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The Polymedco OC-Auto Micro 80 immunochemical fecal occult blood test is capable of detection of as little as 100 ng of human hemoglobin per mL of feces, making it a much more sensitive assay than guaiac-based tests for detecting low levels of human fecal occult blood. It requires only one stool specimen collected from one bowel movement.
The Polymedco OC-Auto Micro 80 immunochemical fecal occult blood test is capable of detection of as little as 100 ng of human hemoglobin per mL of feces, making it a much more sensitive assay than guaiac-based tests for detecting low levels of human fecal occult blood. Collection tube or sampling device other than the Polymedco OC-Auto Sampling Bottle; specimens with obvious blood which may be due to menstrual bleeding, bleeding hemorrhoids, constipation bleeding, or urinary bleeding ; raw stool submitted in a container; unlabeled specimen or name discrepancy between specimen and test request label; specimen received after prolonged delay more than 15 days at room temperature since collection ; specimen received frozen; expired sampling bottle; leaking sampling bottle; sampling bottle overfilled or without adequate liquid.
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Hemoccult Positive Stool Finding
A patient with guaiac positive stool presents for outpatient esophagogastroduodenoscopy (EGD) and colonoscopy. The EGD revealed a non-bleeding gastric antral erosion. The colonoscopy revealed a polyp at the ileocecal valve, diverticulosis of the descending and sigmoid colon and mild internal hemorrhoids, all without active bleeding. Coding Clinic, Third Quarter 2018, pages 21-23, advised to assign combination codes “with bleeding” for conditions where ICD-10-CM makes a linkage between the conditions and bleeding. Does this advice also apply to occult/guaiac positive stool without provider documentation of bleeding/hemorrhage? .
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No special drug or dietary restrictions are required. Results of this test are not affected by dietary peroxidases, animal blood, or vitamin C.
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