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Wheelchair accessory, elevating leg rest, complete assembly, each

HCPCS code

Name of the Procedure:

Wheelchair Accessory, Elevating Leg Rest, Complete Assembly, Each (E0990) Common name(s): Elevating leg rest Technical/medical terms: Wheelchair leg rest assembly

Summary

An elevating leg rest is an accessory that can be added to a wheelchair to support and elevate the patient's legs. The assembly typically includes the leg rest frame, padding, and any hardware required for installation.

Purpose

Medical Conditions:
  • Lower limb injuries
  • Swelling or edema in the legs
  • Poor circulation
  • Post-surgical recovery requiring leg elevation ##### Goals:
  • Improve comfort
  • Prevent complications such as pressure sores
  • Enhance leg circulation
  • Decrease swelling

Indications

Specific Symptoms:
  • Persistent leg pain or discomfort
  • Swelling in the legs or feet
  • Poor circulation in the lower limbs ##### Patient Criteria:
  • Wheelchair-bound individuals
  • Patients recommended for leg elevation by a healthcare provider

Preparation

Pre-procedure Instructions:
  • Ensure wheelchair compatibility with the accessory
  • Follow any specific advice from your healthcare provider regarding leg positioning ##### Diagnostic Tests:
  • None typically required

Procedure Description

Detailed Steps:
  1. Assessment: Determine the appropriate leg rest configuration based on the patient's needs.
  2. Installation: Attach the leg rest to the wheelchair using the provided hardware.
  3. Adjustment: Position and secure the leg rest to match the desired elevation angle.
  4. Instruction: Provide the patient and caregivers with instructions on how to operate and adjust the leg rest. ##### Tools/Equipment:
    • Leg rest assembly
    • Installation hardware
    • Basic tools (e.g., screwdriver, wrench) ##### Anesthesia/Sedation:
    • Not applicable

Duration

Typical Time:
  • Installation and adjustment typically take 20-30 minutes.

Setting

Performed at:
  • Home
  • Outpatient clinic
  • Medical equipment supplier

Personnel

Healthcare Professionals:
  • Occupational therapists
  • Medical equipment technicians
  • Nurses (in some settings)

Risks and Complications

Common Risks:
  • Improper installation leading to discomfort ##### Rare Risks:
  • Mechanical failure of the leg rest ##### Management:
  • Follow manufacturer’s instructions
  • Routine checks and maintenance

Benefits

Expected Benefits:
  • Improved comfort within a few hours
  • Reduced swelling over a few days to weeks with regular use

Recovery

Post-procedure Care:
  • Regularly adjust the leg rest as needed for comfort
  • Follow healthcare provider’s guidance on usage duration and frequency ##### Expected Recovery Time:
  • Variable depending on the underlying condition; improvement in symptoms may begin shortly after regular use. ##### Restrictions/Follow-up:
  • Minimal restrictions; follow up with a healthcare provider if discomfort occurs

Alternatives

Other Treatment Options:
  • Standard wheelchair footrests
  • Reclining wheelchairs ##### Pros and Cons:
  • Standard footrests are less expensive but do not provide leg elevation
  • Reclining wheelchairs offer full-body recline but may be bulkier and more expensive

Patient Experience

During the Procedure:
  • Minimal discomfort during installation ##### After the Procedure:
  • Increased comfort and support
  • Pain management typically not required

Medical Policies and Guidelines for Wheelchair accessory, elevating leg rest, complete assembly, each

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