91120      Helicobacter Pylori Antibody, IgA
Specimen:
  Collect: One 7.5 mL SST

Also Acceptable
One 4 mL Lavender (EDTA)
One 4 mL Green Top (Li Heparin) 
  Submit: 0.5 mL (Min:0.3 mL) Serum. Submit Refrigerated. Submit in a Standard Transport Tube.

Also Acceptable
0.5 mL (Min:0.3 mL) Plasma. Submit Refrigerated. Submit in a Standard Transport Tube. 
  Special Handling: Avoid Repeated Freeze/Thaw Cycles
Separate from cells ASAP 
  Rejection Criteria: Grossly Lipemic Samples
Hemolyzed specimens 
  Stability: Ambient: 2 Day(s); Refrigerated: 2 Week(s); Frozen: 12 Month(s); Incubated: Unacceptable 
Methodology: Enzyme Immunoassay (EIA) 
Performed: Sun-Sat 
Reported: 2-3 Day(s) 
CPT Codes:
86677
Interpretive Data:
<1.8 EV: Negative. No significant level of IgA antibody to H. pylori detected
1.8-2.2 EV: Equivocal - Repeat testing in 10-14 days in parallel with first sample may be helpful
>2.2 EV: Positive - IgA antibody to H. pylori detected, suggestive of active infection

Helicobacter pylori IgG and IgA antibody seroconversion occur together after 60 days. Samples that have a high titer of both IgG and IgA antibodies to H.pylori in symptomatic patients may be considered to represent an active infection. However a positive H.pylori IgA result can only suggest active infection and should be confirmed by other diagnostic testing.