Walker, Folding (Pickup), Adjustable or Fixed Height (E0135)

Name of the Procedure:

Common names: Folding walker, Pickup walker
Technical term: HCPCS code E0135 for adjustable or fixed height folding walker.

Summary

A folding walker is a mobility aid designed to assist individuals who have difficulty walking. It provides added stability and support, which can help prevent falls and enhance the user's ability to move around independently. The device can be adjusted for height and easily folded for storage or transportation.

Purpose

The primary purpose of a folding walker is to help individuals with mobility issues maintain their balance and walk safely. It is commonly used by the elderly, those recovering from surgery, or individuals with conditions that affect their lower body strength or stability.

Indications

• Difficulty with balance or walking
• Recovery from surgery or injury
• Conditions such as arthritis, musculoskeletal disorders, or neuromuscular diseases
• Weakness or instability in the lower body

Preparation

• No specific preparation required for using the walker.
• Ensure the device is properly adjusted to the user's height.
• Users may receive training on how to use the walker safely and effectively.

Procedure Description

1. Adjustment: Set the walker to the appropriate height. The user's elbows should bend slightly (about 15 degrees) when holding the handles.
2. Usage:
   • Place the walker a step ahead of where you are standing.
   • Ensure all four legs of the walker are on the ground.
   • Step forward with one leg, followed by the other, using the walker for support.
3. Folding:
   • Push or pull the designated buttons or levers to fold the walker for transportation or storage.

Duration

The adjustment and training can take approximately 15-30 minutes. The walker’s actual use varies depending on the user's needs.

Setting

Typically used in various settings including:

• Home
• Outpatient clinics
• Rehabilitation centers
• Hospitals (upon discharge)

Personnel

• Physical therapists
• Occupational therapists
• Medical equipment specialists

Risks and Complications

• Incorrect height adjustment may cause strain or discomfort.
• Improper use can lead to falls or injuries.
• Devices may wear out over time, leading to potential instability.

Benefits

• Improved mobility and independence
• Reduced risk of falls
• Enhanced stability and balance during walking
• Immediate positive impact once the user becomes accustomed to the device

Recovery

• No specific recovery period as it is an assistive device.
• Users should follow up periodically for reassessment of the device's condition and their own mobility needs.

Alternatives

• Cane: Less stability but more portable.
• Crutches: Suitable for temporary and bilateral support.

• Wheelchair: Recommended for individuals with severe mobility issues or inability to walk.

  Pros and cons of alternatives depend on the individual's specific condition and mobility needs.

Patient Experience

• Initial adjustment period to get used to the device.
• Potential for mild discomfort if not properly adjusted.
• Generally, users feel an immediate increase in mobility and confidence.
• Minimal to no pain associated with its use. Comfort measures include selecting appropriate footwear and regularly checking the device's condition.