Laboratory Test Detail

Last Updated: September 18, 2019 @ 9:13 am

90209

H. Pylori-C-Urea, 3-17 years [Breath Test]

Specimen:Collect:
  • Breath Sample in Two BreathTex Kit
Submit:
  • Two Breath Sample in BreathTex Kit. Submit Ambient.
Special Handling:
  • Patient Preparation: This test requires the pediatric patient (3-17 years old) to fast and abstain from smoking for 1 hour prior to test administration. The patient should not have taken antibiotics, proton pump inhibitors (e.g., Prilosec, Prevacid, Aciphex, Nexium), or bismuth preparations (e.g., Pepto-Bismol) within the previous 14 days. The effect of histamine 2-receptor antagonists (e.g., Axid, Pepcid, Tagamet, Zantac) may reduce urease activity on urea breath tests and should be discontinued for 24-48 hours before the sample is collected. When used to monitor treatment, the test should be performed four weeks after cessation of definitive therapy. The patient should be informed that the Pranactin-Citric drink that will be administered contains phenylalanine. Phenylketonurics restrict dietary phenylalanine.
    Specimen Preparation:
    1) Label breath collection bags with patient name, MRN, date and time of collection, and indicate Pre (blue) or Post (pink).
    2) Collect the baseline (Pre) breath specimen according to the instructions in the BreathTek UBT kit.
    3) After the allotted time, collect the Post breath specimen according to the instructions in the kit.
    Information required: Record weight, height, gender, and age.
    Remarks: For a valid result, the post breath specimen must be collected between 15 and 30 minutes after the patient drinks the Pranactin-Citric solution.
Rejection Criteria:
  • Underinflated bags. Specimens from patients younger than 3 years.
Stability:Ambient: 1 Week(s); Refrigerated: Unacceptable; Frozen: Unacceptable; Incubated: Unacceptable
Methodology:
  • Qualitative Spectrophotometry
Performed:Sun-Sat
Reported:2-5 Day(s)
CPT Codes:
  • 83013
Interpretive Data:Please see report for interpretive data.
Components:
  • 90208 - H. Pylori-C-Urea
  • 90219 - PATIENT HEIGHT
  • 90220 - PATIENT WEIGHT
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