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Epic Code LAB2111563 Betahydroxybutyrate, Blood Level

Test Name Alias

Betahydroxybutyrate Blood Level | BOH Blood Level |Ketones | BHB | 8057

Interface Order Alias

10094

Clinical Information

Assay replaces both Acetone and Ketone levels for testing patients for diabetic ketoacidosis.

Collection Instructions

Specimen Collection: Blood

 

Container(s): 4.5 mL Mint Green Top (Lithium Heparin Gel) or 5.0 mL Gold Top (Serum Separator-SST Gel)

Preferred Volume to Collect: 4.5 mL

Minimum Volume to Collect: 2.0 mL

Neonate Volume to Collect: 1.0 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • After collection, gently invert tube 8-10 times.
  • Specimen should be processed within 2 hours – See Processing Instructions.

 

Processing Instructions (Laboratory, Outpatient or Off-site Collection):

Processed Specimen: Plasma or Serum (1.0 mL)

Centrifuge/Spin: Yes

Aliquot: Yes

Processing Instructions:

  • Plasma is preferred specimen type
  • Green Tube/Plasma: Centrifuge after collection.
  • Gold Tube/Serum: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.

Transport Temperature: Refrigerated

Specimen Stability

Ambient: 4 hours

Refrigerate: 48 hours

Frozen: aliquot plasma/serum for longer storage

Laboratory Retention: 72 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

Normal:  ≤ 0.40 mmol/L.

Significant Ketosis:  >1.50 mmol/L

Performing Department

Chemistry

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI
Corewell Health Big Rapids Laboratory, Big Rapids, MI
Corewell Health Blodgett Laboratory, Grand Rapids, MI
Corewell Health Gerber Laboratory, Fremont, MI
Corewell Health Kelsey Laboratory, Lakeview, MI
Corewell Health Ludington Laboratory, Ludington, MI
Corewell Health Pennock Laboratory, Hastings, MI
Corewell Health Reed City Laboratory, Reed City, MI
Corewell Health Greenville Laboratory, Greenville, MI
Corewell Health Zeeland Laboratory, Zeeland, MI
Corewell Health Lakeland St. Joseph Laboratory, St. Joseph, MI
Corewell Health Lakeland Niles Laboratory, Niles, MI
Corewell Health Lakeland Watervliet Laboratory, Watervliet, MI

Methodology

Methodology is not available at this time

CPT

82010

CDM Code

3018201001

Epic Test ID

1230100381

LOINC

Betahydroxybutyrate: 6873-4

Mayo Access Code

SHO8057

Reviewed Date

3/7/2024

Updated Date

3/14/2024 - Reference Range