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1 Electrodiagnostic Laboratories Electroencephalography (EEG) 0100 CIHI EEG Adult/Pediatric CIHI EEG Neonatal NL EEG Prolonged Study NL EEG Prolonged Study NL EEG Prolonged Study CIHI EEG with Sleep/Sleep Deprivation Adult/Pediatric NL EEG with Sleep/Sleep Deprivation Pediatric CIHI Transmission EEG by Telephone/Telemetry TBD 0 Receiving EEG by Telephone/Telemetry: Includes receiving transmission of EEG from remote location including recording and providing instructions relating to 0211 CIHI exam EEG Electrocorticography: Placement of surface electrodes and monitoring by technologist. May include active monitoring during electrical stimulation of the 0225 CIHI cortex. 8 hrs 1 Electro-cerebral Silence: Same as routine EEG with extra stimulation (i.e., pupil responses, pain stimuli to extremities, sternal pressure, double inter-electrode 0235 CIHI distance, etc.) 90 1 On hold. Sites will be Clarenville, St. Anthony, Lab West and Goose Bay This is an 8 hr procedure - called to OR multiple times throughout 8 hr day (on call). May perform NSR activities but no SR activites Intensive Monitoring EEG
2 0300 CIHI EEG Video/Digital Telemetry Monitoring: Includes activities listed under EEG, as well as adjusting camera, recording of service recipient, and taking spontaneous EEG NL EEG Video/Digital Telemetry Monitoring 1.5 hr NL EEG Video/Digital Telemetry Monitoring 2 hr NL Video/Digital telemetry set up NL Video/Digital telementry D/C CIHI Review of Video/Digital recording and Observations: Includes reviewing the recording and EEG findings, preparing notes/reports. 1 hr NL Review of Video/Digital recording and Observations: Includes reviewing the recording and EEG findings, preparing notes/reports. 1.5 hr NL Review of Video/Digital recording and Observations: Includes reviewing the recording and EEG findings, preparing notes/reports. 2 hr NL Electrocorticogram (OR) Attend the operating room to record electrode placement. May include active monitoring during electrical stimulation of the cortex. 8 hrs 1 Electromyography (EMG) Tech on call to OR. No other SR recipient activity provided during wait time CIHI Nerve Conduction Study - Upper or Lower (NCV-same) NL Nerve Conduction Study - Upper and Lower NL Nerve conduction repetitive stimulation CIHI Needle EMG Upper or Lower NL Needle EMG Upper and Lower 45 1
3 0472 NL EMG single fibre CIHI Surface EMG 45 1 Assist with procedure; performed in CH only Polysomnography 0700 CIHI Overnight Polysomnogram: 12 hrs CIHI Multiple Sleep Latency Study (MSLT) 8 hrs CIHI Maintenance of Wakefulness Test 8 hrs 1 Test Scoring Analysis overnight Polysomnogram/ 0760 CIHI MSLT/Maintenance of Wakefulness 8 hrs 0 Evoked Potentials Visual Evoked Potential Test (VEP) 0810 CIHI Full Field VEP, bilateral NL Full Field VEP, bilateral Pediatric CIHI Flash VEP, bilateral CIHI Electroretinogram (ERG) CIHI Electro-oculogram (EOG) 45 1 Auditory Evoked Potential Test (AEP) 0820 CIHI Brainstem AEP, bilateral NL Brainstem AEP, bilateral Pediatric 60 1 Somatosensory Evoked Potential Test (SSEP) 0831 CIHI Lower limb (per nerve/dermatone): bilateral CIHI Upper limb (per nerve/dermatone): bilateral NL Both Upper and Lower 60 1
4 0837 NL Portable SSEP 90 1 Electrocardiography 0100 CIHI Adult Electrocardiogram (12 lead) NL Pediatric Electrocardiogram (12 lead) NL Adult Electrocardiogram (15 lead) NL Pediatric Electrocardiogram (15 lead) NL Signal-Averaged EKG NL Signal-Averaged EKG Pediatric NL Loop Monitor 30 1 Exercise Tolerance Testing 0210 CIHI Exercise Tolerance Test NL Pediatric Exercise Tolerance Test CIHI 0230 CIHI Non-Invasive Cardiology Exercise Tolerance Test WITH Radiopharmaceutical AND Persantin 45 1 Exercise Tolerance Test with Radiopharmaceutical Nuclear stress NL Exercise Tolerance Test WITH Dobutamine NL Abandoned Stress Test 45 1
