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Neurometer® Evaluation of Cervical Radiculopathy |
CPT measures
quantitate the severity of a radiculopathy. This type of diagnostic
evaluation is conducted along a dermatomal distribution. Further
confirmation of a radiculopathic sensory impairment would include more
proximal testing in the same dermatomes. Abnormal CPT measures caused by
radiculopathy, meylopathy or conditions such as syringomyelia will be
confined to a dermatomal and neuroselective distribution.
There are numerous Neurometer publications describing radiculopathy and
whiplash associated sensory impairments.
Cervical Radiculopathy Utilization Guidelines
Radiculopathic sensory
impairments are evaluated by testing two different nerves within the same
dermatome or testing the same nerve in two different dermatomes. Unless a
distal polyneuropathy is suspected, proximal testing within the same
dermatome distribution is unnecessary. When proximal testing conducted on
the same nerve additional billing is inappropriate. Upper extremity
cervical radiculopathy is diagnosed through bilateral sNCT evaluations at
sites including the following distal finger/dermatome test sites: thumb
(C6), index finger (C7), and the little finger (C8).
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Est. 1981, Baltimore, MD, USA. All rights reserved, worldwide
rev 10/16/09 |