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Test Code HPYLOR-UBT Helicobacter pylori Urea Breath Test

Additional Codes

Sunrise Clinical Manager (SCM) Orderable:   H. Pylori Urea Breath Test

AllScripts (AEHR) Orderable:  H. Pylori Urea Breath Test

Performing Laboratory

Northwell Health Laboratories


Infrared Spectrophotometry

Reference Values


Test Classification and CPT Coding


Specimen Required

Collect breath specimens (minimum volume:  bag of “breath” must be full) from a fasting patient using a Meretek UBTTM Breath Test Specimen Collection Kit. Collect baseline breath specimen using the blue bag. Collect post-dose breath specimen using the pink bag 15 minutes after drinking Pranactin® Citric solution. (Remind patient that Pranactin® Citric contains a small amount of aspartame sweetener.) Test may not be suitable for patient phenylketonuria whose dietary phenylalanine should be restricted.

Note:  1. Patient should not have taken bismuth/tritec, antibiotics, proton-pump inhibitors (eg, Prilosec®, Prevacid®, Aciphex®, Protonix®, Nexium®) or Pepto-Bismol® for 2 weeks prior to testing.
2. Patient should have fasted (except for plain water) at least 1 hour before administering BreathTekTM UBiT®-IR300 UBT.

Day(s) and Time(s) Performed

Monday through Friday

Computer Interface Code

PDM #  5700150