Small Intestinal Bacterial Overgrowth (SIBO) 2 Hour, Breath

Test Code

39008

CPT Codes
91065 (x2)<br><strong>Restricted Client Code</strong>

Preferred Specimen

6 fasting breath samples collected in BreathTEK™UBT Collection Kit

Instructions

Six fasting breath samples, taken at Baseline, 20 minutes, 40 minutes, 60 minutes, 90 minutes, and 120 minutes.

Specimen(s) must be returned in the Genova Diagnostics specimen collection pack. Please refer to the shipping instruction insert found in your specimen collection pack.

Must Ship Monday-Friday

PATIENT MUST FILL IN COLLECTION TIMES ON THE TABLE LOCATED ON THE FRONT OF THE REQUISITION.

PLEASE LOCATE AND HAVE DOCUMENT AVAILABLE DURING COLLECTION

No set stability. Send ASAP

Transport Temperature

Room temperature

Specimen Stability

Room temperature: See Instructions
Refrigerated: Not established
Frozen: Not established

Methodology
GS-TDC/SSS

FDA Status
This test has been developed and its performance characteristics determined by Genova Diagnostics, Inc. It has not been cleared by the U.S. Food and Drug Administration.

Setup Schedule

Set up: Varies; Report available: 7 days

Reference Range

Hydrogen <20 ppm
Methane <10 ppm

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.