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Specimen Collection Manual and Test Catalog

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HELICOBACTER PYLORI, CULTURE WITH REFLEX TO SUSCEPTIBILITY

Geisinger Epic Procedure Code:  LAB1117    Geisinger Epic ID:  52393

SPECIMEN COLLECTION
Specimen type: 

3 mm gastric/antral or duodenal biopsy collected in Trypticase Soy Broth (TSB) with 10-20% glycerol


Preferred collection container: 
Specimen required: 

Preferred: Broth with glycerol any amount. 
Acceptable: Broth with or without glycerol, 2-8° C, any amount.



SPECIMEN PROCESSING
Transport temperature: 

Refrigerated to Referred Testing. (Referred Testing to store and ship specimens with glycerol at -70°C.)


Specimen stability: 

Specimens with glycerol: Room temperature: Unacceptable. Refrigerated: 48 hours. Frozen -20° C: Unacceptable. Frozen -70°C: 5 days. 
All other specimens: Room temperature: Unacceptable. Refrigerated: 48 hours. Frozen: Unacceptable.


Rejection criteria: 

Transport swab with or without gel • Stool



TEST DETAILS
CPT code(s):  87081, 87205
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

If Helicobacter pylori Culture is Isolated, then Antimicrobial Susceptibility, Helicobacter pylori, MIC will be performed at an additional charge (CPT code(s): 87181 (x5)).


Methodology: 
Culture
Synonyms: 

Quest test code 36994, H pylor Cult


Clinical significance: 

Helicobacter pylori has been associated with peptic ulcer disease and cancers of the gastrointestinal tract.


Doctoral Director(s): 
Randin Nelson MD
Review Date:  12/19/2024

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