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Blood Pressure Monitoring and EDX Testing

Benjamin Sucher9/19/19 12:51 PM (CDT)

Does anyone have a policy regarding monitoring of blood pressure  before performing EDX testing?  I only ask because I did not see it in our 'Safety and Pain in Electrodiagnostic Studies' paper (published Feb 2017 in M&N) or the prior 'Risks in EDX Medicine' publications.  This may become an issue with new Medicare guidelines where Blood Pressure is required to be monitored and recorded at all E/M visits, so if an EMG doc does an E/M visit same day, they need to document BP, and make a referral if it is elevated.  But what if the BP is high enough to be of concern - should we have a threshold above which the test is not performed?

Thanks for any comments or suggestions.

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