E0957 Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

HCPCS code

# Wheelchair Accessory: Medial Thigh Support (E0957)

#### Name of the Procedure:
- Common Names: Medial Thigh Support, Thigh Adductor
- Medical Term: Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware (HCPCS: E0957)

#### Summary
A medial thigh support is a device attached to a wheelchair designed to help keep a person's thighs properly aligned, providing added comfort and stability. It includes fixed mounting hardware for secure attachment to the wheelchair frame.

#### Purpose
- **Addresses:** Conditions like muscle weakness, poor trunk stability, or uncontrolled leg movements.
- **Outcomes:** Enhanced stability, improved posture, greater comfort, and prevention of leg splaying which can lead to skin breakdown or injury.

#### Indications
- Conditions warranting the procedure: Cerebral palsy, muscular dystrophy, spinal cord injury, or similar mobility impairments.
- Appropriate for patients experiencing: Uncontrolled leg movement, persistent discomfort, or the need for enhanced leg alignment.

#### Preparation
- No special preparations needed for the patient.
- Prior wheelchair fitting and assessment by a healthcare professional (e.g., occupational therapist or physiotherapist) to determine the necessity and proper type of medial thigh support.

#### Procedure Description
1. **Evaluation:** Comprehensive assessment of the patient's needs and proper fit.
2. **Selection:** Choosing the appropriate thigh support type and size.
3. **Installation:** Securely mounting the thigh support to the wheelchair using the provided hardware.
4. **Adjustment:** Fine-tuning the position for optimal comfort and support.
5. **Testing:** Ensuring the patient is comfortable and the support is effective.

- **Tools & Equipment:** Thigh support device, mounting hardware, tools for installation (e.g., screwdrivers, wrenches).
- **Anesthesia:** None required.

#### Duration
- Typically takes about 30 minutes to 1 hour, depending on the complexity of the installation and adjustments needed.

#### Setting
- Usually performed in an outpatient clinic, rehabilitation center, or at home.

#### Personnel
- Healthcare professionals involved: Occupational therapist, physiotherapist, or trained technician.

#### Risks and Complications
- Common Risks: Skin irritation from contact with the support device.
- Rare Risks: Improper fitting leading to discomfort or pressure sores.
- Management: Regular monitoring for signs of skin irritation, periodic assessment to ensure an optimal fit.

#### Benefits
- **Expected Benefits:** Improved seating posture, enhanced comfort, and stability.
- **Realization:** Benefits are typically immediate once the support is correctly fitted.

#### Recovery
- **Post-procedure Care:** Regular checks to ensure the thigh support remains in good condition and fits well.
- **Recovery Time:** Immediate integration into daily use with no downtime.
- **Restrictions & Follow-ups:** Regular follow-ups as advised by a healthcare professional to reassess the fit and condition of the thigh support.

#### Alternatives
- **Other Options:** Custom seat cushions, side bolsters, or hip guides.
- **Pros & Cons:** Medial thigh support provides targeted thigh stability, while other options may offer different or supplementary support but might not be as effective for thigh alignment specifically.

#### Patient Experience
- **During Procedure:** The patient may experience slight discomfort during the initial fitting but should not feel any pain.
- **Post-Procedure:** Enhanced comfort and stability will generally be noticeable immediately. Pain management is usually not needed, but patient comfort measures include proper padding and periodic adjustments.

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