Setup – Numb Thumb Median-Radial Sensory NCS

Electrode placement (use the ring electrodes)

10-cm distance (black to black)

  • E1 (black):  Base of thumb
  • E2 (red):  3-4cm distally from E1.
  • Ground:  Dorsum of hand

Stimulation site

  • Two sites
    • Radial nerve site
      • (-) Cathode (black):  10-cm proximal to E1, along the lateral forearm.
      • (+) Anode (red):  proximal (in line with the radial nerve)
    • Median nerve site
      • (-) Cathode (black):  10-cm proximal to E1.  Note: Make the 10-cm line to the middle of the wrist crease, then proximal along the median nerve.
      • (+) Anode (red):  proximal (in line with the median nerve)

Additional Information

10-cm distance (black to black)

  • Type of stimulation = Antidromic
  • One of the three studies for the combined sensory index (CSI): numb thumb, split ring, P8
  • CPT codes for nerve conduction studies
    • 95900 Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study
    • 95903 Nerve conduction, amplitude and latency/velocity study, each nerve; motor with F-wave study
    • 95904 Nerve conduction, amplitude and latency/velocity study, each nerve; motor with F-wave study, each nerve; sensory
    • 95934 H-reflex, amplitude and latency study; record gastrocnemius/soleus muscle
    • 95936 Record muscle other than gastrocnemius/soleus muscle
Share

Related Content:

This post was written by:

Christopher Faubel, MD - who has written 183 posts on The Pain Source.

Pain Medicine Fellowship (2011/2012) - Louisiana State University

Contact the author

Leave a Reply

You must be logged in to post a comment.

Share

Promote with Google +1

TPS YouTube Videos

About the author

Christopher Faubel, MD

Pain Medicine Fellowship (2011/2012) - Louisiana State University

About ThePainSource.com

ThePainSource.com was started to provide pain medicine information on neuromusculoskeletal conditions, interventional pain procedures, journal article reviews, and other clinically-relevant information to physicians and other healthcare providers specializing in the treatment of patients with pain.