Occult Blood Feces/Gastric Hemaprompt Fg

Test Code
OCC


Preferred Specimen
Stool/Gastric Specimens


Instructions
Specimen collection instructions in the kit should be followed.  Dietary restrictions are very important in this testing process to avoid false positives. 


Transport Container
Collect specimens in a clean specimen collection container with a screw-capped top.  Alternately, the stoool sample may be applied directly to the HemaPrompt FG test card after performing a rectal examination. 

Gastric contents obtained from a naso-gastric tube or vomitus may be applied directly to the HemaPrompt FG test card from the NG tube, or by means of cotton tipped swab or in a clean specimen collection container with a screw-capped top.


Transport Temperature
Store HemaPrompt FG test cards at room temperature in original packaging.  Protect cards from heat, sunlight, fluorescent light, UV radiation, humidity, volatile chemicals and gases.  Do not refrigerate or freeze.  


Specimen Stability
Test cards are stable until the expiration date stamped on each test card label, after which time the cards should not be used.  The stability of the cards once applied with feces is 5 days from date of application when stored properly at room temperature, the gastric specimens are good for 24 hours after applied when stored properly at room temperature.  All inoculated slides should be stored away from heat, light and volatile chemicals.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
If the samples are exposed to opposing conditions and or improperly collected they may be rejected.


Methodology
The HemaPrompt FG test is based on the oxidation of phenolic compounds present in guaiac to quinones, resulting in the production of a blue color.

Setup Schedule
Monday thru Sunday


Report Available
Monday thru Sunday


Limitations
Stool samples should not be collected if the patient is experiencing menstrual bleeding, constipation bleeding, bleeding hemorrhoids or when rectal suppositories or medication is being used.  Gastro - intestinal cancers, adenomas and ulcerations do not always bleed.  Also, blood if present, may not be distrivuted uniformly in the fecal specimen.  Consequently, a test result may be negative even when disease is present.  HemaPrompt is designed for preliminary screening as an aid to diagnosis.


Reference Range
Negative


Clinical Significance
Blood in the feces is often the first and only sign of colonic or rectal malignancy.  Blood found in gastric contents may be used for early detection of conditions such as gastritis, ulcers or cancer.



Last Updated: October 22, 2015


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.