Beta-Hydroxybutyrate

Test Code
BHYDR


Alias/See Also

LAB2953



CPT Codes
<p>82010</p>

Preferred Specimen

Specimen Type: Serum


Collection Container/Type


Preferred: Serum gel


Acceptable: Red top


Submission Container/Tube: Plastic vial


Specimen Volume: 1 mL


 


Specimen Type: Plasma


Collection Container/Type


Preferred: Green top (Sodium heparin)


Acceptable: Green top (Lithium heparin)Lavender top (EDTA), Gray top (Sodium fluoride)


Submission Container/Tube: Plastic vial


Specimen Volume: 1 mL



Minimum Volume

0.3 mL



Other Acceptable Specimens
Plasma collected in: Sodium heparin (green-top), lithium heparin (green-top), sodium fluoride (gray-top), or EDTA (lavender-top) tube


Transport Temperature
Refrigerated (cold packs)


Specimen Stability

Room temperature: 8 hours


Refrigerated: 7 days


Frozen: 7 days



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Gross hemolysis



Methodology

Enzymatic



Setup Schedule
Set up: Tues-sat; Report available: 2-3 days


Report Available

1-2 days



Reference Range
Pediatric0.04-0.18 mmol/L
Adult≤0.28 mmol/L


Clinical Significance
In diabetics, the measurement of B-hydroxybutyrate as well as blood glucose is needed for the assessment of the severity of diabetic coma and is essential for the exclusion of hyperosmolar non-ketotic diabetic coma. A specific enzymatic assay for Beta-hydroxybutyrate is extremely important in the assessment of ketosis.


Performing Laboratory

Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




Last Updated: February 17, 2023


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.