Test Code UBT Helicobacter pylori Breath Test
Reporting Name
H. pylori C Urea Breath TestUseful For
Diagnostic testing for Helicobacter pylori infection in patients suspected to have active H pylori infection
Monitoring response to therapy
This test is not appropriate for asymptomatic people.
Testing Algorithm
See Helicobacter pylori Diagnostic Algorithm in Special Instructions
Performing Laboratory

Specimen Type
BreathAdvisory Information
An alternative test for the diagnosis of active Helicobacter pylori infection in patients is the HPFRP / Helicobacter pylori with Clarithromycin Resistance Prediction, Molecular Detection, PCR, Feces, which requires a different collection.
Necessary Information
A completed Pediatric UHR Calculation Information card (see Special Instructions) is required for patients between 3 and 17 years old. Testing may be delayed if this information is not received with the specimen.
Specimen Required
Patient Preparation:
1. Patient should be fasting for 1 hour.
2. Patients should not have taken bismuth/Tritec, antibiotics, proton-pump inhibitors (eg, Prilosec, Prevacid, Aciphex, Protonix, and Nexium) or Pepto-Bismol for 2 weeks prior to testing. If these instructions are not followed, test results may be inaccurate.
3. Histamine 2-receptor antagonists (H[2]RAs) such as Pepcid, Tagamet, Axid, or Zantac should be discontinued for 24 to 48 hours before the BreathTek UBT test is administered. If these instructions are not followed, test results may be inaccurate.
4. Carafate (sucralfate) does not interfere with the test. Use of antacids does not affect the accuracy of this assay.
Supplies: H. Pylori Breath Kit (T375: fees apply)
Collection Instructions:
1. Do not collect if patient is younger than 3 years of age.
2. Follow instructions included with kit.
Specimen Minimum Volume
Bag of ’’breath’’ must be full
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Breath | Ambient | 7 days | BREATH TEST BAG |
Special Instructions
Reference Values
Negative
Reference values apply to all ages.
Day(s) and Time(s) Performed
Monday through Friday, Sunday; 6:30 a.m.-5 p.m.
Test Classification
This test has been cleared, approved or is exempt by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.CPT Code Information
83013
LOINC Code Information
Test ID | Test Order Name | Order LOINC Value |
---|---|---|
UBT | H. pylori C Urea Breath Test | 29891-9 |
Result ID | Test Result Name | Result LOINC Value |
---|---|---|
81590 | H. pylori C Urea Breath Test | 29891-9 |
Reject Due To
No specimen should be rejected.Method Name
Infrared Spectrophotometry (SP)
Forms
1. For patients between 3 and 17 years old, the Pediatric UHR Calculation Information card is required, see Special Instructions.
2. If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:
-Microbiology Test Request (T244)