As summer slowly winds to a close (sigh!), we begin to turn our

thoughts back to work. The ACNS has many new activities planned

for this Fall and into the coming year.

First, please invite your new Fellows to become members of the

ACNS. Junior membership is only $95 per year and includes a

subscription to the Journal of Clinical Neurophysiology as well as

discounted meeting, course and inservice exam fees. This year,

Tobias Loddenkemper, M.D., Chair of the Membership Committee,

has developed a webinar to introduce fellows to the field of clinical

neurophysiology and the many services the ACNS offers. The live

webinar will take place on Wednesday, September 19, at 1:00 p.m.

EDT, and the video will be archived on the ACNS website for those

who cannot attend the live program. This webinar will be a great

opportunity for your fellows to get the “inside scoop” from ACNS

leaders on travel fellowships to the Annual Meeting, abstract

deadlines, finding grant opportunities, planning their post-fellowship career, and many other

topics.

Join us in Minneapolis on September 28-29 for the 2012 Neurophysiologic Intraoperative

Monitoring and ICU EEG Monitoring Courses. This year, Aatif Husain, M.D., Suzette LaRoche,

M.D., and I have planned two full days of interactive and hands-on sessions for updates in these

rapidly evolving fields. The courses will be invaluable for those planning to develop new

programs in NIOM or ICU EEG and those who need a comprehensive update in techniques and

indications. The brochure and meeting/hotel registration information can be found on the ACNS

website, www.ACNS.org.

Plans for the ACNS Annual Meeting and Courses in Miami, February 5-10, 2013, are well

underway. We’re sure that the Miami location will be a great draw in the depths of winter, and

we hope to have record attendance! William Tatum, M.D., Chair of the Annual Course

Committee, will expand his already excellent courses to include more breakfast seminars, as well

as interactive and hands-on evening sessions. Co-chairs of the Annual Meeting Program

Committee, Jonathan Edwards, M.D. and Mark Hallett, M.D., have put together an outstanding

program which will appeal to practitioners in every area of clinical neurophysiology. Look for

the preliminary program on our website soon. The abstract submission deadline for posters will

be October 15.

Many of you commented on the draft version of the ICU EEG Nomenclature Guidelines. The

final version will be available on our website and in the Journal of Clinical Neurophysiology

soon. We are also working on Guidelines for invasive EEG monitoring, neonatal ICU EEG

nomenclature, ICU EEG Monitoring, and Qualifications for Neurophysiologic Personnel, and

anticipate release of draft versions for public comment over the next few months. Please let us

know if there are other guidelines that would be helpful for your practice.

As most of you know, the ACNS is a member of the North American Chapter of the

International Federation of Clinical Neurophysiology (IFCN). This year, we are thrilled to have

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Clinical Neurophysiology News Newsletter of the American Clinical Neurophysiology Society

Editor Jonathan C. Edwards, M.D

Future Meetings

2012 Mid-Year Courses

September 29-30, 2012

Hyatt Regency Minneapolis Minneapolis, MN

2013 Annual Meeting

and Courses

February 5-10, 2013

Miami Marriott Biscayne Bay

Miami, FL

Watch the ACNS website (ACNS.org) for more details.

Message from the President

Susan T. Herman, M.D.

American Clinical

Neurophysiology Society

2012-2013 Council Members

PRESIDENT

Susan T. Herman, M.D.

Beth Israel Deaconess Medical Center

Boston, MA

1ST VICE PRESIDENT

Frank W. Drislane, M.D.

Beth Israel Deaconess Medical Center

Newton, MA

2ND VICE PRESIDENT

Aatif M. Husain, M.D.

Duke University Medical Center

Durham, NC

SECRETARY

Jonathan C. Edwards, M.D.

Medical University of South Carolina

Charleston, SC

TREASURER

Stephan Schuele, M.D., M.Ph. Northwestern University Neurology

Chicago, IL

IMMEDIATE PAST PRESIDENT

Douglas R. Nordli, M.D.

Children’s Epilepsy Center

Chicago, IL

PAST PRESIDENT

Peter W. Kaplan, M.B., FRCP

Johns Hopkins Medical Center

Baltimore, MD

COUNCIL MEMBERS

Cecil D. Hahn, M.D.

Hospital for Sick Children

Toronto, ON

Terrence D. Lagerlund, M.D.

Mayo Clinic

Rochester, MN

Suzette LaRoche, M.D.

Emory University Medical Center

Atlanta, GA

Tobias Loddenkemper, M.D.

Children’s Hospital Boston

Boston, MA

Jaime R. Lopez, M.D.

