Test Code FIT Occult Fecal Immunochemical Test
Synonyms/Keywords
FIT, FOBT, iFOBT, occult blood
Specimen Requirements
| Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|
| Stool | 1 innoculated Polymedco sample device |
Collection/Processing Instructions
Only 1 (one) sample collected in the Polymedco OC-Light S Fit Bottle is required.
There are no diet restrictions.
Do not collect samples during or until three days after a menstrual period, during the presence of bleeding hemorrhoids, constipation bleeding, or blood in the urine.
- Open the green cap of the patient-labeled sampling device
- Randomly scrape the surface or stamp 5-6 different areas of the stool sample with the sampling probe; cover the grooved portion of the probe completely with sample.
- Close the device by inserting the probe and screwing the cap on tightly; do not reopen.
- Drop off sample to the nearest laboratory or mail in.
Specimen Stability Information
| Specimen Type | Temperature | Time |
| Stool-Polymedco device | Ambient | 15 days |
| Refrigerate | 30 days |
Rejection Criteria
| Frozen specimens |
| Para-Pak C&S transport medium |
| Other Cary Blair transport medium |
| Raw stool |
Interpretations
Results obtained with this test should not be considered conclusive evidence of the presence or absence of GI bleeding or pathology. This test is designed for preliminary screening, and is not intended to replace other diagnostic procedures, such as colonscopy or sigmoidoscopy in combination with double contrast barium x-ray.
Certain medications such as aspirin and non-steroidal anti-inflammatory drugs may cause gastrointestinal irritation and subsequent bleeding in some patients and cause positive results.
Because gastrointestinal lesions may bleed intermittently and blood in feces is not distributed uniformly, a negative test does not ensure absence of lesion.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Marshfield | Negative |
Marshfield Labs Performing Department
Marshfield Labs Molecular Pathology
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Marshfield | Monday through Sunday | 1 day | Polymedco OC-Light S FIT |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 82274 | Diagnostic screening | |||
| G0328 | Diagnostic screening |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 82274 | Diagnostic screening | |||
| G0328 | Diagnostic screening |
Ordering Applications
| Ordering Application | Description |
|---|---|
| Cerner | Occult Fecal Immunochemical Test |