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Epic Code LAB572 Helicobacter pylori (h. pylori), Breath Test

Important Note

Please review patient prep instructions, as there are restrictions on food, drink and medication prior to testing.

Breath test will be accepted in the outpatient labs* until 15 minutes to close. For a list of locations and hours please visit: https://findadoctor.spectrumhealth.org

*United Hospital Lab (Greenville): Currently this test may not be collected at the United Belding draw site, the United MSC draw site or the United Canadian Lakes draw site. Please refer patients to United Hospital Lab draw site. 

Test Name Alias

H. pylori Breath Test | H pylori | POC | Urea Breath Test | 3013

Interface Order Alias

11096

Clinical Information

Limitation of the Test: The performance characteristics for persons under the age of three have not been established for this test.

 

The H. pylori test may produce false negative results if a patient has been taking antibiotics, PPIs or bismuth compounds within 14 days of performing the test.

 

RESOURCES:

 

Pediatric Testing Option for for H pylori

American College of Gastroenterology Guideline

Meridian Bioscience Resource Center (for physicians)

Specimen Requirements

Specimen Type: Breath
Container/Tube: BreathID Collection kit
Minimum Volume: Bag of ’’breath’’ must be full
Collection Instructions:

  • Do not collect this specimen on patients under the age of 3 years old.
  • See kit instructions for collection.

link: BreathTek Resource Center (for patients)

link: Patient Preparation Information

Specimen Transport Temperature

Ambient

Special Instructions

Performed at Ada Outpatient Laboratory, collected at any outpatient facility.

Specimen Stability

Ambient: 7 days

Laboratory Retention: Not Applicable

Test Frequency

Testing performed Monday – Friday, 8:00am-4:00pm with same day TAT except on weekends.

Reference Range

Negative

Reference ranges not established for patients under 3 years old

Performing Department

MANUAL SECTION

Performing Department Laboratory Location

Spectrum Health Bradford Laboratory, Grand Rapids, MI

Methodology

Infrared Spectrophotometry (SP)

CPT

83013, 83014

CDM Code

 80101542, 80101543 

Epic Test ID

1230101055

LOINC

H.pylori C Urea Breath Test: 29891-9

Beaker LOINC

LOINC Not available

Mayo Access Code

SHO291

Reviewed Date

1/1/2021

Beaker Names

Beaker Procedure Name: H PYLORI BREATH TEST
Beaker Display Name: Helicobacter pylori Breath Test
BEAKER TEST NAME: H. PYLORI BREATH TEST
BEAKER TEST REPORT NAME: H. Pylori Breath Test

Beaker Synonyms

BREATH TEST

Beaker Collection and Specimen Handling

BEAKER COLLECTION: LOOK+LOOK

Beaker Location, Container and Temperature

ADA MANUAL SECTION: HYDROGEN BREATH BAG (Preferred)-Ambient