Medical HCPCS Procedure: E0149 Walker, Heavy Duty, Wheeled, Rigid or Folding, Any Type

Name of the Procedure

• Common Names: Heavy Duty Walker, Wheeled Walker, Rolling Walker
• Technical Terms: E0149 Walker, Rigid or Folding, Any Type

Summary

A heavy-duty, wheeled walker is a mobility aid designed to support patients who have difficulty walking. It typically features a stable frame with wheels and may be either rigid or foldable. The walker provides added support and improves mobility for those with strength, balance, or other orthopedic challenges.

Purpose

Medical Conditions or Problems Addressed:

• Arthritis
• Stability issues
• Post-surgical recovery involving the lower body
• Musculoskeletal disorders
• Obesity-related mobility issues

Goals or Expected Outcomes:

• Enable safer, independent mobility
• Reduce the risk of falls
• Improve balance and coordination
• Enhance overall quality of life

Indications

• Patients with severe arthritis or joint problems
• Individuals recovering from lower-body surgery or injury
• Elderly patients with balance issues
• Persons with obesity who require additional mobility support
• Patients with neuromuscular conditions affecting stability

Preparation

Pre-procedure Instructions:

• No specific fasting or medication adjustments required
• A preliminary consultation with a healthcare professional to determine the appropriate walker type and fitting
• Assessment of physical strength and balance, possibly including a walking test

Diagnostic Tests or Assessments:

• Basic mobility and balance assessments
• Review of medical history and current medications
• Measurement for proper walker height and weight capacity

Procedure Description

Detailed Steps:

1. Consultation: Discuss needs and options with a healthcare provider.
2. Selection: Choose the type of walker (rigid or folding, number of wheels).
3. Fitting: Adjust the walker's height and handle grips for the patient.
4. Training: The patient receives instructions on safe usage, including starting, stopping, turning, and navigating various terrains.
5. Trial Run: Practice walking with the walker under supervision to ensure proper use.

Tools and Equipment Used:

• Adjustable heavy-duty wheeled walker
• Optional: Seated rest area, basket, or pouch for carrying items

Anesthesia or Sedation:

• Not applicable

Duration

• The fitting and training session typically take about 30-45 minutes.

Setting

• Outpatient clinic or healthcare provider's office
• Durable medical equipment (DME) providers

Personnel

• Physical therapists
• Occupational therapists
• Medical equipment specialists
• Healthcare providers (e.g., physicians, nurse practitioners)

Risks and Complications

Common Risks:

• Initial discomfort while adjusting to the new walker ##### Rare Risks:
• Improper fitting leading to poor posture or strain ##### Possible Complications:
• Falls or accidents due to incorrect use ##### Management:
• Regular follow-up for adjustments and further training

Benefits

• Expected Benefits: Improved mobility, increased independence, reduced fall risk
• Realization Time: Immediately upon correctly using the walker

Recovery

• Post-procedure Care: Minimal; mainly involves practicing the use of the walker regularly
• Expected Recovery Time: Immediate improvement in mobility; ongoing use as needed
• Restrictions or Follow-Up Appointments: Periodic checks to ensure the walker remains in good condition and is properly adjusted

Alternatives

• Other Treatment Options:
  • Standard walkers (non-wheeled)
  • Rollators (four-wheeled walkers with seats and brakes)
  • Canes or crutches
• Pros and Cons:
  • Standard Walkers: More stable but require lifting with each step.
  • Rollators: Offer more mobility features but can be bulky.
  • Canes/Crutches: Less support but more compact.

Patient Experience

During the Procedure:

• Minimal physical discomfort; primarily involves fitting and training ##### After the Procedure:
• Likely to experience some initial awkwardness; comfort increases with practice ##### Pain Management and Comfort Measures:
• Padding and grips designed for comfort
• Encourage taking breaks if fatigue or discomfort arises

By following the above information, patients and caregivers can better understand the use and benefits of heavy-duty, wheeled walkers designed to improve mobility and quality of life.