Bilirubin, total, transcutaneous
CPT4 code
Name of the Procedure:
Bilirubin, Total, Transcutaneous
Summary
The transcutaneous bilirubin test is a non-invasive procedure used to measure the level of bilirubin in a newborn's blood through the skin. This test helps determine if a newborn has jaundice, a common condition in newborns characterized by yellowing of the skin and eyes.
Purpose
The procedure addresses neonatal jaundice, a condition caused by the buildup of bilirubin in the bloodstream. The goal is to assess the severity of jaundice and decide if further intervention is needed to prevent complications such as kernicterus, a type of brain damage.
Indications
- Yellowing of the skin and eyes in newborns
- Premature births
- Family history of jaundice
- Poor feeding or lethargy in newborns
Preparation
Typically, no special preparation is needed. The infant's skin should be clean and dry. No fasting or medication adjustments are required beforehand.
Procedure Description
- The healthcare provider places a handheld device called a transcutaneous bilirubinometer on the baby's forehead or chest.
- The device emits a light that penetrates the skin and measures the reflection to determine the bilirubin level.
The device displays a reading of the bilirubin level in a few seconds.
The procedure is non-invasive, and no anesthesia or sedation is required.
Duration
The procedure typically takes just a few seconds to a couple of minutes.
Setting
The test can be performed in a hospital, birthing center, or outpatient clinic.
Personnel
Usually conducted by trained nursing staff, midwives, or pediatricians.
Risks and Complications
This procedure is very safe and non-invasive with no known risks or complications.
Benefits
- Immediate results, allowing for timely intervention if needed.
- Non-invasive and pain-free, reducing stress for the newborn.
- Helps in early detection and treatment of jaundice, preventing severe complications.
Recovery
No recovery time is needed. The baby can be held and fed immediately after the test.
Alternatives
- Serum bilirubin test: involves a blood sample to measure bilirubin levels. This is more accurate but can be more stressful for the newborn.
- Visual assessment: less reliable and subjective.
Patient Experience
The procedure is quick and painless. The baby might feel the touch of the device on the skin but should not experience discomfort. Parents can comfort their baby during and after the procedure.