Stanford University Neurology

Stanford, CA

Suraj Ashok Muley, M.D.

St. Joseph's Hospital and Medical

Center

Phoenix, AZ

Piotr W. Olejniczak, M.D.

Louisiana State University Health

Sciences Center

New Orleans, LA

William O. Tatum IV, D.O.

Mayo College of Medicine

Jacksonville, FL

Francis O. Walker, M.D.

Department of Neurology

Winston-Salem, NC

Message from the President (continued)

one of our own outstanding members, Mark Hallett, M.D., as the nominee for President of

the IFCN. Mark has been extremely active in the ACNS, serving on many committees, as

Council Member, and as Co-Chair of the upcoming Annual Meeting. We wish Mark the

best of luck in the election, which is taking place now.

This past spring, the ACNS Council began a Strategic Planning process which will continue

over the next year. Neurologists and clinical neurophysiologists are facing many new

challenges, including decreased research funding, increased administrative burdens,

declining clinical revenues, and new healthcare delivery models such as Accountable Care

Organizations. But we can also see this time as an era of opportunity – to develop more

efficient and effective practice models, perform collaborative research, and better prepare a

new generation of young clinical neurophysiologists for their role as leaders in

healthcare. We welcome your thoughts on how the ACNS could best help you meet

challenges in both clinical and academic practice.

As always, we welcome your feedback on any topic in this newsletter. To send us a brief

note or to volunteer for an ACNS committee or task force, click here:

https://www.smartsheet.com/ACNScommittees

My heartfelt thanks go out to all the volunteers who make the ACNS a vibrant and collegial

community. I’m looking forward to seeing you soon in Minneapolis and Miami. In the

meantime, have a relaxing and peaceful last few weeks of summer.

Susan T. Herman, MD

President, American Clinical Neurophysiology Society

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2012 NIOM and ICU EEG Monitoring Courses

September 29-30, 2012

Hyatt Regency Minneapolis - Minneapolis,

Minnesota

Register and make your hotel reservation online:

www.ACNS.org

Early registration deadline is September 17

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Journal of Clinical Neurophysiology

Dr. John Ebersole, Journal Editor, welcomes

suggestions and guest editors for special issues of

the Journal. Potential authors may now submit

their manuscript online at

www.EditorialManager.com/JCNP.

Free Webinar for Clinical Neurophysiology Fellows and Program Directors –

Introduction to the ACNS

Announcing an exciting new opportunity for Clinical Neurophysiology Fellows and Program Directors! If you are

looking for a chance to connect with other clinical neurophysiologists, take advantage of educational opportunities and

receive mentoring, you should know about the American Clinical Neurophysiology Society (ACNS).

Drs. Tobias Loddenkemper and Suraj Muley, Co-Directors of the American Clinical Neurophysiology Society’s

Membership Committee, will be hosting a webinar for new Clinical Neurophysiology Fellows and Program Directors

entitled Introduction to the American Clinical Neurophysiology Society (ACNS).

Date: Wednesday, September 19, 2012

Time: 1:00 p.m. (Eastern Time)

This is a free webinar to explain how you can participate in the activities of the organization most suited to their

training and interests. The topic list is below. Again, this webinar is free. Please take advantage of this opportunity to

enhance your training with real practical knowledge that will help you in your career.

Introduction to the American Clinical Neurophysiology Society

Moderator: Dr. Tobias Loddenkemper

Welcome to Clinical Neurophysiology - Dr. Susan Herman

Timeline for new Fellows - Dr. Piotr Olejniczak

Meetings/Deadlines/Grant Opportunities - Dr. Jurriaan Peters

How to get involved with the ACNS - Dr. Suraj Muley

Mid-Year Courses - Dr. Susan Herman

Annual Meeting and Courses - Dr. Jonathan Edwards

Journal of Clinical Neurophysiology - Dr. Aatif Husain

ABCN/ABPN/Epilepsy Boards - Dr. Tobias Loddenkemper

To register, please click here: https://www.smartsheet.com/IntroductionACNSwebinar

Webinar connection details and other information will be sent to all registrants in early September. Please contact the

ACNS Executive Office by email (ACNS@ssmgt.com) or phone (860-243-3977) if you have questions or if we can be

of assistance to you.

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Submitted by Mark Nuwer, M.D., Ph.D.

Reprogramming implanted stimulators for DBS and VNS CPT codes had minor changes effective January 2012.

These codes are “per hour” codes. In cases where the service is half an hour or less, the short duration needs to be

flagged in the coding system using modifier -52. In addition, the time taken for reprogramming should be docu-

mented in the medical records.

