Beta-Hydroxybutyrate : 1002348

Test Code
BHBUT or 1002348


Alias/See Also
bHBA; Betahydroxybutyric acid


CPT Codes
82010

Instructions
Serum  separator tube, lavender (EDTA), green top (sodium or lithium heparin), or gray top tube (sodium fluoride).


Transport Container
Centrifuge serum or plasma separator tube and transport. If lavender, green, or gray top, centrifuge and aliquot 1 mL plasma (Min: 0.3 mL)  into a standard transport tube.


Transport Temperature
Refrigerated.


Specimen Stability
Ambient: 8 hours; Refrigerated: 7 days; Frozen: 7 days


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


Methodology
Enzymatic

Setup Schedule
Tuesday - Saturday


Report Available
1-2 days  (From receipt at performing laboratory)


Reference Range
Pediatric:  0.04-0.18 mmol/L
Adult: 0.28 mmol/L or Less


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



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.