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Neurometer^® CPT Clinical Overview and References Document

       The Neurometer^® CPT Clinical Overview and References Document contains detailed information about the clinical background, application and appropriate use of this sensory nerve test procedure.  Also included are extensive referenced statistical data, a bibliography of related scientific publication, selected study references and legal citations.

       The table below presents links for viewing or downloading the entire Overview document or individual sections of the document.  Below the table is an outline of the Overview document listing the major headings found in each section of the document.  Each Details link in the table links directly to the part of the outline concerned with that particular section.  All of the files are provided in PDF format.  Click here to view instructions at the bottom of this page for viewing or downloading these files.

Document	Size
Neurometer Clinical Overview & References    (full copy including appendices)    Neurometer_Overview.pdf    < Details >  < Read/Download >	729 KB
Clinical Overview    Neurometer_Overview_Introduction.pdf    < Details >  < Read/Download >	175 KB
A. Indications for sNCT Studies    Neurometer_Overview_AppendixA.pdf    < Details >  < Read/Download >	126 KB
B. General Utilization Guidelines    Neurometer_Overview_AppendixB.pdf    < Details >  < Read/Download >	248 KB
C. Utilization Guidelines By Medical Specialty    Neurometer_Overview_AppendixC.pdf    < Details >  < Read/Download >	155 KB
D. Representative Statistical Data    Neurometer_Overview_AppendixD.pdf    < Details >  < Read/Download >	190 KB
E. Selected Study References    Neurometer_Overview_AppendixE.pdf    < Details >  < Read/Download >	196 KB
F. Comprehensive Bibliography    Neurometer_Overview_AppendixF.pdf    < Details >  < Read/Download >	334 KB
G. Governmental, Insurance and Legal Citations    Neurometer_Overview_AppendixG.pdf    < Details >  < Read/Download >	175 KB
H. Evaluation of sNCT Measures    Neurometer_Overview_AppendixH.pdf    < Details >  < Read/Download >	173 KB
I. Omitted and Fraudulent Publications    Neurometer_Overview_AppendixI.pdf    < Details >  < Read/Download >	139 KB
J. FDA Labeling and other Notices    Neurometer_Overview_AppendixJ.pdf    < Details >  < Read/Download >	189 KB
K. Institutional Involvement    Neurometer_Overview_AppendixK.pdf    < Details >  < Read/Download >	127 KB

