Beta Hydroxybutyrate

Last Modified: 2/13/2019 1:09:34 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

0.5 mL Serum in a SST Gold Top Tube

Collection Instructions:  
Minimum Volume: 0.3 mL Serum
Transport & Storage: Temperature/Stability:

 7 days Refrigerated

Reference Range: 0.0 - 0.28 mmol/L
Critical Ranges:  
Test Comments:  
Methodology: Enzymatic
Clinical Significance: Beta-hydroxybutyrate(ordered as BHB) is one of three sources of ketone bodies. Its relative proportion in the blood (78%) is greater than the other two keytone bodies which are acetoacetate (20%) and acetone (2%). During periods of ketosis, beta-hydroxybutyrate increases more than acetoacetate with the ratio of beta-hydroxybutyrate/acetoacetate typically between 3:1 and 7:1 in severe ketotic states. beta-hydroxybutyrate has been shown to be a better index of ketoacidosis including the detection of subclinical ketosis.
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Regional Medical Center
PHL Test Code: BHB
EPIC Test Code: LAB2670
Alternate Test Names: Acetone; Beta- Hydroxybutyrate; Beta- Hydroxybutyrate (BHB); BHB; Ketone
Included Tests:  
CPT Coding: 82010

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