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EGD, GI and Screening CPT codes. To survive in the harsh, acidic environment of the stomach, H. The production of ammonia around H. In addition, the shape of H. According to the American College of Gastroenterology, the established indications for diagnosis and treatment of H.
Test and treat strategy, especially for those under 55 who have no alarm features. It is not necessary to perform H. Patients for whom an upper GI endoscopy is planned either for initial diagnosis or follow-up. Patients who are asymptomatic after treatment of H. Patients with dyspepsia requiring endoscopy and biopsy or to monitor response to therapy. Patients with new onset, uncomplicated dyspeptic symptoms.
The choice of specific testing depends on the clinical presentation of the patient and whether or not the patient requires endoscopy for evaluation. When medically necessary, more than one test may be needed to achieve the best diagnostic accuracy. The urea breath test or stool test is recommended for initial testing for H. Although the serological test for H. Serological testing may be appropriate for the patient with non-specific dyspeptic symptoms in order to rule in or out H. This test is not appropriate to determine treatment outcome because the test is limited to the detection of antibodies and therefore cannot accurately detect active infection because high levels of antibodies persist for months after treatment. Serology is not used for follow-up testing or to determine cure. The urea breath test for is a non-invasive diagnostic procedure utilizing analysis of breath samples to determine the presence of H.
Breath tests can detect the continued presence of H. Continue to have symptoms of dyspepsia after completing a treatment regimen which includes appropriate antibodies and no endoscopy is planned. Have symptoms that continue four weeks after the treatment regimen has been completed. Patients that have a history of hemorrhage, or outlet obstruction from peptic ulcer disease. Patients with a history of ulcer on chronic NSAID or on anticoagulant therapy. Breath tests are not considered medically necessary for patients who are being screened for H. Pylori serum antibody test, or patients who are asymptomatic after treatment of an H.
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