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Neurometer® CPT Clinical Overview and References Document Contents Clinical Overview   (back) Nerve Pathology Overview of Sensory Nerve Pathology Progressive Peripheral Neuropathy Focal Lesions Description of the sNCT/CPT Evaluation Overview Summary of the sNCT/CPT Evaluation Procedure Pre-Service Work Intra-service Work Post-service Work Conducting an sNCT/CPT Study Statistical Evaluation of sNCT Data Interpreting the Clinical Significance of sNCT Findings Indications and Clinical Applications of sNCT/CPT Studies in Patient Management Identifying Abnormal Nerve Function Evaluate Hyperesthesia and Hypoesthesia Test Any Cutaneous Site Neuroselective Measures Functional Physiological Evaluation Localizing Areas of Abnormal Nerve Function Spinal Sensory Impairment Radiculopathy Focal Peripheral Sensory Impairment Polyneuropathy - Distal Diffuse Polyneuropathy Nerve Regeneration Neuroselective Evaluation of Pain Quantifying the Severity of an Abnormality Monitoring the Course of a Neuropathy or Efficacy of a Treatment Comparison of Electrodiagnostic Sensory Nerve Studies Comparison Table Neuroselective Measures Hyperesthesia and Hypoesthesia Test Any Cutaneous Site Evaluation of Radiculopathy Localization of Abnormal Sensory Function Functional Physiological Measure Standardized Procedure Painless Stimulus Unaffected by Skin Thickness, Scar Formation or Edema Unaffected by Skin Temperature Shielded Room not Required Cost Savings and Diagnostic Advantages of sNCT Studies Conclusion  Appendix A. Indications for sNCT Studies   (back) Summary of Neuropathological Conditions Evaluated by sNCT/CPT Studies Metabolic Compressive or Traumatic Toxic Acquired Hereditary and Others Appendix B. General Utilization Guidelines   (back) Professional Responsibilities Prerequisites for Clinical Use of Electrodiagnostic Studies Minimum Criteria for sNCT evaluations to be considered reasonable and necessary Exclusion Criteria of other sensory electrodiagnostic tests Peripheral Neuropathy Evaluation of Specific Neuropathological Conditions Distal Symmetrical Polyneuropathy Asymmetric Polyneuropathy Radiculopathy Compressive and Focal Nerve Lesions Professional Organization Guidelines: Indications for Electrodiagnostic Evaluations Specific Patient Management Considerations Table ICD-9-CM Codes for the sNCT Evaluation Criteria for the sNCT/CPT Evaluation Specific Neuropathological Conditions Criteria for the Evaluation of Radiating Back/Neck Pain Criteria for the Evaluation of Sensory Polyneuropathy Criteria for the Evaluation of Nerve Compression Syndromes Criteria for the Evaluation of Plexopathy Criteria for the Evaluation of Therapeutic Intervention of Nerve Recovery Criteria for the sNCT/CPT Evaluation of Direct Sensory Nerve Trauma Frequency of Testing Inappropriate sNCT Evaluations Specific Patient Sub-population Based Upon Category of Symptomatology and Impact on Patient management Subjective, Objective, Assessment and Planning (SOAP) Progress Note Vignettes With Comments on the Effects of the sNCT/CPT Evaluation on Patient Management Weakness and numbness in extremities - Proximal Demyelinating Radiculoneuropathy Numbness in extremity - Cervical Transverse Myelitis Back Pain - Thoracic Disc Herniation Progressive sensory, motor dysfunction - Thoracic Disc Herniation Radiating Pain - S1 Radiculopathy Radiating Pain - C7 Radiculopathy Radiating Pain - Acute Inflammatory Demyelinating Polyneuropathy (AIDP) Radiating Pain - Small Fiber Neuropathy Pain in forearm and hand - Carpal Tunnel Syndrome (CTS) Radiating Back Pain into Feet -Diabetic Neuropathy Radiating Back Pain into Legs - Rule-out Radiculopathy combined with Alcoholic Neuropathy Radiating Neck Pain into Arm After Trauma - Brachial Plexopathy Pain and Numbness in Foot - Tarsal Tunnel Syndrome Traumatic Nerve Lesion with Impaired Sensory Function - Neuropraxia Progressive Generalized Muscle Weakness - Amyotrophic Lateral Sclerosis (ALS)/Polymyocitis Endnote 1: sNCT/CPT Related ICD-9-CM Diagnosis Codes Endnote 2: Lidocaine Related sNCT/CPT publications Appendix C. Utilization Guidelines By Medical Specialty   (back) Endocrinology Family Practice/Internal Medicine Nephrology Neurology Neurosurgery Oncology Orthopedic Surgery Pain Management Physical Medicine and Rehabilitation Podiatry Rheumatology Urology Chiropractic Physical/Occupational Therapy Appendix D. Representative Statistical Data   (back) Normative sNCT/CPT Values Coefficients of Variation Sensitivity and Specificity Multi-Analyses Comparing the sNCT/CPT evaluation to the sensory nerve conduction velocity (NCV) evaluation Sensitivity of sNCT/CPT test compared to the NCV test for diagnosing sensory neuropathies Statistical Analyses of CPT vs. NCV Sensitivity Range of Sensory Nerve Conduction Velocity (NCV) Sensitivities Additional Medical References: Sensory NCV Insensitivity to Radiculopathies sNCT/CPT Evaluation Compared to Other Currently Diagnostic Procedures Appendix E. Selected Study References   (back) Section 1. Evaluation of Spinal Nerve/Cord Function Section 2. Evaluation of Diabetic Neuropathy Section 3. Evaluation of Uremic Neuropathy Section 4. Evaluation of Large and Small Fiber Polyneuropathies Small Fiber Polyneuropathy Large Fiber Polyneuropathy Axonal and Demyelinating Polyneuropathy Distal Axonal Polyneuropathy Hand-Arm Vibration Syndrome Polyneuropathy Section 5. Evaluation of Nerve Regeneration and Recovery of Function Section 6. Focal Nerve Lesions, Carpal Tunnel Syndrome Section 7. Study References for Appendix D Section 8. Selected sNCT/CPT Normative Value References Section 9. sNCT/CPT Study of Hyperesthesia Section 10. Studies related to sNCT/CPT Neuroselectivity Section 11. sNCT Studies Related to Pain Appendix F. Comprehensive Bibliography   (back) Appendix G. Governmental, Insurance and Legal Citations   (back) State of Texas Japanese National Health Coverage Washington State The Commonwealth of Massachusetts Allstate insurance Company Nationwide Insurance Company Principal Life Insurance Company Examples of Additional Legal Citations Appendix H. Evaluation of sNCT Study Measures   (back) sNCT/CPT Grading Parameters Table Sample Clinical Reports Report #1: Lumbar (L5) Radiculopathy Report #2: Diabetic Distal Axonal Polyneuropathy Report #3: Carpal Tunnel Syndrome (CTS) Appendix I. Omitted and Fraudulent Publication   (back) Appendix J. FDA Labeling and other Notices   (back) Potential Risks Associated with the sNCT Evaluation Physical Constraints on sNCT Study Sites FDA Permission to Market Notice Appendix K. Institutional Involvement   (back) Institutional Users Medical Organization Education and Publications

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Modified 08/17/05.
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