Biomarker Lens

Biomarkers · Chemical

Bile Acids

Understand what Bile Acids signals

Primary unit
umol/L
LOINC codes
14628-2, 30518-5, 30519-3, 30520-1, 43130-4
Commercial laboratory assays
5

We have not added a physiological summary for this biomarker yet. Compare the commercial laboratory assays and population reference ranges below.

Compare commercial laboratory assays for Bile Acids

Check orderable catalog codes, specimen types, fasting requirements, and demographic reference ranges across laboratories.

Bile Acids

Laboratory
Labcorp
Test code
010330
Specimen
Serum
Fasting
Not stated
LOINC
14628-2
Turnaround
2 - 3 days

Laboratory assay overview

Evaluate the enterohepatic cycle consisting of the biliary system, intestine, portal circulation, and hepatocytes

View complete laboratory reference notes

0.0 – 10.0 µmol/L

Labcorp test directory, test code 010330

Bile Acids, Fractionated and Total

Laboratory
Quest Diagnostics
Test code
4668
Specimen
Serum
Fasting
Not stated
LOINC
14628-2, 30518-5, 30519-3, 30520-1
Turnaround
Set up: Mon-Fri (p.m.); Report available: 4-6 days

Laboratory assay overview

Bile acids are formed in the liver, from cholesterol, stored and concentrated in the gallbladder, and excreted into the intestines in response to food. Elevated concentrations often suggest impaired hepatic clearance due to liver disease. Patients with intestinal malabsorption and metabolic disorders such as Gilbert's disease do not exhibit elevated bile acids concentrations.

Quest Diagnostics population reference ranges

Quest Diagnostics calculates these statistical intervals for this specific assay and demographic group, not as universal optimal targets.

PopulationRange
Cholic Acid≤1.8 umol/L
Deoxycholic Acid≤2.4 umol/L
Chenodeoxycholic Acid≤3.1 umol/L
Total Bile Acids≤6.8 umol/L
View complete laboratory reference notes

Cholic Acid | ≤1.8 umol/L Deoxycholic Acid | ≤2.4 umol/L Chenodeoxycholic Acid | ≤3.1 umol/L Total Bile Acids | ≤6.8 umol/L

Quest Diagnostics test directory, test code 4668

Bile Acids, Fractionated and Total, LC/MS-MS

Laboratory
Labcorp
Test code
503640
Specimen
Serum
Fasting
Not stated
LOINC
43130-4
Turnaround
5 - 10 days

Laboratory assay overview

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.1 In addition, bile acids are required for cholesterol absorption, fat-soluble vitamin absorption, and to provide resistance to overgrowth of intestinal bacteria.1 Bile acid levels may be reduced or elevated due to various genetic defects.

Labcorp test directory, test code 503640

Bile Acids, Fractionated and Total, Pregnancy, LCMSMS

Laboratory
Quest Diagnostics
Test code
19546
Specimen
Serum
Fasting
Not stated
LOINC
14628-2, 30518-5, 30519-3, 30520-1
Turnaround
Set up: Mon-Fri (p.m.)

Laboratory assay overview

Intrahepatic cholestasis of pregnancy (ICP) is a rare disorder that typically occurs in the third trimester of pregnancy and is associated with itching, jaundice and disturbances in liver enzymes. While it poses little risk for the mother it may cause problems for the fetus, including preterm delivery, perinatal mortality and other disorders. Measurement of maternal serum bile acids can help in the diagnosis of ICP as the serum total bile acids are increased significantly (6-fold) with large increases primarily in cholic acid (12-fold).

Quest Diagnostics population reference ranges

Quest Diagnostics calculates these statistical intervals for this specific assay and demographic group, not as universal optimal targets.

PopulationRange
Cholic Acid≤2.8 umol/L
Deoxycholic Acid≤2.3 umol/L
Chenodeoxycholic Acid≤3.9 umol/L
Total Bile Acids≤8.3 umol/L
View complete laboratory reference notes

Cholic Acid | ≤2.8 umol/L Deoxycholic Acid | ≤2.3 umol/L Chenodeoxycholic Acid | ≤3.9 umol/L Total Bile Acids | ≤8.3 umol/L

Quest Diagnostics test directory, test code 19546

Bile Acids, Total, Pregnancy, Enzymatic

Laboratory
Quest Diagnostics
Test code
14801
Specimen
Serum
Fasting
Not stated
LOINC
14628-2
Turnaround
Set up: Daily

Laboratory assay overview

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 acute hepatitis, chronic hepatitis, liver sclerosis and liver cancer.

View complete laboratory reference notes

0-10 umol/L

Quest Diagnostics test directory, test code 14801

Verify these ranges and sources

We compile every detail above directly from named laboratory directories and published clinical studies. Laboratories calculate standard reference intervals from the statistical distribution of tested populations for a specific assay method and demographic group, rather than setting universal optimal targets.

Always review your personal lab results with a licensed clinician, or track your lab history and health goals in Aumnivida.

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