Furthermore, the codes have been separated into simple and complex levels. To use the complex VNS and DBS

codes now will require reprogramming that includes changes at least 4 features during the programming session.

The features changed or assessed are from the following list of twelve features:

Changes to:

1. pulse amplitude,

2. pulse duration,

3. pulse frequency,

4. eight or more electrode contacts,

5. cycling,

6. stimulation train duration,

7. train spacing,

8. number of programs,

9. number of channels,

10. alternating electrode polarities,

11. dose time (stimulation parameters changing in time periods of minutes including dose lockout times),

Or, assessment of:

12. more than one clinical feature (eg, rigidity, dyskinesia, tremor)

The specific new CPT code rule change is given in the final sentence below:

95974 Complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or

subsequent programming, with or without nerve interface testing, first hour

95978 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and du-

ration, battery status, electrode selectability and polarity, impedance and patient compliance measurements), com-

plex deep brain neurostimulator pulse generator/transmitter, with initial or subsequent programming; first hour

For 95974 and 95978, use modifier 52 if less than 31 minutes in duration.

Use code 95970 for simple assessment of the settings without any changes.

VNS and DBS CPT Codes: Clarifying the Code Use Rules

2013 Inservice Exam

INSERVICE EXAM IN CLINICAL NEUROPHYSIOLOGY

Thursday, February 21 - Monday, February 25, 2013

In February, 2013, the American Clinical Neurophysiology Society (ACNS) will offer the 14th annual in-service

examination assessing knowledge of clinical neurophysiology of the central nervous system. This online exami-

nation is offered to Clinical Neurophysiology Fellows, Neurology Residents, and also to Attending Physicians.

The exam will be offered Thursday, February 21, 2013, through Monday, February 25, 2013. Training directors

may set the specific time and date of the examination at their sites.

The examination will cover basic neurophysiology relevant for the understanding of clinical neurophysiology tests,

technical aspects of physiological recording and testing methodology,

and interpretation of tests with regard to neurological and general medical disease.

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Nominations for 2014 Awards

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The American Clinical Neurophysiology Society (ACNS) welcomes members' suggestions for its three awards.

Please click on this link to complete the nomination form https://www.smartsheet.com/2014Awards.

The Herbert H. Jasper Award is given to an individual for a lifetime of outstanding contributions to the field of

clinical neurophysiology including research, teaching and mentoring. It is analogous to a lifetime achievement

award.

Previous award recipients: Robert Ellingson, Cesare Lombroso, Gian Emilio Chatrian, Robert Naquet, Donald

Lindsley, Eli Goldensohn, Reginald Bickford, Peter Kellaway, Donald Klass, Dominick Purpura, Pierre Gloor,

Cosimo Ajmone-Marsan, Herbert Jasper, Fernando Lopes DaSilva, Ernst Niedermeyer, Juhn Wada, Roger Cracco,

Frank Sharbrough, Barbara Westmoreland, Gastone Celesia, Barry Tharp, Omkar Markand, Jasper Daube, C.

William Erwin and Warren Blume.

The Pierre Gloor Award is given to an individual for outstanding contributions to central clinical neurophysiology

research. The recipient delivers a lecture at the ACNS Annual Meeting.

Previous award recipients: Gyorgi Buzsaki, Mircea Steriade, Jerome Engel, Jean Gotman, Gregory Holmes,

Timothy Pedley, Hans Lüders, Mark Hallett, Solomon Moshé, Claude Wasterlain, François Mauguière, John

Ebersole, Robert Fisher, Paul Nunez and Donald Schomer.

The Robert S. Schwab Award is given to an individual for outstanding contributions to peripheral clinical

neurophysiology research. The recipient delivers a lecture at the ACNS Annual Meeting.

Previous award recipients: Michael Merzenich, Nicolas Bazan, Kenneth Fischbeck, Christopher Goetz, Mark

Hallett, Jeffrey Noebels, Phillip Low, Jun Kimura, Marc Nuwer, Austin Sumner, Erik Stalberg, Salvatore

DiMauro, William Catterall, Andrew Eisen and William Kennedy.

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Specific topic areas will include:

• basic neurophysiology

• instrumentation

• clinical EEG

• epilepsy

• clinical evoked potentials

• sleep monitoring

• intraoperative monitoring

In order to provide residents and program directors with the most useful feedback, scores will be given in each

topic area as well as for the test as a whole. Program Directors will receive all scores and the residents will receive

their individual scores. Percentile scores will be calculated separately for Neurology residents and Clinical Neuro-

physiology residents.

