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Test Code LAB6056     Helicobacter pylori Breath Test

Additional Codes

Test Name in Epic Epic Test Code Mnemonic
Helicobacter Pylori Breath Test LAB6056 EH UBT

 

Performing Laboratory

SMDC Clinical Lab

Special Instructions

Patient Preparation:

  •     Patient should have fasted at least one (1) hour prior to test.
  •     Patient should not have take antimicrobials, proton pump inhibitors (PPI) or bismuth        preparations within two weeks prior to test.
  •     Post treatment monitoring should be performed after at least six (6) weeks of                  treatment; earlier assessment may give false results.
     

Useful For

Diagnostic testing for Helicobacter pylori infection in patients suspected to have active H pylori infection

 

Monitoring response to therapy

 

This test is not appropriate for asymptomatic people.

Method Name

Qualitative Spectrophotometry - Meridian BreathID Smart System

Specimen Required

BreathID UBT Collection

Collection Instructions:

Do not collect if patient is younger than 3 years of age.

  •     Collect BASELINE breath sample (Blue Bag)
  •     Remove cap from the mouthpiece of the blue BASELINE bag.
  •     Instruct patient to take deep breath, and hold for 4 to 5 seconds and then exhale directly into the mouthpiece of the blue BASLEINE bag until completely full
  •     Replace the cap on the bag mouthpiece and firmly press until it clicks and is securely  locked into place.

   Prepare and administer test drink

  •      Patient must drink solution within two minutes and consume the entire amount through the straw provided.
  •     After patient finishes drinking the solution, set timer for fifteen (15) minutes.

    Collect POST INGESTION breath sample (Gray Bag)

  •     Fifteen (15) minutes after the administration of the drink (but not more than twenty (20) minutes after administration), remove cap from the mouthpiece of the gray POST INGESTION bag.
  •    Instruct patient to take deep breath, and hold for 4 to 5 seconds and then exhale directly into the mouthpiece of the gray POST INGESTION bag until completely full
  •     Replace the cap on the bag mouthpiece and firmly press until it clicks and is securely locked into place.
     

Specimen Stability

Breath Test Bag - Room Temp

Reference Values

Negative

Reference values apply to ages greater than 3 years of age.

Day(s) Performed

Monday through Sunday

CPT Code Information

HELICOBACTER PYLORI; BREATH TEST ANALYSIS FOR UREASE ACTIVITY, NON-RADIOACTIVE ISOTOPE [83013 (CPT®)]