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Neurophysiologic Testing a nd Monitoring - …

N eur ophysiologic Testing a nd Monitor ing Page 1 of 22 UnitedHea lthca r e Commer cia l Medica l Policy Effective 01/01/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc. UnitedHealthcare Commercial Med i ca l P ol i cy Neurophysiologic Testing and Monitoring Policy Number: 2021T0493Z Effective Date: January 1, 2021 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Applicable Codes .. 2 Description of Services .. 4 Clinical Evidence .. 6 Food and Drug Administration ..16 References ..18 Policy History/Revision Instructions for Use ..22 Coverage Rationale Nerve Conduction Studies The following are proven and medically necessary: Nerve conduction studies with or without late responses ( , F-wave and H-reflex tests) and neuromuscular junction Testing when performed in conjunction with needle electromyography for any of the following known or suspected

diagnose myasthenia gravis, Lambert-Eaton myasthenic syndrome, and other neuromuscular junction disorders. The test consists of recording muscle responses to a series of nerve stimuli and may be used in association with nerve conduction studies of the same nerves.

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  Testing, Monitoring, Myasthenia, Neurophysiologic, Neurophysiologic testing a nd monitoring

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