HELICOBACTER PYLORI ANTIBODY, IgG QUALITATIVE

Test Code

HPY

Alias/See Also

H Pylori; H. Pylori

CPT Codes
86677

Preferred Specimen

1 Gold tube (gel separator)

Minimum Volume

0.5 mL

Other Acceptable Specimens

or 1 Red tube

Instructions

Centrifuge for complete separation of serum and red cells. Separate and refrigerate until tested.

Transport Temperature

Refrigerate

Specimen Stability

2-8°C up to 72 hours; otherwise freeze

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

The following conditions will result in a specimen rejection.

Hemolyzed samples
Plasma samples

Methodology
EIA (Enzyme Immunoassay)

Setup Schedule

T, Th

Report Available

Within 24 hours of day tested. Please note that final report may take up to 5 days if batch is missed.

Reference Range

<0.89	Negative
0.89 - 0.99	Equivocal
>1.0	Positive

Clinical Significance

Increased antibody levels are associated with chronic gastritis and peptic ulcer

Performed By
Alverno Laboratories

Performing Laboratory
Alverno Central Lab
NIM2 (Immunology, Manual)

Last Updated: June 8, 2023

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.