tci Part B Insider - 2006 Issue 7

NEUROLOGY: Don't Take EDX Denials Lying Down

Submit extra documentation to override AANEM guidelinesMyth: Think your patients can never have more than the recommended number of electro-diagnostic (EDX) tests? You could be in for a surprise. Appendix J of the CPT 2006 book included guidelines for how many EDX tests a physician can provide in different cases. The guidelines were developed by the American Academy of Neuromuscular & Electrodiagnostic Medicine in 2002. For example, for a patient with "pain, numbness or tingling (unilateral)," the limit is one needle electromyography, three motor nerve conduction studies with or without f/wave, four sensory NCS or two H-reflex tests...

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