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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Diagnostics 

Indicates Non-covered Service

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Brainstem Auditory Evoked Response (BAER)
Continuous Recording for Movement Disorders
Diagnosis of Smell & Taste Disorders
Diagnosis & Treatment of Bell's Palsy
Diagnosis & Treatment of Chronic Cerebrospinal Venous Insufficiency (CCSVI) in Multiple Sclerosis
Chronic Vertigo Evaluation
Computerized Dynamic Posturography (CDP)
Humana
Aetna
Cigna
FloridaBlue
FloridaBlue
EEG - 24 Hour Monitoring
Electrococh-leogram & Perilymphatic Pressure Measurement
Electroenceph-alograph (EEG)
Evoked Potentials
Evoked Potentials, Intraoperative Neurophysiologic Monitoring, & Quantitative Electroenceph-alography (QEEG)
Eye Movement Analysis Without Spatial Calibration for Concussion

Neurophysiology Evoked Potentials: SEPs/SERs

Aetna
Humana
Neurophysiology Evoked Potentials: BAEPs/BAERs
Neurophysiology Evoked Potentials: VEPs/VERs
Nerve Conduction Testing, Somatosensory & Visual Evoked Potentials, Surface Electromyography
Noninvasive Ear or Pulse Oximetry for Oxygen Saturation
Quantitative electroencephal-ography (QEEG)
Salivary Hormone Testing

Special EEG Tests

Medicare
Tympanometry
Vestibular Function Tests
Allergy Testing: Patch testing
Allergy Testing: In vivo testing (skin tests)
Autonomic Nerve Function Testing
Comprehensive Motion Analysis Studies
Flow Cytometry for Cell Cycle or DNA Analysis
Flow Cytometry for Cell Surface, Cytoplasmic, or Nuclear Marker
Gait Analysis
Cigna
Electrodiagnostic Testing (EMG/NCV)
FloridaBlue
Cigna
Aetna
Cigna
Humana
Nerve Conduction Studies (NCS) & Electromyography (EMG)
Nerve Fiber Density Testing
Nerve Conduction Studies: F-Wave Studies; H-Reflex Studies
Nerve Conduction Studies
Neurophysiologic Testing & Monitoring
Neuromuscular Junction Testing

Small Fiber Neuropathy Diagnostic Testing

FloridaBlue
Aetna
FloridaBlue
UHC
Somatosensory Testing
Vagus Nerve Stimulation (VNS)
Cigna
Humana
Screening for Autism Spectrum Disorders & Rett Syndrome
Psychological & Neuropsychological Tests

95807, 95808, 95810, 95811

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