| Test CODE | NAME |
|---|
N320
H.Pylori (Helicobacter Pylori) Breath TestN320H. Pylori (Helicobacter Pylori) Urea Breath Test
| Methodology: | Infra-red Spectrophotometry (IR) |
| Performed: | Mon-Fri |
| Reported: | 2-3 days |
| Specimen Required: | Collect: Paired breath samples (pre and post) collected in BreathID hp kit ( gray and light blue bags) and must be submitted together. Follow instructions provided with kit. Patient Preparation : Patient should fast one hour before collection of baseline breath sample. Patient must be off antibiotics, proton-pump inhibitors (i.e., Prilosec, Nexium, Protonix, Aciphex) and bismuth preparations two weeks prior to administration of test. Pranactin®-citric contains a small amount of aspartame sweetener. Test may not be suitable for patients with phenylketonuria whose dietary phenylalanine should be restricted.
NOTE: * This test is approved for all states. * The test can only be performed on specimens from patients >18 years old. Storage/Transport Temperature: Room Temperature Transport Container : Capped gray and light blue bags. Bags may leak if cap is not attached. Keep each pair of breath samples together reusing the plastic kit pouch provided. Stability: Room Temperature: 7 days Reject Criteria: Specimen types other than BreathID hp kit Specimens for patients <18 years old Performing Laboratory Lincoln Diagnostics LLC |
| CPT Code(s): | 83013 |
| Methodology: | Analysis of pre- and postbreath samples to detect 13CO2 |
| Performed: | Mon-Fri |
| Reported: | 2-4 days |
| Specimen Required: | Collect: Breath samples pre- and postingestion of fruit-flavored powder solution, containing 13C-urea diagnostic component from adults only. Container: One blue sample bag labeled baseline and one "postdose" (pink or gray) sample bag (BreathID®Hp) Patient Preparation: The patient should fast for at least one hour prior to testing. The patient should not take antimicrobials, proton pump inhibitors, or bismuth preparations within two weeks prior to testing. Note: Solution contains phenylalanine. Phenylketonurics should be warned. Specimen Preparation: - Blue sample bag (baseline) must be collected as follows: Remove the blue breath collection bag from the kit. Remove the pulloff cap from mouthpiece of the breath collection bag. Instruct the patient to breathe normally, then take a deep breath, pause holding their breath for a full second (counting one, one thousand) then exhale into the mouthpiece of the bag. Replace the cap in the mouth piece of the bag. Prepare the fruit-flavored powder solution, containing 13C-urea diagnostic component as detailed in the kit instructions Postdose sample bag (pink or gray) is collected as follows: Instruct the patient to drink all the solution without rinsing mouth before swallowing. Have the patient sit quietly for 15 minutes. Set timer for 15 minutes. After 15 minutes, collect the pink or gray sample bag as outlined for the baseline specimen above. All sample bags must be labeled . Causes for Rejection: Prolonged transport more than seven days; specimens collected from persons younger than 18 years of age. Storage/Transport Temperature: Room Temperature Stability: Room Temperature : 7 days NOTE: * This test is not available for New York patients, please refer to test code T371 for specimen requirements.* Performing Laboratory Lincoln Diagnostics LLC |
| CPT Code(s): | 83013 |