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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:
- Assessment: Determine the appropriate leg rest configuration based on the patient's needs.
- Installation: Attach the leg rest to the wheelchair using the provided hardware.
- Adjustment: Position and secure the leg rest to match the desired elevation angle.
- 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