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Test Code LAB572 Helicobacter pylori Breath Test

Important Note

The performance characteristics for persons under the age of 3 have not been established for this test.

Test Name Alias

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

Clinical Information

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

Specimen Requirements

Specimen Type: Breath
Container/Tube: BreathTek UBT 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. For patient preparation and specific specimen collection, refer to the documents in the “Reference Material” field.

Specimen Transport Temperature

Ambient

Special Instructions

Performed at Bradford 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

4058993, 4058992

Epic Test ID

1230101055

Interface Order Alias

11096

Mayo Access Code

SHO291

LOINC

H.pylori C Urea Breath Test: 29891-9

Additional Information

Laboratory staff: To order, use outreach code #3013. Do not collect on patients under the age of three.

Reviewed Date

7/18/2017