EMG in Your Clinic
What is NCV & EMG
Nerve conduction studies and needle electromyography, colloquially referred to as NCV/EMG, is an electrical study of the peripheral nervous system and muscle. These electrodiagnostic, elective, testing procedures aid in the determination for evidence of neurogenic or myopathic disease contributing to the patient's symptoms.
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There exist more than 200 types of peripheral neuropathies, having top-of-the-line diagnostic tools aids in proper diagnosis. This is where NCV/EMG play a vital role in the identification of type, location, and temporal degree of peripheral neuropathies, and aid to properly diagnose these diseases.
Conditions NCV/EMG Commonly Aids to Diagnose:
Cervical/Lumbar radiculopathies (commonly seen in MVA/Work Comp patients)
Carpal/Tarsal tunnel syndrome
Cubital tunnel syndrome
Myopathy/myositis
Chronic inflammatory demyelinating polyradiculoneuropathies
Guillian-Barre syndrome
Myasthenia gravis
Lou Gehrig's Disease/Amyotrophic lateral sclerosis (ALS)
Data Interpretations & Impressions
All data gathered during the diagnostic examination of your patients will be thoroughly examined, out of clinic, to yield high quality interpretation and impressions. These interpretations are then condensed to simple, easy to understand, impressions/diagnoses for the clinician to use in his or her clinical decisions for confirmation of supposed diagnosis and prognosis.
Billing & Reimbursement
All billing is handled by your office and billing team. Our compensation is established by the agreed terms of contract with multiple billing structures to accommodate your practice model.
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At SNDx, we understand that billing and coding are integral to a successful practice. If required, we offer assistance in the initial implementation of these services in billing procedures which aid in successful reimbursement from insurance companies.
Implementing Our Services
Odds are you already have everything required to implement our services in your clinic. If your clinic has an examination room, exam table, a portable table which holds our Cadwell diagnostic equipment (approximately the size of a laptop) and an electrical outlet, you're ready for our services.
Improving Clinical Outcome & Benefits
How Implementing NCV/EMG in your Clinic Improves your Clinical Outcome:
Electrodiagnosis of Lumbar Radiculopathy; 2013, Karen Barr, MD
To determine if the structural changes seen on MRI are the common finding of an asymptomatic abnormality, or are causing physiologic abnormalities in the nerve root
To determine the most likely affected level if clinical symptoms and imaging levels do not match
To look for physiologic evidence if non-compressive radiculopathies are suspected.
To determine prognosis related to axonal loss
To search for other causes of neurologic symptoms
Electrodiagnostic studies for radiculopathy are rarely false positive
Prognosis aids in future treatment plan modifications and/or changes in conservative care or prescriptions
The Benefits to Implementing NCV/EMG in your Clinic
These studies are covered and reimbursed by HMO/PPO and personal injury
These studies pose very low risk to the patient yet provide profound implications and data for the current neurological status of the patient
Billing is simple which consists of 3-COMMONLY used CPT codes
Contraindications: Open wounds, external wires like external pacing wires and guide wires, inflamed/enlarged thoracic or axillary lymph nodes
Has been found to be 92% sensitive which is approximately 12% more sensitive than MRI (80%)
When caring for personal injury, MVA patients, coupling NCV/EMG findings with MRI provide profound evidence for your patients case
On-site Services
We travel to your clinic to provide in-house services in your clinic. Unlike online EMG services which provide minimal to no education to unqualified techs, and mobile EMG services with under-qualified technicians who are not permitted to provide EMG by law; we are licensed and accredited doctors who are capable of providing both components of the NCV/EMG studies.
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Having both components of the study, provide a complete study, the NCV is required for identifying entrapment neuropathies, and the EMG component allows us to identify radiculopathies and differentiate between neurogenic and myopathic pathologies.
At SND we believe in unparalleled service, this is why we use top-of-the-line Cadwell Summit equipment to gather the data from patient studies.