Test Code HPAGS Helicobacter pylori Antigen, EIA, Stool
Additional Codes
Epic:
Quest: 34838
Specimen Required
Patient Preparation:
For initial diagnostic
purposes no special patient preparation is required. Patients are
not required to be off of medications or to fast before this test.
While positive test results from patients taking agents such as
proton pump inhibitors and antimicrobials should be considered
accurate, false negative results may be obtained. For this reason,
physicians may suggest the patient go off medications for two weeks
and repeat test if negative results are obtained.
To confirm eradication, testing should be done at least 4 weeks
following the completion of treatment. However, a positive test
result 7 days post therapy is indicative of treatment failure.
This test is cleared for use with specimens from pediatric
patients.
Specimen Type: Unpreserved Stool
Collection Container/Type: Sterile container
Submission Container/Tube: Sterile container, no preservative
Specimen Volume: 0.5 mL / 0.5 g / 20 mm diameter
Collection Instructions:
- Collect 0.5 mL of semisolid stool or 20 mm diameter of solid stool and transfer to a properly labeled sterile, plastic, leakproof container.
- Do not place stool in preservative, transport medium, or swab. Watery, diarrheal stool is not acceptable.
Specimen Stability
Room temperature: Unacceptable
Refrigerated: 72 hours
Frozen: 30 days
Reference Range
See Laboratory Report
Rejection Due To
Watery, diarrheal stool • Stool in preservative, transport media or swab • Received room temperature
Report Available
1-4 days
Clinical Significance
Colonization with H. pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease, and gastric adenocarcinoma. Stool antigen testing provides a sensitive measure of infection including during and after treatment.
Method Name
Immunoassay (IA)
CPT Code(s)
87338
Limitations
There may be possible false-negative results associated with recent PPI use.
Aliases
H. pylori Antigen, H. pylori Stool Antigen
Day(s) Performed
Daily