American Association of Neuromuscular & Electrodiagnostic Medicine

View all recommendations from this society

July 31, 2017

Don’t have genetic testing for nerve and muscle diseases prior to having a discussion with your physician or a genetics professional.

Genetic testing is now widely available and can be ordered directly by patients from home. Due to the potential implications of test results and the complexity of testing, patients are advised to speak with their physician or genetic counselor prior to having testing performed. Pre-testing counseling will help patients select appropriate testing, understand the limitations of testing, potential out-of-pocket costs and the effect that positive test results may have on the patient and their family.

These items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physician.

How The List Was Created

The Professional Practice Committee (PPC) of the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM) developed this list of recommendations. The PPC includes both neurologists and physical medicine and rehabilitation (PMR) physicians who come from varying practice settings and also includes the AANEM’s representatives to the American Medical Association (AMA) Current Procedural Terminology Panel and Relative Value Update Committee. The PPC members identified areas to be included on this list based on the greatest potential for overuse/misuse, quality improvement and availability of strong evidence-based research/support in the literature. The committee’s recommendations were discussed at an AANEM Board meeting that included chairs from AANEM committees. The PPC reviewed the feedback from this group and voted on the final Top Ten recommendations. These were then approved by the AANEM Board of Directors.

AANEM’s disclosure and conflict of interest policy can be found at


AANEM Position Statement. The Utility of Genetic Testing in Neuromuscular Disease: A Consensus from the AANEM on the Clinical Usefulness of Genetic Testing in the Diagnosis of Neuromuscular Disease. April 2016.

ACMG Board of Directors. Genet Med. 2015, Dec; 18:207-208, advance online publication, Dec 17, 2015; doi:10.1038/gim.2015.190.