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Test Code Z1069 Helicobacter pylori Breath Test

Important Note

Do not order on patients younger than 3 years of age.

Additional Codes

Spectrum Mayo Access code: SHO291


Urea Nitrogen Breath Testing
Useful for diagnosis of Helicobacter pylori and confirmation of eradication of Helicobacter pylori following antibiotic therapy. Indicates presence or absence of active infection.

Performing Laboratory

Spectrum Health, Downtown Campus

Specimen Requirements

Container/Tube: Breath collection Special Collection Kit

Specimen Volume: See “Container/Tube”

Collection Instructions: Fasting (1 hour). Call Holland Hospital Laboratory Services at 616-355-3801 for special instructions prior to testing.

Note: Patient must be off antibiotics, bismuth, proton pump inhibitors, and sucralfate for 2 weeks prior to testing.

Patient must fast 1 hr. Patient must be >3 years old.

Specimen Transport Temperature


Reference Values


Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

83013-Helicobacter pylori breath test analysis
83014-Drug administration and specimen collection