Test Overview
Test Methodology

Guaiac procedure for detection of occult blood.

Test Usage

This test is a qualitative method for detecting fecal occult blood which may be indicative of gastrointestinal disease. It is not a test for colorectal cancer or any other specific disease. Serial fecal specimen analysis is recommended when screening asymptomatic patients.

Reference Range *


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

Test Limitations

Intake of foods such as red meat, broccoli, turnips, cauliflower, apples, oranges, mushrooms, and horseradish, and drugs such as colchicine and oxidizing drugs (like iodine and boric acid) may give a false positive result. Intake of vitamin C in excess of 250 mg/day may give a false negative result.

Test Details
Days Set Up
Analytic Time

8 hours

Soft Order Code
MiChart Code
Occult Blood, Stool Card
  • Guiac Test
  • Hemoccult, Stool
  • Occult Blood, Stool Card
Specimen Requirements
Collection Instructions

Collect feces from the sample collection paper or specimen caught in a clean cup or collected during physical exam (i.e. DRE). Contamination from toilet water should be avoided. Using an applicator stick, collect a small fecal sample. Apply thin smear to Box A. Reuse applicator to obtain a sample from a different part of feces. Apply thin smear covering Box B. Close cover flap and dispose applicator in waste container. Send the sample card(s) to the laboratory.

Rejection Criteria
Grossly bloody specimens are not acceptable.
Additional Information

Please see Fecal Occult Blood, Immunoassay (IFOB) for qualitative detection of fecal occult blood in feces recommended for use in routine physical exams, monitor for bleeding in patients and screening for colorectal cancer or other GI disorders that can cause gastrointestinal bleeding (e.g., diverticulitis, polyps, and Crohn's disease).

CPT Code
Fee Code