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Beta Hydroxybutyrate
Last Modified:
6/8/2023 10:21:59 AM
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
Turn Around Time:
Stat eligble for pediatics only
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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