Electrodiagnostic Testing


	UM Guidelines

Ambulatory Care (AC)

BCBST modification December 14, 2006*

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No deletions were made.

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[Nerve conduction studies are to be performed by the physician alone or by a technologist under direct supervision of the EDX consultant. The consultant must be trained or certified in the application, performance and interpretation of electrodiagnostic testing and licensed by the state in which the studies are performed. The technician performing the studies must be trained in electrodiagnostic testing and licensed or certified by the state (or by one of the state's health related boards if licensure or certification as a technician does not exist in a given state) in which the studies are performed. Electrodiagnostic testing is not performed in a standard fashion, but must be specifically designed for each individual patient. It is often necessary to modify or add to the procedure during the examination, depending on the findings as they unfold. For this reason, collection of the clinical and electrophysiologic data must be entirely under the supervision of an EDX consultant who is physically present in the facility in which the studies are performed and actively involved in the examination of the findings as they unfold. (Refer to BCBST's Staff Supervision Requirements for Delegated Services policy.)]* (BCBST modification effective December 14, 2006*)

* These guideline(s) have been revised from the Milliman USA Milliman Care Guidelines. The portions of the guideline(s) which have been revised are identified through the use of [insert: italic, boldface, underlined, etc. as appropriate] text, and Milliman USA has neither reviewed nor approved the modified material. Any statement to the contrary or association of the modified material with Milliman USA is strictly prohibited. This document has been classified as public information.

The above information only contains the modified portion of the Milliman Care Guideline. If you wish to view the complete Milliman Care Guideline, please contact Milliman USA.

	Added:


	[Nerve conduction studies are to be performed by the physician alone or by a technologist under direct supervision of the EDX consultant. The consultant must be trained or certified in the application, performance and interpretation of electrodiagnostic testing and licensed by the state in which the studies are performed. The technician performing the studies must be trained in electrodiagnostic testing and licensed or certified by the state (or by one of the state's health related boards if licensure or certification as a technician does not exist in a given state) in which the studies are performed. Electrodiagnostic testing is not performed in a standard fashion, but must be specifically designed for each individual patient. It is often necessary to modify or add to the procedure during the examination, depending on the findings as they unfold. For this reason, collection of the clinical and electrophysiologic data must be entirely under the supervision of an EDX consultant who is physically present in the facility in which the studies are performed and actively involved in the examination of the findings as they unfold. (Refer to BCBST's Staff Supervision Requirements for Delegated Services policy.)]* *(BCBST modification effective December 14, 2006)**