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HelpTest Code LAB456 Beta Hydroxybutyrate
Useful For
Ketosis is a common feature in acutely ill patients. In subjects suffering from starvation, acute alcohol abuse, or diabetes mellitus, ketosis can result in severe life-threatening metabolic acidosis. The presence and degree of ketosis can be determined by measuring blood levels of β-hydroxybutyrate.
Ordinarily, β-hydroxybutyrate is the ketoacid present in the greatest amount in serum. It accounts for approximately 75% of the ketone bodies which also contain acetoacetate and acetone. During periods of ketosis, β-hydroxybutyrate increases even more than the other two ketoacids, acetoacetate and acetone, and has been shown to be a better index of ketoacidosis including the detection of subclinical ketosis.
In diabetics, the measurement of β-hydroxybutyrate as well as the blood glucose is needed for the assessment of the severity of diabetic coma, and both are essential for the exclusion of hyperosmolar non-ketonic diabetic coma.
Performing Laboratory
Asante Rogue Regional Medical Center (ARRMC)/ Asante Three Rivers Medical Center (ATRMC)
Performing Department
Chemistry
Specimen Minimum Volume
1.0 mL
Specimen Stability Information
Serum or plasma β-hydroxybutyrate levels are stable at least one week if kept tightly capped and refrigerated at 2 to 8° C.
Reject Due To
Hemolysis
Quantity not sufficient (QNS)
Lack of Two Patient Identifiers:
1-Patient's First & Last name
2-Patient's Date of Birth
Day(s) Performed
Monday through Sunday
Routine - same day
ASAP - 2 hours after receipt of specimen in lab
STAT - 1 hour after receipt of specimen in lab
Method Name
Stanbio Method, Enzymatic quantitation of β-hydroxybutyrate
CPT Code Information
82010 Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative
Billing Code
3010204