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Epic Code LAB2111563 Betahydroxybutyrate, Blood Level

Test Name Alias

Betahydroxybutyrate Blood Level | BOH Blood Level |Ketones | BHB | 8057 | SHO10094 | 1230100381

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): Gold Top (Serum Separator-SST Gel) or Light Green Top (Lithium Heparin Gel)

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: Serum or Plasma (1.0 mL)

Centrifuge/Spin: Yes

Aliquot: Yes

Processing Instructions:

  • Serum 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 Transport Temperature

Refrigerate

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

  CHW CHS
Normal ≤0.40 mmol/L 0.02-0.27 mmol/L
Significant Ketosis >1.50 mmol/L  

Performing Department

Chemistry

Performing Department Laboratory Location

CHW

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 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

 

CHS
Corewell Health Lakeland St. Joseph Laboratory, St. Joseph, MI
Corewell Health Lakeland Niles Laboratory, Niles, MI
Corewell Health 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

SHO10094

Reviewed Date

3/7/2024

Updated Date

3/14/2024 - Reference Range

4/25/2025 - CHS Info added

12/2/2025 - Gold Top Preferred specimen

Orderable Regions

Southwest; West