Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
HCPCS code
Name of the Procedure:
Common Name: Reclining Power Wheelchair Accessory
Technical/Medical Term: Wheelchair Accessory, Power Seating System, Recline Only, with Mechanical Shear Reduction (HCPCS Code: E1004)
Summary
This procedure involves the installation of a power seating system that allows a wheelchair to recline, minimizing mechanical shear to enhance comfort and prevent skin issues.
Purpose
Conditions Addressed: Pressure ulcers, spinal cord injuries, muscular dystrophy, multiple sclerosis, cerebral palsy
Goals: To improve comfort, prevent skin breakdown, and enhance the quality of life for individuals who spend extended periods in a wheelchair by allowing for regular positional changes.
Indications
Symptoms/Conditions:
- Poor posture control
- High risk for pressure ulcers
- Need for regular positional adjustments
- Medical conditions affecting mobility and positioning
Patient Criteria: - Patients who are non-ambulatory and rely on wheelchairs for mobility
- Individuals who need assistance with weight redistribution and pressure relief
Preparation
Instructions:
- No specific pre-procedure instructions are typically required.
- Ensure the wheelchair is compatible with the power seating system.
Diagnostic Tests: - Assessment by a physical or occupational therapist to determine specific needs.
Procedure Description
- Assessment: Evaluation by a healthcare provider to identify the necessity for the reclining system.
- Selection: Choosing the appropriate power seating system with recline and mechanical shear reduction features.
- Installation: A trained technician installs the system onto the existing wheelchair.
- Adjustment: The system is customized for the user’s specific needs, ensuring the optimal positioning and comfort.
- Training: The user and caregivers are trained on how to operate the reclining mechanism safely.
Tools/Equipment: Reclining power seating system, compatible wheelchair, installation tools.
Anesthesia/Sedation: None required.
Duration
Installation and training usually take a few hours.
Setting
Typically performed at a mobility equipment provider’s facility or at the patient’s home.
Personnel
- Occupational Therapist
- Physical Therapist
- Mobility Technician
Risks and Complications
Common Risks:
- Equipment malfunction
- Improper fit causing discomfort
Rare Complications: - Increased risk of falls if not used correctly
- Mechanical failure leading to potential injury
Management: Regular maintenance checks and prompt repair services.
Benefits
Expected Benefits:
- Enhanced comfort and posture control
- Reduced risk of pressure ulcers
- Improved ability to perform daily activities
Timeline: Benefits can be realized immediately upon proper installation and use.
Recovery
Post-Procedure Care:
- Regular use as instructed by healthcare professionals
- Routine maintenance of the seating system
Recovery Time: No recovery time needed; users can start using the system right away.
Follow-up: Periodic follow-ups with therapists to ensure optimal use and adjust settings as needed.
Alternatives
Other Options:
- Manual recline systems
- Tilt-in-space wheelchairs
Pros/Cons of Alternatives: - Manual systems are less expensive but require caregiver assistance.
- Tilt-in-space provides added benefits but may be costlier and heavier.
Patient Experience
During Procedure:
- Installation and training process is generally painless
After Procedure: - Immediate improvement in comfort and posture control
- Adjustment period to get accustomed to operating the reclining system
Pain Management: Not typically necessary.