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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Helicobacter pylori Ag

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Helicobacter pylori Ag  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HPYAG
Test Workstation :
MIC2
Specimen Type:
500mg (marble sized amount) of soft stool or 1 mL liquid stool in sterile container.
Minimum Volume:
Formed stool minimum volume is 250mg (pea sized amount). Liquid stool minimum volume is 0.5 mL.
Cause for Rejection:
Stool specimen sent on swab, diaper, or dried applicator stick, stool sent in viral transport media, stool in CaryBlair.
Storage:
Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.
Availability:
Mon-Sun (0700-1600)
Methodology:
Antigen Detection by Immunochromatographic Assay
Lab/Phone:
330-543-8406
TAT:
48 hours
Additional Info:
-
CPT Code:
87338
Synonyms:
Stool for H. pylori; Helicobacter pylori Ag Test

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