High-density surface electromyography (HD-sEMG), surface scanning EMG, paraspinal surface EMG, or macro EMG as a diagnostic test for evaluating low back pain or other thoracolumbar segmental abnormalities such as soft tissue injury, intervertebral disc disease, nerve root irritation and scoliosis, and for all other indications.The following procedures are considered experimental and investigational because the reliability, validity and clinical value of these approaches has not been established:
This Clinical Policy Bulletin addresses surface scanning and macro electromyography. Number: 0112 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References
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