Clinical Neurophysiology training program directors, in particular, will find this examination to be a useful formal

method of trainee assessment.

Registration fees are as follows: for Residents/Fellows who are ACNS Members, registration fee is $90; Program

Directors who are ACNS Members can register their Residents/Fellows at $90 each; all others will pay $150.

Please watch your email and the ACNS website for registration instructions.

2013 Inservice Exam (continued)

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FOURTH ANNUAL ACNS NEUROPHYS BOWL

Co-Chairs, Drs. Lawrence J. Hirsch, M.D., and Mark A.

Ross, M.D., invite you to participate in the

Fourth Annual ACNS NEUROPHYS BOWL

which will take place on Friday, February 8, 2013, from

5:30 p.m. to 6:45 p.m., at the Miami Marriott Biscayne Bay

in Miami, Florida.

Come cheer on your colleagues as they test their knowledge

of clinical neurophysiology!

To participate as an individual or with a team, download the

form from www.ACNS.org and email to

ACNS@ssmgt.com or fax to 860-286-0787.

The Consortium of Clinical Neurophysiology Program Directors (CCNPD) will meet Saturday, February 9, 12:30

p.m. to 1:30 p.m., at the Miami Marriott Biscayne Bay in Miami, Florida. The meeting will take place in the Wat-

son Room and luncheon will be served. Please plan to attend.

Consortium of Clinical Neurophysiology Program Directors

Council Nominations

ACNS voting members...please watch your email for news of Council nominations for the upcoming year.

Save the Date!

2013 Annual Meeting and Courses

February 5 - February 10, 2013

Miami Marriott Biscayne Bay - Miami, Florida

Click here for preliminary program.

Registration materials will be available soon.

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AMERICAN CLINICAL NEUROPHYSIOLOGY SOCIETY

2013 Annual Meeting and Courses

February 5-10, 2013

Miami Marriott Biscayne Bay

Miami, Florida

Program Co-Chairs

Jonathan Edwards, M.D., and Mark Hallett, M.D.

Call for Abstracts for Posters

Deadline: October 15, 2012

You are invited to submit abstracts for a poster presentation at the 2013 Annual Meeting of the American Clinical

Neurophysiology Society (ACNS). The meeting will take place at the Miami Marriott Biscayne Bay in Miami, Florida.

Several young physician investigators will be awarded Travel fellowships at $1,000 each. These fellowships are

determined based upon the ranking of the applicant's abstract by the Program Committee. For the Travel Fellows, the

meeting registration fee is waived. Prior recipients of Travel Fellowships are not eligible for additional Travel

Fellowship awards.

A poster provides a learning experience that can be understood without a presenter. It should include self-explanatory

photos, drawings, graphs and brief written texts as appropriate. Poster board size is 4 feet tall by 8 feet wide. Abstract

titles are limited to 60 characters or less and the body of the abstract is limited to 200 words or less.

The purpose of the ACNS Annual Meeting is continuing medical education as defined by the ACCME. Abstracts will

be evaluated for scholarly and relevant content by reviewers from the ACNS Program Committee.

Abstracts are submitted online via the ACNS website: www.ACNS.org

For further information on abstract submission, membership or the Annual Meeting and Courses, please email the

ACNS Executive Office at ACNS@ssmgt.com or call 860-243-3977.

The American Clinical Neurophysiology Society’s New Guideline -

Standardized Critical Care EEG Terminology: 2012 version can be found on

the ACNS Website (www.ACNS.org).

Call for Abstracts for Posters

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One Regency Drive

P.O. Box 30

Bloomfield, CT 06002

Phone: 860-243-3977

Fax: 860-286-0787

E-mail: ACNS@ssmgt.com

Website: www.ACNS.org

American Clinical Neurophysiology Society

Save these Dates!

2012 NIOM and ICU EEG Monitoring Courses

September 29 - 30, 2012

Hyatt Regency Minneapolis - Minneapolis, Minnesota

2013 Annual Meeting and Courses

February 5 – February 10, 2013

Miami Marriott Biscayne Bay - Miami, Florida

2013 Inservice Exam

February 21 – February 25, 2013

ACNS Membership

If you are not presently a member of the ACNS, please consider joining. Membership benefits include reduced fees for

CME-accredited meetings and courses, reduced dues for members in training and early practice physicians, a subscription to

the Journal of Clinical Neurophysiology and MORE! For additional information on ACNS and the benefits of membership,

please visit the ACNS website: www.ACNS.org.