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Test Code LAB572 Helicobacter pylori Breath Test

Important Note

Patient Preparation:
1. Do not administer this test if this list of instructions is not followed, as test results may be inaccurate:
 a. Do not administer this test if patient is allergic to citric acid. Note: Product contains aspartame.
 b. For 2 weeks prior to testing, patients should not take proton-pump inhibitors (eg, Prilosec, Prevacid, Aciphex, Protonix, and Nexium), histamine 2-receptor antagonists (H2RA), (eg Pepcid, Tagamet, Axid, or Zantac), or bismuth compounds (eg, Pepto-Bismol).
 c. For 4 weeks prior to testing, patients should not take antibiotics.
2. Carafate (sucralfate) does not interfere with this test.
3. Use of antacids does not affect the accuracy of this test.

Not intended for children under 3 years of age

Intended Use

Diagnostic testing for Helicobacter pylori infection in patients suspected to have active H pylori infection or monitoring response to therapy

Methodology

Molecular Correlation Spectrometry

Performing Laboratory

SPC10S Clinic

Specimen Requirements

Preferred: Breath
Container/tube: Breath bag(s) included in the H pylori Breath Kit - Meridian BreathID

Specimen Volume: Full bag of "breath"

Collection Instructions: 1 Hour Fasting required (No food or drink, to include water)

Specimen Stability

Ambient: 14 days

Day(s) Test Set Up

Monday through Friday

CPT Code

83013
83014