top of page
Top of page
Practice Benefits

Quickly Scan Patients to Discover Underlying Illness.

PROVEN CARE

STANDARDS

​

Testing of the autonomic nervous system is a recommended standard of care by the American Diabetes Association for patients with Type 1 and Type 2 diabetes.

The American Heart Association Practice Guidelines for the management of patients with Peripheral artery disease include the measurement of ankle brachia I index (ABI) in adults 50+ years old with history of smoking diabetes, or circulation problems, and all adults above 70 years old.*

American_Diabetes_Association_logo_ADA.p
american-heart-association-logo-png-4.pn

*Ankle brachial index screening in asymptomatic older adults, Am Heart J. 2011 May; 161(5): 979-985.

NON-INVASIVE

ACCURACY

 

The TM-Flow is a state of the art device that performs a series of non-invasive tests which aid in the identification and early detection of autonomic nervous system & arterial dysfunction related to disorders and disease complications.

 

 

  • Quantitative assessments of the autonomic nervous system (ANS)

 

  • Distinguishes between early and late stages of autonomic neuropathy

 

  • Test for cardiovascular autonomic neuropathy (CAN)

 

  • Test for diabetic autonomic neuropathy (DAN) Diabetes Management

 

  • Cadiovascular Assessment

 

EASY TO BILL

DIAGNOSTICS

 

Covered by Medicare and most private pay carriers.

 

CPT Codes:

 

95922 – Autonomic nrv adrenrg inervj (Vasomotor adrenergic innervation)

 

95921 – Autonomic nrv parasym inervj (Cardiovagal innervation)

 

(Do not report 95922 in conjunction with 95921)

 

93922 – Upr/l xtremity art 2 levels (Ankle-Brachial pressure index)

 

95923 – Autonomic nrv syst funj test (Sudomotor function testing)

 

*Reimbursements dependent on Medicare locality.

For Symptoms including:

Hypertension

Headache

Diabetes

Dizziness

Depression

Exercise Intolerance

Sleep Apnea

Fainting

Sexual Dysfunction

Tingling in Toes or Fingers

Irritable Bowel Syndrome

Fatigue

Dehydration

TM Flow

​

As a new patient, our medical assistants will perform ANS (autonomic nervous system) and vascular tests on you. As well as 6M & 12M Labs. These tests are painless and are used to detect nerve damage and peripheral vascular disease (PAD) due to various medical conditions that we can review with you. The TM-Flow System helps us differentiate vascular from neuropathic symptoms. TM-Flow is a unique Medical Device Data System that makes a difference.

 

The TM Flow is the newest & most clinically versatile Autonomic Nervous Systems (ANS) System to be introduced to the medical community. The TM Flow offers a comprehensive assessment of both branches of the autonomic system (ANS), Sudomotor Response, Peripheral Vascular Assessment (via ankle-brachial index / ABI) as well as a complete cardiovascular assessment.

 

The TM Flow offers a unique diagnostic solution as it provides reliable & reproducible assessment in just 7 minutes. The TM Flow system is unique in its space due to the simple operation resulting in abundant clinical information. The newest version of the TM Flow offers wireless communication with the brachial blood pressure cuff, the ankle blood pressure cuffs and the photoplethysmograph (finger probe). The report from the TM Flow is much easier to interpret for physicians & medical professionals due to the color coding results with an automatic interpretation.

 

The TM Flow takes ANS Testing to a much higher level with a patient wellness report. This Wellness Report has proven to be an exceptional adjunct to the report as now physicians & medical professionals now have empirical data to send home with their patients to help patients with diet, exercise, food groups, supplements all suggested by the Wellness Report based on the findings of each individual patient.

​

 

Autonomic Nervous System

​

As part of your peripheral nervous system, the autonomic nervous system (ANS) influences the function of your internal organs and controls and regulates body functions such as your heart rate, digestion, breathing rate, lung response, etc.

 

As part of your peripheral nervous system, the autonomic nervous system (ANS) influences the function of your internal organs and controls and regulates body functions such as your heart rate, digestion, breathing rate, lung response, etc.

ans-testing-1.jpg

This is really two systems that work together in balance:

1.) sympathetic nervous system and

2.) parasympathetic nervous system.

 

Many of you have experienced the sympathetic nervous system because it is often referred to as the “fight or flight” system whereas the parasympathetic system is often considered the “rest and digest” system that calms the nerves and enhances digestion.

Think of the sympathetic system like putting your foot on your car’s gas pedal to make it go faster and the parasympathetic is like putting your foot on the brake to slow down.

Both systems play an important part in your bodily function, health, and well-being.

 

 

 

Circulatory System

​

The central and peripheral vascular systems are closely related to how the nervous system operates. Often, neuropathic symptoms can be in part or entirely due to narrowing in the peripheral vasculature.

 

Peripheral artery disease (PAD)1 is a disease in which plaque builds up in the arteries that carry blood to your head, organs, and limbs. Plaque is made up of fat, cholesterol, calcium, fibrous tissue, and other substances in the blood.


When plaque builds up in the body’s arteries, the condition is called atherosclerosis. Over time, plaque can harden and narrow the arteries. This limits the flow of oxygen-rich blood to your organs and other parts of your body.


P.A.D. usually affects the arteries in the legs, but it also can affect the arteries that carry blood from your heart to your head, arms, kidneys, and stomach. This article focuses on P.A.D. that affects blood flow to the legs.

 

 

Normal Artery and Artery With Plaque Buildup

​

The illustration shows how PAD can affect arteries in the legs and your nerve function. Figure A shows a normal artery with normal blood flow. The inset image shows a cross-section of the normal artery. Figure B shows an artery with plaque buildup that’s partially blocking blood flow. The inset image shows a cross-section of the narrowed artery.

​

A telemedicine provider will review your TM-FLOW and NEURALSCAN tests and discuss the course of treatment (if needed) that's recommended.

PAD-affect-arteries-in-legs.jpg
Free Financial Benefit Assessment
Request a no-obligation, custom revenue projection for your practice:
gold-padlock.png

Secure SSL encrypted form submission

The TM Flow offers tremendous value as an investment.

​

​

Get started for $0 out of pocket.

​

-Multiple CPT codes offer generous reimbursement

​

-Covered by most government and commercial payers

​

-Easily implemented into your office flow

​

-Considered a capital expense (fully tax-deductible)

​

    100% Financing Available.

bottom of page