Hepatitis B total bilirubin 200 is considered serious. Hepatitis B total bilirubin is one of the liver function tests, when the index is elevated, it indicates that the body’s liver function is not necessarily damaged, under normal circumstances, the total bilirubin of hepatitis B is 1.7-17.1umol/L, when the liver cells are diseased, it will cause the bilirubin is not converted into bile, so the bile ducts in the liver are squeezed, and the bile excretion is blocked, so that the total bilirubin in the blood is high. Hepatitis B total bilirubin 200 belongs to the more serious, the general body blood total bilirubin more than 34.2umol / L, then the patient will be manifested as the sclera, skin, mucous membranes are yellowish staining, and at the same time suggests that the liver function is not necessarily damaged, may appear hepatocellular jaundice, obstructive jaundice and other diseases. It is recommended to go to the hospital for examination, and the doctor will give the corresponding diagnosis according to the clinical symptoms, and clarify the cause of the disease and timely symptomatic treatment.