References for Electrodiagnostic Documents

Below are references and links to documents on electrodiagnostic medicine.

i AANEM Position Statement (2006) Excerpt: The AANEM strongly recommends that electrodiagnostic procedures be performed by physicians with comprehensive knowledge of neurological and musculoskeletal disorders to assure accurate interpretation and diagnosis. Individuals without medical education in neuromuscular disorders and without special training in electrodiagnostic procedures typically are not qualified to interpret the waveforms generated by NCSs and needle EMGs or to correlate the findings with other clinical information to reach a diagnosis. It is also the AANEM’s position that the same physician should directly supervise and interpret the NCSs including those performed by an electrodiagnostic technician.1 The AANEM believes that interpreting NCSs without performing a focused history and physical and having oversight over the design and performance is inappropriate.

Appendix: CMS Definitions of Supervision levels:

General Supervision - means the procedure is furnished under the physician’s overall direction and control, but the physician’s presence is not required during the performance of the procedure. Under general supervision, the training of the nonphysician personnel who actually performs the diagnostic procedure and the maintenance of the necessary equipment and supplies are the continuing responsibility of the physician.

Direct Supervision - in the office setting means the physician must be present in the office suite and immediately available to furnish assistance and direction throughout the performance of the procedure. It does not mean that the physician must be present in the room when the procedure is performed.

Personal Supervision - means a physician must be in attendance in the room during the performance of the procedure.

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