Name of the Procedure:

Wheelchair Accessory, Adjustable Height, Detachable Armrest, Complete Assembly, Each (E0973)
Common name(s): Adjustable Detachable Armrest
Technical or medical terms: HCPCS Procedure E0973

Summary

An adjustable, detachable armrest is an accessory for wheelchairs that offers customizable height settings and can be easily removed. This enables users to adjust their arm rests to suit their comfort and support needs, and simplifies transfer in and out of the wheelchair.

Purpose

This accessory addresses the needs of wheelchair users who require arm support that is both adjustable in height and detachable. The primary goals are to enhance user comfort, provide proper support, and offer greater flexibility in wheelchair use.

Indications

• Individuals with limited mobility who use wheelchairs.
• Patients experiencing discomfort or improper posture due to non-adjustable armrests.
• Situations where the wheelchairs need to fit under tables or desks of various heights.
• Patients requiring better support during transfers in and out of the wheelchair.

Preparation

• Ensure the wheelchair is compatible with the adjustable, detachable armrest.
• Verify the specific height required for proper support.
• No specific pre-procedure fasting or medication adjustments are necessary.

Procedure Description

1. Assessment: A healthcare professional will assess the user's needs and determine the appropriate height for the armrests.
2. Installation: The armrest assembly will be securely attached to the wheelchair, ensuring it fits snugly and can be adjusted easily.
3. Adjustment: The height of the armrests can be modified by the user or caregiver using simple adjustment mechanisms.
4. Detachment: The armrests can be detached as needed, especially useful during transfers or for compact storage.

Tools/Equipment: Adjustable screwdriver or wrench may be required for initial installation.
Anesthesia/Sedation: Not required.

Duration

The installation and adjustment process typically takes about 15-30 minutes.

Setting

The procedure can be performed in various settings such as a home, outpatient clinic, or during a visit with a healthcare provider specialized in mobility equipment.

Personnel

• Rehabilitation specialists
• Occupational therapists
• Qualified mobility equipment suppliers

Risks and Complications

• Common risks: Improper installation may lead to unstable armrests.
• Rare risks: Potential for minor injury if adjustments are not done correctly. Any complications can typically be managed by re-adjusting or re-securing the armrest.

Benefits

• Enhanced comfort: Users can find the most comfortable height for their needs.
• Improved posture: Proper arm support can aid in maintaining better posture.
• Greater flexibility: Easy detachment makes transfers simpler and the wheelchair more versatile.

Recovery

• Post-procedure care: Minimal; users should ensure to regularly check the stability and condition of the armrests.
• Expected recovery time: Immediate; no downtime required.
• Restrictions: None, but follow-up appointments may be necessary for re-adjustments or replacements.

Alternatives

• Fixed Armrests: Non-adjustable, may not offer the same level of comfort or flexibility.
• Padded Armrests: Offers additional comfort but may not be adjustable or detachable.
• Swing-away Armrests: Provide lateral movement for easier transfers but may not offer height adjustability.

Pros and Cons of Alternatives:

Fixed armrests may be stable but lack flexibility; swing-away armrests offer movement but not height adjustment.

Patient Experience

• During procedure: Minimal discomfort; primarily involves adjustments and fittings.
• After procedure: Increased comfort and ease of use with the wheelchair.

Pain management: N/A, as the procedure itself is non-invasive and should not cause pain. Comfort measures include ensuring proper fitting and adjustment to prevent any discomfort.