Helicobacter pylori Antigen, EIA, Stool

Test Code
34838


CPT Codes
87338

Preferred Specimen
Minimum: 0.5 mL or grams of stool collected in a plastic, leak-proof container, no preservatives


Patient Preparation
For initial diagnostic purposes no special patient preparation is required. Patients are not required to be off of medications or to fast before this test. While positive test results from patients taking agents such as proton pump inhibitors and antimicrobials should be considered accurate, false negative results may be obtained. For this reason, physicians may suggest the patient go off medications for two weeks and repeat test if negative results are obtained.
To confirm eradication, testing should be done at least 4 weeks following the completion of treatment. However, a positive test result 7 days post therapy is indicative of treatment failure.
This test is cleared for use with specimens from pediatric patients.

Instructions
Collect 0.5 mL or 0.5 grams of semi-solid stool or, 20 mm diameter solid stool and transfer to properly labeled plastic, leak-proof container. Do not place stool in preservative, transport media or swab.
Watery, diarrheal stool is not acceptable.


Transport Temperature
Frozen


Specimen Stability
Refrigerated: 72 hours
Frozen: 30 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Watery, diarrheal stool • Stool in preservative • Transport media or swab


Methodology
Immunoassay (IA)

Setup Schedule
Sun-Sat


Report Available
1 to 4 Day(s)


Clinical Significance
Colonization with H. pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease, and gastric adenocarcinoma. Stool antigen testing provides a sensitive measure of infection including during and after treatment.




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.