Biochemistry• Updated 21 October 2026

Bilirubin Test

A blood test that measures bilirubin, which causes jaundice when high.

Results: Usually within a day Specimen: Blood

Quick Summary

Primary Purpose

To investigate jaundice in adults and newborns.

What It Measures

Total, direct and indirect bilirubin.

Preparation

No special preparation.

Overview

Bilirubin comes from the breakdown of red blood cells and is processed by the liver.

Newborn jaundice is common and is checked to decide whether treatment is needed.

What It Measures

Total bilirubin

All bilirubin.

Direct bilirubin

Processed by the liver.

Indirect bilirubin

Not yet processed.

How It's Performed

  1. 01

    Preparation

    Usually no special preparation. Tell the staff about medicines you take.

  2. 02

    Blood sample

    A small amount of blood is taken from a vein in your arm with a thin needle.

  3. 03

    Afterwards

    Press on the spot for a minute. A small bruise is common; you can go back to normal activities.

Reference Ranges

Note: Normal ranges vary by laboratory. Consult your report for the specific reference used.

ParameterTypical Range (Adult)Units
Total bilirubin0.3–1.2mg/dL
Direct bilirubin0–0.3mg/dL

Interpreting Results & Next Steps

Discuss with Doctor

Newborn levels are interpreted using age-specific charts. Normal ranges differ between laboratories, ages and sexes; always use the range printed on your report and ask your doctor what your results mean.

If values are High:

High indirect bilirubin suggests red cell breakdown or Gilbert's syndrome; high direct bilirubin suggests liver or bile duct problems.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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