Last Modified: 2/25/2020 11:56:20 AM

Medical Necessity Documentation:  
Client Notes:

Gastric Fluid sample is recommended to be delivered to the laboratory immediately for the application of the Gastric sample onto the Gastriccult Card after collection. 

Patient Preparation:  
Specimen Requirements:

2.0 mL Gastric Fluid in sterile container

Collection Instructions: Do not collect on a Hemoccult Slide
Minimum Volume: 1.0 mL
Transport & Storage: Temperature/Stability:

pH is Unstable

Occult Blood
24 hour Ambient
 5 days Refrigerated

Do Not Freeze

Reference Range: Negative
pH: 1.50 - 3.50
Critical Ranges:  
Test Comments:  
Methodology: Gastroccult Card
Clinical Significance: Screening tst for detection of occult blood, can be useful in the early detection of gastric trauma or deteriorating gastric condition, while pH may be useful in evaluating antacid therapy
Custom Panel: No


Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb, Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: GASR
EPIC Test Code: LAB2132
Included Tests: Gastric Occult Blood; pH
CPT Coding: 82271

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