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Alphabetical Index
Helicobacter pylori Antigen, Fecal (8000101672 (LAB001404))
Test Mnemonic:

HPYLORI AG
Specimen Requirements:
Collection:

Collect stool specimens into a clean airtight container without preservatives. 

 
Container:

Sterile container without preservative.

 
Minimum Volume:

1 mL for liquid stools or 1 g for semi-solid and solid stools

 
Storage/Transport:

Transport specimens refrigerated at 2-8°C; if delayed longer than 72 hours specimen should be frozen at - 20°C.

 
Stability:

Specimens are stable at 2-8°C for up to 72 hours, after this time the specimen should be stored at -20°C.
Causes for Rejection:

Specimens must meet criteria set forth in the Lab Services Specimen Labeling and Requests for Testing policy.

Improper collection. Specimen container unlabeled or labeled incorrectly. No date and time of collection or collector information on order.

 
Methodology:

Qualitative Chemiluminescent immunoassay (CLIA)
Performed:
Lab:

Clinical Microbiology
Turnaround Time:

96 hours
Reference Range:

Negative
CPT 4 Code:

87338
Note:

Results should be utilized in conjunction with other clinical and laboratory data to assist the clinician in making individual patient management decisions.

To avoid false negative results, no antibiotics, proton pump inhibitors, or a bismuth preparation should be administered to patient for 14 days prior to specimen collection.

Fecal specimens preserved in 10% formalin, Merthiolate formalin, sodium acetate formalin, or polyvinyl alcohol, or specimens that are in transport media such as Cary Blair or C&S cannot be used.

A negative test result does not preclude the possibility of the presence of H. pylori antigen in the specimen which may occur if the level of antigen is below the detection limit of the test.

This test has not been evaluated in a pediatric population.

 
Synonyms:

H. pylori, H. pylori Antigen, Stool, H.pylori, HpSA, pylori, Hpylori
Clinical Indication:

The test is an aid in the diagnosis of patients suspected of H. pylori infection and to measure post therapy response from patients who have discontinued therapy for at least 4 weeks.

 
Effective Date: 12/12/2023
Reviewed By/Date: -
Approved By/Date: Williams-Bouyer, Natalie - 12/07/2023
When ordering tests for which Medicare or Medicaid reimbursement will be sought, physicians should only order tests that are medically necessary for the diagnosis or treatment of the patient. Components of the organ or disease panels may be ordered individually. The diagnostic information must substantiate all tests ordered and must be in the form of an ICD-10 code or its verbal equivalent.

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