5 0265 NL Pediatric Abandonded Stress Test 60 1 Pacemaker Analysis of All Modalities 0300 CIHI Pacemaker Analysis WITHOUT Reprogramming NL Pediatric Pacemaker Analysis WITHOUT Reprogramming CIHI Pacemaker Analysis WITH Reprogramming NL Pediatric Pacemaker Analysis WITH Reprogramming CIHI Pacemaker Implants/Implantable Cardiac Devises 20 1 Pediatric Pacemaker Implants/Implantable Cardiac 0380 NL Devises 30 1 Ambulatory Monitoring 0410 CIHI Ambulatory Cardiac Monitoring - Set-up (Hook-up) CIHI Scanning (Interactive Playback System): An exam count is claimed when the technologist must physically scan/edit the entire tape to determine the presence or absence of anomalies. TBD 1 Record actual times until further notice 0425 CIHI Scanning (Full Disclosure Systems) 24 hr TBD 1 Record actual times until further notice 0426 NL Scanning (Full Disclosure Systems) 48 hr TBD 1 Record actual times until further notice 0427 NL Scanning (Full Disclosure Systems) 72 hr TBD 1 Record actual times until further notice 0430 CIHI Ambulatory Monitoring - Discontinue: CIHI Event Monitoring - Initial Visit/Set-Up Loop Recorder NL Implanted Loop Monitor NL Implanted Loop Monitor Pediatric 60 0
6 0450 CIHI Ambulatory Blood Pressure Monitoring 30 1 Echocardiography Combined M-mode and Two-Dimensional 0510 CIHI Echocardiogram NL Combined M-mode and Two-Dimensional Echocardiogram with contrast CIHI Combined M-mode and Two-Dimensional Echocardiogram with Spectra and/or colour Doppler, qualitative NL Echocardiogram with Spectra and/or colour Doppler, qualitative with contrast CIHI Stress Echocardiogram (exercise or pharmacological study) CIHI Transesophageal Echocardiogram Includes M-Mode and Two-Dimensional Echocardiography and Transesophageal Echocardiography NL Transesophageal Echocardiogram Includes M-Mode and Two-Dimensional Echocardiography and Transesophageal Echocardiography with contrast 51 1 Special s 0610 NL Tilt Table Testing NL Pediatric Tilt Table Testing Lower Extremity - Arterial s (ABI) Single-Level with or without Great Toe Pressure 0100 CIHI Measurement CIHI (ABI) Multi-Level with or without Great Toe Pressure Measurement 40 1
7 0106 CIHI Digital (Toes) Blood Pressure Measurement and/or Waveform Recordings CIHI Exercise or Hyperemia Testing 20 1 Doppler Velocity Recordings (Continuous Wave) of Lower 0120 CIHI Extremity,Bilateral CIHI Arterial Duplex Study of Bypass Graft Only, Unilateral CIHI Arterial Duplex Study of Bypass Graft Only, Bilateral 45 1 Duplex Assessment of Lower Extremity Aneurysm (e.g., 0190 CIHI Popliteal) 25 1 Lower Extremity - Venous s 0200 CIHI Venous Duplex Mapping 15 1 Venous Duplex Study of Lower Extremity for Deep Vein 0210 CIHI Thrombosis - Unilateral CIHI Venous Duplex Study of Lower Extremity for Deep Vein Thrombosis - Bilateral CIHI Venous Duplex Study of Lower Extremity for Venous Insufficiency - Unilateral NL Venous Duplex Study of Lower Extremity for Venous Insufficiency - Bilateral 55 1 Upper Extremity - Arterial s 0310 CIHI Duplex Study of Upper Extremity - Bilateral CIHI Duplex Study of Upper Extremity - Unilateral 40 1 Segmental Pressure Measurements of Upper Extremity, 0330 CIHI Bilateral CIHI Digital (Fingers) Blood Pressure Measurement and/or Waveform Recordings CIHI Digital (fingers) Blood Pressure Measurement and/or Waveform Recordings WITH Cold Pressor Test CIHI Thoracic Outlet Syndrome Testing 15 1
8 Upper Extremity - Venous s 0710 CIHI Venous Duplex Study Upper Extremity -Unilateral CIHI Venous Duplex Study Upper Extremity - Bilateral 60 1 Head and Neck s Duplex Study of Carotid Arteries with or without 0410 CIHI Subclavian and Vertebral Arteries CIHI Subclavian Steal Test CIHI Duplex Study of Neck Veins 35 1 Miscellaneous Vascular s 0610 CIHI Penile Arterial Study CIHI Duplex Study of Arterial/Venous Dialysis Graft 25 1
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