Name of the Procedure:

Walker, with trunk support, adjustable or fixed height, any type (HCPCS Code: E0140)

Summary

A Walker, with trunk support, adjustable or fixed height, any type (E0140) is a mobility aid designed to assist individuals who have difficulty walking due to various medical conditions. It provides stability and support to help users move around more safely and independently.

Purpose

This walker helps individuals who suffer from mobility issues due to conditions such as severe arthritis, muscle weakness, post-surgery recovery, or neurological disorders. The main goals are to provide stability, improve balance, reduce the risk of falls, and enhance overall mobility and independence.

Indications

• Severe arthritis
• Muscle weakness or atrophy
• Post-operative recovery
• Neurological disorders affecting mobility (e.g., Parkinson's disease, Multiple Sclerosis)
• Conditions causing compromised balance and stability

Preparation

• No specific fasting or medication adjustments are required.
• An assessment by a healthcare professional, such as a physical therapist, may be needed to determine the appropriate type and settings of the walker.
• The patient may undergo balance and strength assessments to customize the walker settings.

Procedure Description

1. The healthcare professional will assess the patient’s height, weight, and specific mobility needs.
2. The walker is adjusted to the appropriate height and trunk support level for optimal comfort and stability.
3. Instructions on proper use are provided, including how to safely stand, walk, and sit using the walker.
4. In some cases, additional training sessions with a physical therapist might be required.

Tools and Equipment

• Adjustable/fixed height walker with trunk support
• Measurement tools for height and adjustments

Anesthesia or Sedation

• Not applicable

Duration

The fitting and instruction session typically takes about 30 minutes to an hour.

Setting

This procedure is usually performed in an outpatient clinic, a physical therapy center, or even at the patient’s home.

Personnel

• Physical therapist
• Occupational therapist
• Medical equipment specialist

Risks and Complications

• Minimal risks are associated with using a walker. However, incorrect use or improper fitting may lead to falls or discomfort.
• Regular follow-up ensures the walker remains correctly adjusted as the patient’s condition changes.

Benefits

• Increased stability and balance
• Enhanced mobility and independence
• Reduced risk of falls
• Immediate benefits upon correct usage and adjustment

Recovery

• No recovery time; the patient can start using the walker immediately after fitting.
• Follow-up appointments may be needed to adjust the walker or reassess its utility.

Alternatives

• Cane or crutches (for those requiring less support)
• Wheelchairs or scooters (for those needing more comprehensive mobility aid)
• Home modifications (e.g., grab bars, stair lifts)

Pros and Cons

• Cane/Crutches: Less support but more portable and easier to use in tight spaces.
• Wheelchairs/Scooters: Offer more support but limit the strength and endurance benefits provided by walking.
• Home Modifications: Complementary aids that enhance home safety but do not provide mobility outside the home.

Patient Experience

• Most patients will feel more secure and stable using the walker.
• Initial use may require some adjustment and practice.
• Regular monitoring and follow-up ensure the walker meets ongoing mobility needs.
• Pain management is typically not required, though discomfort from improper use is possible and should be addressed with a healthcare provider.