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.
Tensilon is the trade name for edrophonium chloride. The Tensilon test is an injection of edrophonium chloride used to diagnosis myasthenia gravis (MG).
I cannot answer question. But maybe typo correction will help. Good luck.
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.
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.
atropine sulfate is used as an antidote of anticholinesterase meds administered on patients with myasthenia gravis. Atropine sulfate should be also made available when performing the Tensilon Test to reverse the effect of Edrophonium injection.
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.
Yes, a Tensilon test, also known as the edrophonium test, can be billed, typically under specific codes for diagnostic tests related to myasthenia gravis. The billing may vary based on the healthcare provider's coding practices and the specifics of the insurance plan. It's essential to ensure proper documentation and coding according to the guidelines of the American Medical Association and the payer involved. Always consult with a billing specialist or coding manual for precise codes and requirements.
The effects of Tensilon subside quickly, and are completely gone after 30-60 minutes. No aftercare is needed.
DefinitionThe Tensilon test is a method to help diagnose myasthenia gravis.How the test is performedA drug called Tensilon (also called edrophonium) or a dummy medicine (inactive placebo) is given during this test. The health care provider gives the appropriate one through one of your veins (intravenously, through an IV). You may also be given a medication called atropine before receiving Tensilon so that you do not know you are receiving the drug.You will be asked to perform some repetitive muscular movements such as crossing and uncrossing your legs or getting up from a sitting position in a chair. Particular attention will be paid to whether your muscle strength is improved by the Tensilon.The test may be repeated and additional Tensilon may be given to help tell the difference between myasthenia gravis and other conditions.How to prepare for the testNo special preparation is usually necessary. However, you should follow any dietary restrictions or other directions prescribed by your health care provider.How the test will feelYou will feel a sharp prick as the IV needle is inserted. The drug may cause a feeling of a churning of the stomach or a slight feeling of increased heart rate, especially if Atropine is not given first.Why the test is performedThe test helps diagnosis myasthenia gravis, may aid in telling the difference between myasthenic and other similar neurological conditions, and may be used to monitor oral anticholinesterase therapy.What abnormal results meanIn myasthenia gravis, the muscles will improve immediately following the Tensilon. The maximum benefit only lasts a few minutes.In myasthenic crisis (worsening of the disease that requires anticholinesterase therapy), there is a brief improvement in the muscle strength.In cholinergic crisis (overdose of anticholinesterase), Tensilon will make the person even weaker.Additional conditions under which the test may be performed include Lambert-Eaton syndrome.What the risks areThe drug used during the test may cause side effects, including fainting or respiratory failure. Therefore the test must be done in a medically supervised setting.ReferencesVincent A, Newsom-Davis J. Disorders of neuromuscular transmission. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 448.
Myasthenia gravis