Name of the Procedure:

Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair (HCPCS Code: E1010)

Summary

This procedure involves adding a powered leg elevation system to a power seating wheelchair. This accessory allows users to adjust their leg position electronically, improving comfort and support.

Purpose

Medical Conditions or Problems Addressed

• Limited mobility
• Circulation issues
• Pressure sores

• Edema (swelling)

  Goals or Expected Outcomes

• Enhanced comfort and support
• Improved blood circulation
• Reduced risk of pressure sores
• Decreased edema

Indications

Specific Symptoms or Conditions

• Lack of leg mobility
• Chronic swelling in lower extremities
• Difficulty positioning legs manually

Patient Criteria or Factors

• Patients using power seating wheelchairs
• Individuals experiencing frequent leg discomfort or swelling
• Patients with medical conditions requiring specific leg positioning

Preparation

Pre-Procedure Instructions

• No specific fasting or medication adjustments required
• Ensure the wheelchair is compatible and in good working condition

Diagnostic Tests or Assessments

• Evaluation by a healthcare provider to determine the need for the accessory

Procedure Description

1. Evaluation to assess the patient's needs and wheelchair compatibility.
2. Ordering the power leg elevation system accessory.
3. Installation of the leg elevation system onto the existing wheelchair.
4. Adjusting and calibrating the system to match the patient's requirements.
5. Educating the patient on how to use the new system.

Tools, Equipment, or Technology

• Power leg elevation system accessory
• Calibration tools for adjustments

Anesthesia or Sedation

• Not applicable

Duration

The installation and adjustment process typically takes 1-2 hours.

Setting

This procedure can be performed at a medical equipment provider's facility, outpatient clinic, or the patient's home.

Personnel

• Certified medical equipment installer or technician
• Occupational therapist or physiotherapist for adjustments and patient education

Risks and Complications

Common Risks

• Initial discomfort as the patient adjusts to the new system
• Minor adjustments needed post-installation

Rare Risks

• Malfunction of the power system
• Damage to the wheelchair or its components

Management of Complications

• Contact the provider for adjustment or repair

Benefits

• Immediate improvement in comfort and support
• Enhanced circulation and reduction in leg swelling
• Long-term benefits in pressure sore prevention

Recovery

Post-Procedure Care

• Regularly inspect the system for wear and tear
• Report any issues to the provider immediately

Expected Recovery Time

• No specific recovery time
• Patient may need a short period to adjust to the new system

Restrictions or Follow-up Appointments

• Follow-up appointments to ensure proper functioning and adjustment may be needed

Alternatives

Other Treatment Options

• Manual leg rests
• Elevating legs using alternative methods like cushions

Pros and Cons of Alternatives

• Manual Leg Rests:
  • Pros: Lower cost
  • Cons: Less convenient and may require assistance
• Cushions:
  • Pros: Immediate, inexpensive solution
  • Cons: Less effective in positioning and support

Patient Experience

What Patients Might Feel or Experience

• Initial relief and increased comfort
• Some adjustment period for getting used to the controls

Pain Management and Comfort Measures

• Adjustments can be made to maximize comfort
• Contact the provider if discomfort persists