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Test Code BHB Beta-hydroxybutyrate 

EHR Test Codes

  Test Code Test Name
Atlas BHB Beta-Hydroxybutyrate
Cerner   Beta-hydroxybutyrate 

Specimen Requirements

Preparation of Patient: 

None

 

Container Type: 

Green Top 5mL Lithium Heparin Separator Tube

Or

 

Gold Top 6mL SST Gel & Clot Activator Tube

Specimen Type:

Plasma or Serum

 

Specimen Volume: 

2.5 mL Plasma or Serum minimum .5 mL

 

Specimen Handling/Transport:

Separate plasma or serum from cells within 2 hours of collection.

Transport ambient room temperature.

 

Specimen Stability/Storage:

5 days refrigerated 2-8°C

Performing Laboratory

Munson Healthcare Laboratories

Chemistry Department

 

Except Charlevoix Hospital Laboratory, testing will be sent to Munson Medical Center.

Priority, Frequency, & Turnaround

Priority:

STAT, ASAP, Non-Emergent

 

Frequency:

24 hours 7 days a week

 

Turnaround:

0 - 1 days

STAT 45 minute from receipt in lab

Methodology

β-hydroxybutyrate dehydrogenase

Reporting

Reference Range:

0.21 - 2.81 mg/dL

 

Critical Decision: 

None

Clinical Significance

Ketoacidosis is a condition of decreased plasma pH due to increased ketone bodies as seen in metabolic disturbances such as diabetes mellitus. Other causes of elevated ketones include states of fasting and hypoglycemia. Blood ketones are measured in serum or plasma with β-hydroxybutyrate levels. β-hydroxybutyrate represents approximately 75% of blood ketones.

CPT Code(s)

82010