Name of the Procedure:

Brake attachment for wheeled walker, replacement, each (HCPCS Code: E0159)

Summary

This procedure involves replacing the brake attachment on a wheeled walker. It ensures that the walker remains safe and functional for patients who rely on it for mobility.

Purpose

The primary purpose of replacing the brake attachment on a wheeled walker is to maintain the walker’s functionality and safety. It addresses issues such as worn-out or malfunctioning brakes, which can compromise the user's stability and safety. The goal is to restore the full braking capability of the walker to ensure it offers adequate support during movement.

Indications

• Difficulty stopping the walker due to worn-out brakes
• Decreased stability while using the walker
• Audible noise indicating brake malfunction
• Inspection revealing damaged or faulty brake attachments

Preparation

• No specific preparation is generally required.
• The patient should ensure the walker is clean and free from any obstructive materials.
• Depending on the healthcare provider, the patient may be asked to bring the wheeled walker to an outpatient clinic or home care may be arranged.

Procedure Description

1. Inspection: The healthcare provider will inspect the current brake attachment to assess its condition.
2. Removal: The worn or damaged brake attachment will be carefully removed using appropriate tools.
3. Replacement: A new brake attachment will be securely fitted onto the wheeled walker.
4. Testing: The new brake will be tested to ensure it functions correctly and provides adequate stopping power.

Tools/Equipment: Screwdrivers, wrenches, and the new brake attachment.

Duration

The procedure typically takes around 15 to 30 minutes, depending on the complexity and condition of the existing attachment.

Setting

This procedure can be performed in various settings, including:

• Outpatient clinic
• Patient's home (if home care services are provided)
• Medical equipment service centers

Personnel

• Medical equipment technician
• Physical therapist (optional, for assessing overall walker function)

Risks and Complications

• Improper attachment leading to malfunction
• Potential for minor injury if the walker is used before securing the new brake
• Rare risk of damage to other parts of the walker during attachment

Benefits

• Restored functionality and safety of the walker
• Increased stability and confidence for the patient
• Immediate improvement in mobility support

Recovery

• No significant recovery time needed; the patient can use the walker immediately after the procedure
• Patient should ensure the function of the new brake and follow up if any issues arise

Alternatives

• Manual adjustment and repair of the existing brake
• Replacing the entire walker if it is extensively worn or damaged
• Using alternative mobility aids (e.g., canes or crutches), though these offer different levels of support

Patient Experience

• During the Procedure: Minimal discomfort, as the procedure involves mechanical adjustment rather than medical intervention.

• After the Procedure: The patient can immediately experience improved walker functionality. There may be minor adjustments or getting used to the feel of the new brake, but no significant discomfort is expected.

  Pain management is generally not required as the procedure is non-invasive. If necessary, basic comfort measures such as a brief resting period can be provided.