An obvious increase in strength in weakened muscles strongly suggests the diagnosis of myasthenia gravis. The effect comes on very rapidly, and fades within minutes.
Tensilon is the trade name for edrophonium chloride. The Tensilon test is an injection of edrophonium chloride used to diagnosis myasthenia gravis (MG).
A normal Tensilon test is characterized by an improvement in muscle weakness or ptosis within minutes of administering the drug edrophonium. This improvement is temporary and lasts for about 5-10 minutes. The test is positive in patients with myasthenia gravis.
The Tensilon test may cause heart rhythm abnormalities, especially in those patients with preexisting conditions.
The Tensilon test involves the intravenous injection of a small amount of Tensilon. The needle is left in place. If no adverse reaction is observed within 30 seconds, an additional volume is injected. Results are apparent within one minute.
By blocking the action of acetylcholinesterase, Tensilon prolongs the muscle stimulation, and temporarily improves strength. Increased strength following an injection of Tensilon strongly suggests a diagnosis of MG.
Greater than 2% of total hemoglobin is abnormal.
The effects of Tensilon subside quickly, and are completely gone after 30-60 minutes. No aftercare is needed.
The CPT code for the Tensilon test, which is used to diagnose myasthenia gravis, is 95970. This code specifically pertains to the administration of edrophonium chloride (Tensilon) to evaluate neuromuscular transmission. Always confirm with the latest coding guidelines or a healthcare professional, as codes may update or vary based on specific circumstances.
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Before the test, the patient must stop taking all drugs that can inhibit acetylcholinesterase. The referring physician can advise on specific drugs the patient is taking.