# CPT 82248

> Not at a published national rate. CPT 82248 carries status X (statutory exclusion) in the Q3 2017 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

## What it is

Measurement of the conjugated, or direct, fraction of bilirubin - the portion the liver has already chemically processed and is ready to excrete into bile. It is used alongside the total bilirubin to split a high result into its parts. A high direct fraction points toward a problem downstream in the liver or bile ducts, such as an obstruction, while a high total driven by the indirect fraction points more toward red cell breakdown or a problem taking bilirubin up into liver cells.

## Selected release

- Release: Q3 2017 (2017 C)
- Effective: July 1 – September 30, 2017
- Status indicator: X
- Office (non-facility) national allowed amount: not published
- Facility national allowed amount: not published
- Sequestration: not applied

## RVUs and formula

- Work RVU: not published
- Office (non-facility) practice expense RVU: not published
- Facility practice expense RVU: not published
- Malpractice RVU: not published
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip
- Parsed file: PPRRVU17_JULY_V0503.csv, row 13,635
- Canonical page: https://localishealth.com/cpt/82248/2014/B
- Release-specific citation URL: https://localishealth.com/cpt/82248/2017/C
- Last significant update: 2026-08-04T03:07:49+00:00