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Helicobacter Pylori (H. Pylori)


CPT Code Description of Test National Limit CLIAwaived.com Average Sale Price (per unit) CLIAwaived.com Recommended
Product(s)
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86318QW Immunoassay for rapid, qualitative detection of IgG antibodies specific to Helicobacter pylori in whole blood. $18.34 $2.20 CLIAwaived, Inc. Whole Blood H. Pylori Test Kit CLICK HERE
86318QW Immunoassay for rapid, qualitative detection of IgG antibodies specific to Helicobacter pylori in whole blood. $18.34 $11.50 Quidel QuickVue One-Step H. Pylori Test CLICK HERE
86318QW Immunoassay for rapid, qualitative detection of IgG antibodies specific to Helicobacter pylori in whole blood. $18.34 $2.40 Alfa Scientific Instant View H. Pylori Test CLICK HERE
87077QW Presumptive identification of Helicobacter pylori in gastric biopsy tissue, which has been shown to cause chronic active gastritis (ulcers). $11.45 Serim Pyloritek Test Kit For more information call 1-888-882-7739.
87077QW Presumptive identification of Helicobacter pylori in gastric biopsy tissue, which has been shown to cause chronic active gastritis (ulcers). $11.45 GI Supply HpFast H. Pylori Test For more information call 1-888-882-7739.
87077QW Presumptive identification of Helicobacter pylori in gastric biopsy tissue, which has been shown to cause chronic active gastritis (ulcers). $11.45 CLO test (Ballard Medical Products, or Delta West) For more information call 1-888-882-7739.
87899QW Immunoassay for the qualitative detection of Helicobacter pylori antigens in stool specimens. $16.99 Meridian Bioscience Immunocard STAT! HpSA (Stool) For more information call 1-888-882-7739.

1Providers operating under a CLIA waiver should use the QW modifier when appropriate.

2CCI, Correct Coding Initiative edits; NCD, National Coverage Determination; LCD, Local Coverage Determination.

3Centers for Medicare and Medicaid Clinical Diagnostic Laboratory Fee Schedule 2011, available at www.cms.hhs.gov/ClinicalLabFeeSched/02_clinlab.asp.

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