Occult Blood OC-Automicro80

Message
Patient must collect separate specimen and apply to swab in container if tesiting is part of a Stool Study.


Test Code
OBOC


Alias/See Also
FIT Test (Insure)
Fecal Globin by Immunochemistry
Hemosure Fit Test
IFOBT
11290 (QUEST)


CPT Codes
82274

Preferred Specimen
Stool in OC Auto Transport Vial

or Stool in a Sterile Container


Patient Preparation
None

Minimum Volume
0.5 mL


Instructions
Specimen needs to be transfered into the OC-Auto Transport Vial within 4 hours.



Transport Container
OC-Auto Transport Vial


Transport Temperature
Room Temperature


Specimen Stability
14 days in OC-Auto Transport Vial


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Samples not labeled with complete first and last name, date of birth.  Date and time of collection.must be on the container or requisition.
Specimen not transfered into the OC-Auto Transport Vial within 4 hours
Refrigerated or Frozen


Methodology
The OC-Auto Micro 80 iFOB Test is an immunoassay utilizing rabbit polyclonal antibodies to specifically detect the presence of Hemoglobin (Hb) in feces. This immunological test is performed on an analyzer and provides qualitative results.

Setup Schedule
Mon-Friday
 


Report Available
Same day


Limitations
Patients with the following conditions should not be considered for testing, as these conditions may interfere with test results:
 Bleeding hemorrhoids
 Menstrual bleeding
 Constipation bleeding
 Urinary bleeding
However, they may be tested after such bleeding ceases.

Certain medications such as aspirin and non-steroidal anti-inflammatory drugs may cause gastrointestinal irritation and subsequent bleeding in some patients and cause positive results.

Urine and excessive dilution of samples with water from the toilet bowl may cause erroneous test results. For best results, use the collection paper in the collection kit.

As with any occult blood test, results obtained with the OC-Auto Micro 80 iFOB Test should not be considered conclusive evidence of the presence or absence of GI bleeding or pathology. OC-Auto Micro 80 iFOB Test is designed for preliminary screening. It is not intended to replace other diagnostic procedures such as colonoscopy or sigmoidoscopy in combination with double contrast barium X-ray. It is not intended for use in patients with upper GI bleeds.

Because gastrointestinal lesions may bleed intermittently and blood in feces is not distributed uniformly, a negative test result does not assure absence of lesion.

A positive result should be followed up with further studies to establish the source of bleeding.


Reference Range
Negative


Clinical Significance
The presence of fecal occult blood in the stool is associated with gastrointestinal disorders such as diverticulitis, polyps, and Crohn’s disease, that may lead to colorectal cancer if not treated. Early diagnosis by fecal occult blood screening and treatment of these problems has been shown to significantly reduce mortality from colorectal cancer. 


Performing Laboratory
Frederick Health Laboratory
400 W 7th St
Frederick, MD.  21701


Last Updated: November 28, 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.