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Paraffin bath unit, portable (see medical supply code a4265 for paraffin)

HCPCS code

Name of the Procedure:

Paraffin Bath Unit, Portable (Medical Supply Code: E0235)

Summary:

A portable paraffin bath unit is a device that melts paraffin wax and maintains it at an optimal temperature for therapeutic use. Patients dip their hands, feet, or other body parts into the warm wax to receive heat therapy that can alleviate pain and stiffness.

Purpose:

The portable paraffin bath unit is used primarily to:

  • Relieve pain, stiffness, and discomfort in joints and muscles.
  • Improve circulation and promote relaxation.
  • Enhance the healing of soft tissues and reduce inflammation.

Indications:

The device is particularly beneficial for:

  • Individuals with arthritis or rheumatoid arthritis.
  • Patients suffering from osteoarthritis.
  • Persons experiencing chronic joint pain.
  • Individuals with musculoskeletal injuries or strain.

Preparation:

  • No specific fasting or medication adjustments are typically necessary.
  • Ensuring the affected area is clean and free from open wounds or infections.
  • The device should be preheated to the recommended temperature.

Procedure Description:

  1. Preparation: Melt the paraffin in the portable unit until it reaches the optimal temperature.
  2. Application: The patient immerses the affected area (e.g., hand or foot) into the melted paraffin, then briefly removes it to allow a layer of wax to form.
  3. Repetition: This process is repeated several times until a thick coat forms.
  4. Insulation: The wax-covered area is then wrapped in a plastic bag or cloth to conserve heat.
  5. Duration: The wax is left in place for 15-20 minutes to allow deep heat penetration.
  6. Removal: The wax is then peeled off, and the skin is checked for any signs of irritation.

Duration:

The entire process, from preparation to removal of wax, typically takes about 30-40 minutes.

Setting:

This procedure can be performed at home or in an outpatient clinic, facilitated by a portable paraffin bath unit.

Personnel:

  • The procedure can be self-administered at home.
  • In a clinical setting, a physical therapist or a healthcare provider may assist.

Risks and Complications:

  • Minor risk of burns if the wax is too hot.
  • Skin irritation or allergic reaction to paraffin wax.
  • Infection if the equipment is not kept sterile.

Benefits:

  • Immediate relief from joint and muscle pain.
  • Increased flexibility and decreased stiffness.
  • Improved circulation in treated areas. Benefits are often realized immediately following the procedure.

Recovery:

  • No significant recovery time is required.
  • Patients are typically advised to keep the treated area clean and moisturized.
  • Follow-up sessions may be recommended based on individual needs.

Alternatives:

  • Moist heat packs.
  • Hydrotherapy.
  • Pharmacological treatments like NSAIDs.
  • Physical therapy exercises.
  • Each alternative has its pros and cons, such as varying effectiveness and convenience.

Patient Experience:

  • Patients generally experience a warm, soothing sensation during the treatment.
  • Minor discomfort might occur if the wax is initially too warm.
  • The treatment is generally perceived as relaxing and beneficial for chronic pain management.

Medical Policies and Guidelines for Paraffin bath unit, portable (see medical supply code a4265 for paraffin)

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