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Occult Blood (1-3 Specimens), Stool

Performing Laboratory

Providence Alaska Medical Center

Methodology

Colorimetric

Note:  If patient’s insurance is Medicare, an Advance Beneficiary Notice of Noncoverage (ABN) may be required. See “Advance Beneficiary Notice of Noncoverage (ABN)” in “Forms” in “Special Instructions.”

Specimen Requirements

Call Providence Alaska Medical Center Laboratory at 907-212-3631 prior to specimen collection to obtain a special Hemoccult® Packet prior to testing.

 

Patient Preparation:
Patient should be placed on the “Special Diagnostics Diet” at least 48 hours prior to and during testing period. Collect specimen as follows:


1. Diet may include:
A. Meat—only small amounts of well-cooked chicken, tuna, and turkey
B. Vegetables—generous amounts of both raw and cooked vegetables including carrots, celery, corn, lettuce, and spinach
C. Fruits—plenty of fruits, especially apples and prunes
D. Cereals—bran and bran containing cereals

2. Foods and medications to be avoided:

A. Meat—diet should not include any red or rare meat for 3 days prior to testing.
B. Avoid raw fruits or vegetables containing high peroxidase activity such as broccoli, cantaloupe, cauliflower, horseradish, parsnips, and red radishes.
C. For 7 days prior to and during testing, do not ingest aspirin or other anti-inflammatory medicines.
D. For 2 days prior to and during testing, do not use rectal medicines.
E. For 2 days prior to and during testing, do not ingest any vitamin preparations which contain vitamin C (ascorbic acid) in excess of 250 mg/day.

 

Submit only 1 of the following specimens:

 

Preferred:

Stool on Hemoccult® Collection Card

1. Stool collection:
A. Do not pass specimen into toilet; stool should be passed into a clean, dry container. You may cover toilet seat with plastic wrap (Saran® Wrap) to catch specimen.
B. Gently lift up flap where it says “Open tab only when ready to use” and apply a small amount of stool using a wooden stick to “Section A.” Obtain a second specimen from a different area of stool and apply to “Section B.”
C. Close cover and secure under tab.
2. Label collection card (on front flap) with patient’s name (first and last), a second identifier (date of birth, PHSA medical record number, or financial number), date and actual time of collection, and type of specimen.

3. Place collection card in a plastic biohazard bag, and protect from heat and light.
4. Proceed to collect a second and third specimen with each bowel movement, preferably over 3 days, following steps A through C.

 

Alternate:

Fresh Stool

1. Submit 5 g from a fresh random stool in a screw-capped, sterile container.

2. Label container with patient’s name (first and last), a second identifier (date of birth, PHSA medical record number, or financial number), date and actual time of collection, and type of specimen.

3. Maintain sterility and forward promptly.

Reference Values

Negative

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

82270

Special Instructions