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Updated Benefit Criteria for CSHCN Evoked Response Tests and Neuromuscular Procedures

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Effective March 1, 2021, for dates of service on or after January 1, 2021, benefit criteria will be updated for evoked response tests and neuromuscular procedures for the Children with Special Health Care Needs (CSHCN) Services Program.

The following diagnosis codes may be reimbursed when submitted with electromyography (EMG) and nerve conduction study (NCS) procedure codes:

Added Diagnosis Codes
M3581 M3589        
Discontinued Diagnosis Code
M358          

Providers may refer to the current CSHCN Services Program Provider Manual, section 31.2.19.2, “Electromyography and Nerve Conduction Studies,” for more information.

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.