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Gastric Occult Blood (Gastroccult)

Message
NOTE: Special Diets: Many foods (e.g., incompletely cooked meat, raw fruits and vegetables, etc) have peroxidase activity which may produce a positive
Gastroccult® test result.


Test Code
OBGA Test


Alias/See Also
Occult Blood, Gastric
OBGA - test code for PMCH, TCH, WMC


CPT Codes
82272

Preferred Specimen
A gastric aspirate obtained by nasogastric intubation or vomitus. Specimen should be tested immediately after collection.
If using Hemaprompt cards, do not pull silver tab.


Specimen Stability
24 hours at room temp or 5 days refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Frozen, and/or not properly stored, applied to Test Area and not properly stored > 5 days post collection


Reference Range
Negative


Clinical Significance
Flecks or streaks of blood are commonly seen as a result of minor trauma during
intubation. Blood of greater amount and longer duration in the acid-secreting stomach
will be brown and granular; the so-called “coffee-ground” appearance. Blood can be
from gastric lesions such as gastritis, ulcer, or carcinoma or can be from other lesions in
the mouth, nasopharynx, or respiratory tract.
The identification of occult blood by the Gastroccult method can be useful in the early
detection of gastric trauma or deteriorating gastric condition.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.