you have liver disease or other conditions that affect bilirubin processing.
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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