Test Overview
Test Methodology

Infrared Spectrophotometry

Test Usage

Diagnostic testing for Helicobacter pylori infection in patients suspected to have active H pylori infection or for monitoring response to therapy

Reference Range *

Negative (reported as positive or negative).

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Limitations

Patient Preparation:
1. Do not administer this test if this list of instructions is not followed, as test results may be inaccurate:
a. Do not administer this test if patient is allergic to citric acid. Note: Product contains aspartame.
b. For 2 weeks prior to testing, patients should not take proton-pump inhibitors (eg, Prilosec, Prevacid, Aciphex, Protonix, and Nexium), histamine 2-receptor antagonists (H2RA), (eg Pepcid, Tagamet, Axid, or Zantac), or bismuth compounds (eg, Pepto-Bismol).
c. For 4 weeks prior to testing, patients should not take antibiotics.
2. Carafate (sucralfate) does not interfere with this test.
3. Use of antacids does not affect the accuracy of this test.

Test Details
Days Set Up
Sunday -Friday
Analytic Time

2 - 4 days

Soft Order Code
UBT
MiChart Code
H. pylori Breath Test
Synonyms
  • Pylori, Helicobacter Urea Breath Test
  • H. pylori Urea Breath Test
Laboratory
Sendout
Reference Laboratory
Mayo UBT (81590)
Section
Special Testing
Specimen Requirements
Collection Instructions

Collect breath samples from a fasting patient using the Meridian Breath ID Specimen Collection Kit. Mix the (13)C-urea tablet. Dissolve the Citrica and the (13) C-Urea tablet in 150-200 mL of tap water in the provided drinking cup. Close the lid firmly using both hands, Place fingers on lid and shake thoroughly for a few minutes until the Citrica powder and the urea tablet are completely dissolved. Specimens will not be accepted for patients <3 years old.

Special Handling

Fasting specimen.

Storage Temperature
Ambient
Rejection Criteria
Specimens will not be accepted for patients less than 3 years old.
Additional Information

Test sent to Mayo Medical Laboratories. Note that the fee for this test includes charges for the collection kit.

Billing
CPT Code
83013
Fee Code
36146
LOINC
11561-8
NY State Approved
No