HELICOBACTER PYLORI BREATH TEST

General Information

HLAB/HOL Code: HPYLB
UPHSM LIS Test #: 6543
Schedule: Monday - Friday
Testing Time: 1 day
Testing Lab: Mayo Labs

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: Breath specimen
Temperature: Ambient
Tube Type: 1 Meretek UBT Breath Test Kit
Collection Info:
1. Patients should not have taken bismuth/Tritec, antibiotics, proton pump inhibitors (eg, Prilosec, Prevacid, Aciphex, Protonix, and exium)
     or  Pepto-Bismol for 2 weeks prior to testing.
2. If taking prescription levels of the H2 receptor antagonists (Pepcid, Tagamet,  Axid, Zantac), it is suggested to move to the low dose, over
     the counter strength for 2 weeks prior to testing and not taking the dose on the day of the test.
3. Carafate (sucralfate) does not interfere with the test.

Specimen Acceptability

Patients less than 18 years old will not be accepted for the H. pylori breath test.  The infrared spectrometer method  used for this test has not been approved by the FDA for patients less than 18 years old.

Methods

Infrared Spectrophotometry

CPT Codes

83013

* The CPT codes provided 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 payer being billed.

Reference Range

Negative