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Medical information Clinical review pending

Gastroenterology Testing

Bilirubin Total Direct Indirect Test

Assess liver function and detect potential liver disorders with the Bilirubin Total Direct Indirect Test. Measures total, direct, and indirect bilirubin levels in the blood.

General information only: This page is not a diagnosis or personal medical advice. A qualified clinician should decide whether testing is appropriate and interpret results in context.

Review status: No completed medical review is recorded for this page.

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Counselor guidance included Confidential handling Kenya-wide coordination

At a glance

Plan your test

Sample
2 mL (1 mL minimum) serum collected in an SST tube.
Results
Results are typically available within one day. Confirm with the laboratory before booking.
Preparation
No special preparation is required for this test. Confirm with the laboratory before booking.
Test priceKSh 608

Payment: M-Pesa and card options can be confirmed during booking.

Insurance & government schemes

Is this test covered for you?

We help you verify whether the Bilirubin Total Direct Indirect Test test can be claimed against your insurer, employer scheme or a Kenyan government health scheme — before you book. Coverage depends on your plan, clinical indication and your provider's rules; final approval always rests with them.

Talk to a claims advisor

Providers & schemes we can help you check

Government & public schemes

SHIF — Social Health Insurance Fund Linda Mama EduAfya NHIF (legacy cards)

Eligibility and benefits follow the current rules of the Social Health Authority (SHA) and applicable government programmes.

Private insurers & employer schemes

Jubilee Health AAR APA Britam CIC Madison Resolution Pioneer Minet Old Mutual GA Life Heritage + other licensed insurers

Names shown for identification only — listing does not imply partnership or guarantee of coverage.

Have these ready when we check

  • Insurer or scheme name & policy / member number
  • A clinician's request / prescription for the test
  • Pre-authorisation letter, if your plan requires one

Free coverage check

Ask us to verify your cover

Send your details and our claims team confirms what documents you need and whether pre-authorisation applies — usually the same working day.

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Used only to process your coverage check — see our Privacy Policy. Verification support is free and does not guarantee your provider will pay.

01

Start with fit

Is this the right test for you?

The best test starts with a clear clinical question. These are common reasons a clinician or family may consider this test.

  • ✓Symptoms of jaundice (yellowing of skin or eyes)
  • ✓Dark urine or pale stools
  • ✓Abdominal pain or swelling
  • ✓Unexplained fatigue
  • ✓Monitoring known liver disease
  • ✓Screening for liver dysfunction
  • ✓Investigation of abnormal liver function tests
02

In plain language

What this test helps you understand

Evaluation of liver function, diagnosis of liver disorders, monitoring of liver disease progression, investigation of jaundice.
The Bilirubin Total Direct Indirect Test is a key diagnostic tool used to evaluate liver function and identify potential liver disorders. This test measures the levels of bilirubin, a substance produced when red blood cells break down, in your blood. Elevated bilirubin levels can signal liver problems or other health concerns.

This test specifically measures the total amount of bilirubin in the blood, breaking it down into direct (conjugated) and indirect (unconjugated) forms. Analysing these levels helps healthcare providers understand liver function and pinpoint specific liver conditions.

Individuals experiencing symptoms like jaundice (yellowing of the skin or eyes), dark urine, pale stools, unusual fatigue, or abdominal pain may benefit from this test. It is also recommended for individuals with risk factors for liver disease, including a history of alcohol abuse, viral hepatitis, or use of certain medications.

Taking this test allows for the early detection of liver disorders, enabling timely medical intervention. It also helps monitor liver function in patients already diagnosed with liver conditions and informs treatment decisions.

Your results will show the total bilirubin levels in your blood. While normal ranges can vary, elevated levels often indicate liver dysfunction or other health issues. Discuss your results with your doctor for proper interpretation and guidance on any necessary follow-up steps.
03

Medical review status

Clinical review pending

A completed medical review is not recorded for this page. No clinician has endorsed the information shown here. Please discuss testing decisions with a qualified healthcare professional.

Meet the DNA Labs Kenya medical team →
04

A simple process

What happens next?

You do not have to navigate the test alone. We help you move from question to next step.

1

Speak with us

We check the test and answer your questions before collection.

2

Give your sample

Choose home collection or a coordinated hub visit in Kenya. We explain whether this test uses a cheek swab or blood draw.

3

Understand your report

A counselor helps you understand the result and the next steps.

05

Choose your collection

Home collection or a lab visit

We will explain the sample, preparation, and next steps before anything is collected.

Home collection

Choose a coordinated visit at home or another convenient location. Our team confirms the appointment and sample requirements in advance.

Lab or hub visit

Prefer to visit a coordinated location? We can guide you to the right hub and explain what to expect when you arrive.

Ask about locations →
PreparationNo special preparation is required for this test. Confirm with the laboratory before booking.
Sample2 mL (1 mL minimum) serum collected in an SST tube.
MethodologySpectrophotometric analysis. Confirm with the laboratory before booking.
PrivacyYour sample and report are handled confidentially. Ask the team how your information is stored and shared.
Certain medications, foods, or physiological states (like pregnancy) can affect bilirubin levels. Results should be interpreted by a qualified healthcare professional in conjunction with other clinical information. Confirm with the laboratory before booking.
06

Read your report

What common result terms mean

PositiveA finding was identified. Your clinician or counselor will explain what it means for your care.
NegativeThe specific finding tested for was not identified. It does not rule out every possible cause.
VUSA variant was found, but current evidence is not enough to classify it. Your counselor can explain follow-up.
07

Questions people ask

Frequently asked questions

Bilirubin is a yellowish pigment produced during the normal breakdown of red blood cells. The liver processes bilirubin, and it is then excreted from the body.
Measuring both direct (conjugated) and indirect (unconjugated) bilirubin helps doctors understand how the liver is processing bilirubin and can help identify the specific cause of liver problems or jaundice.
Elevated bilirubin levels can indicate various issues, including liver disease (like hepatitis or cirrhosis), bile duct obstruction, or increased red blood cell breakdown. Your doctor will interpret the results.
No special preparation, such as fasting, is typically required for this test. However, it is always best to confirm specific instructions with the laboratory before your appointment.
A blood sample is drawn from a vein in your arm by a trained phlebotomist.
Yes, DNA Labs has branches in major cities across Kenya. Please contact us to find the nearest location.
08

Collaboration

Open for partnership with hospitals, clinics, doctors & researchers

Whether you are referring patients, building a research programme or supporting students, we work as an extension of your team — with responsive communication and clear scientific standards.

Hospitals & clinics

Referral pathways, coordinated sample logistics and shared reporting that fits your clinical workflow.

Doctors & specialists

LOINC-coded reports, ACMG-based variant classification and a direct scientific line for complex cases.

Research institutions

Sanger sequencing, NGS panels and custom assays — with project design support, batch pricing and agreed turnaround commitments.

Students & academic projects

Discounted laboratory services for college, master's and PhD research projects — including proposal guidance and cost-effective batch testing.

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09

Trust & transparency

Sources, standards & how this page is maintained

Standards & references

  • ACMG/AMP technical standards for sequence variant interpretation
  • ClinGen curation and gene–disease validity frameworks where applicable
  • LOINC-coded reporting for interoperable results
  • ISO 9001:2015 quality management; ISO 15189 accreditation in progress

Page provenance

  • Last updated: September 27, 2026
  • Medical review: not yet completed
  • Written for patients & clinicians in Kenya; reviewed periodically against current guidance

Medical disclaimer: this page is general information, not a diagnosis or personal medical advice. Testing decisions and result interpretation should be made with a qualified healthcare professional.

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