E0642 Standing frame/table system, mobile (dynamic stander), any size including pediatric

HCPCS code

# Standing Frame/Table System, Mobile (Dynamic Stander), Any Size Including Pediatric (E0642)

#### Name of the Procedure:
- Common Names: Standing Frame, Dynamic Stander, Mobility Stand
- Medical Terms: Mobile Standing Frame, Dynamic Mobility Table System

#### Summary
A standing frame or table system, also known as a dynamic stander, is a medical device designed to help individuals, including children, who have difficulty standing on their own. This system provides support and mobility for patients to stand and move freely, promoting better posture, circulation, and overall well-being.

#### Purpose
- **Medical Conditions:** Cerebral palsy, spinal cord injuries, muscular dystrophy, multiple sclerosis, and other neuromuscular disorders.
- **Goals:** To facilitate standing and movement, improve posture, enhance circulation, strengthen muscles, and promote overall physical health.

#### Indications
- **Symptoms/Conditions:** Muscle weakness, poor balance, inability to stand independently.
- **Patient Criteria:** Individuals with neuromuscular disorders, children with developmental delays, and patients undergoing physical rehabilitation.

#### Preparation
- **Instructions:** No specific fasting or medication adjustments are typically required.
- **Assessments:** Physical evaluation by a healthcare provider and possibly fitting sessions to customize the device.

#### Procedure Description
1. **Assessment:** Healthcare provider performs a physical assessment to determine the patient's needs.
2. **Fitting:** The standing frame is adjusted to fit the patient’s height and body dimensions.
3. **Instruction:** Patient and caregiver receive training on how to use the dynamic stander safely.
4. **Usage:** Patient is placed in the stander, and adjustments are made for comfort and effectiveness.
5. **Mobility:** Patient is guided to use the stander to move around, facilitating dynamic standing and mobility.

- **Tools/Equipment:** Adjustable standing frame/table system designed for mobility.
- **Anesthesia/Sedation:** Not applicable.

#### Duration
- Initial fitting and training: 1-2 hours.
- Daily use: Variable, often recommended for 30 minutes to 2 hours per session.

#### Setting
- Performed in outpatient clinics, physical therapy centers, or home settings under supervision.

#### Personnel
- Involved: Physical therapists, occupational therapists, and trained caregivers.

#### Risks and Complications
- **Common Risks:** Skin irritation or pressure sores from prolonged use.
- **Rare Risks:** Falls or injuries due to improper use.
- **Management:** Regular monitoring and adjustments to the device, proper training, and cushioning to prevent pressure sores.

#### Benefits
- **Expected Benefits:** Improved posture, increased circulation, muscle strengthening, enhanced mobility, and better overall physical health.
- **Timeline:** Benefits can be seen within a few weeks to months of regular use.

#### Recovery
- **Post-Procedure Care:** Regular use as prescribed, along with follow-up assessments and adjustments.
- **Recovery Time:** Continuous use as part of a long-term physical therapy program.
- **Restrictions:** None specific, but supervised use is recommended to ensure safety.
- **Follow-Up:** Regular check-ins with healthcare providers to monitor progress and make necessary adjustments.

#### Alternatives
- **Other Options:** Wheelchairs, walkers, static standers.
- **Pros and Cons:** Alternative devices offer different levels of support and mobility; dynamic standers provide enhanced mobility and engaging rehabilitation.

#### Patient Experience
- **During Procedure:** Patient may feel stretched and supported, with initial sessions focusing on comfort and security.
- **After Procedure:** Some muscle soreness may occur initially, but should decrease with regular use.
- **Pain Management:** Minimal discomfort is expected; padding and proper adjustments can enhance comfort.

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