Fecal Globin by Immunochemistry

Test Code
INSURE


Quest Code
11290


CPT Codes
82274 (HCPCS:G0328)

Preferred Specimen
Fecal specimen collected from toilet water and brushed on the InSure® FOBT test card


Patient Preparation
No special diet or avoidance of drugs or supplements is required for the InSure® test.

Instructions
See collection instructions included in InSure® Test Kit. One InSure® FOBT test card with specimen applied to both windows.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 14 days
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Stool submitted in any container • InSure® FOBT cards with stool applied to the sample windows • Any test card with obvious blood present • Received refrigerated • Received frozen


Methodology
Immunochromatography

Setup Schedule
Set up: Daily; Report available: Next day


Limitations
No interference from foods or drugs that interfere with guaiac-based tests. Detects blood only from lower gastrointestinal tract. May be positive up to three days prior and until three days after menses and if hemorrhoids are present. Should not be used if toilet contains rust or salt water. Toilet freshener should be removed and toilet flushed prior to sample collection.


Reference Range
Not detected


Clinical Significance

The fecal occult blood test is an immunochromatographic fecal occult blood test that qualitatively detects human hemoglobin from blood in fecal samples. This is a useful screening aid for detecting primarily lower gastrointestinal (G.I.) disorders that may be related to iron deficiency anemia, diverticulitis, ulcerative colitis, polyps, adenomas, colorectal cancers or other G.I. lesions that can bleed. It is recommended for use by health professionals as part of routine physical examinations and in screening for colorectal cancer or other sources of lower G.I. bleeding.



Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153



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.