Wheelchair, Detachable Arms, Desk or Full Length, Swing Away Detachable Footrests (E1140)

Name of the Procedure:

Common Name(s): Wheelchair Technical/Medical Term: Wheelchair, Detachable Arms, Desk or Full Length, Swing Away Detachable Footrests (HCPCS code E1140).

Summary

A wheelchair designed with detachable arms that can be either desk-length or full length, and equipped with swing-away detachable footrests, providing flexibility and ease of use for individuals with mobility limitations.

Purpose

Medical Conditions or Problems it Addresses

This wheelchair is beneficial for individuals with limited mobility due to conditions such as spinal cord injuries, severe arthritis, muscular dystrophy, multiple sclerosis, or other chronic illnesses and disabilities.

Goals or Expected Outcomes

• Enhanced mobility and independence.
• Facilitation of daily activities including work, dining, and personal care.
• Improved comfort and ease of transfer in and out of the wheelchair.

Indications

Specific Symptoms or Conditions

• Inability to walk or severe difficulty walking.
• Requirement for assisted movement due to chronic illness or disability.
• Need for versatile mobility assistance in various settings like home, workplace, and outdoors.

Patient Criteria or Factors

• Individuals with a physician's prescription for a wheelchair.
• Patients who benefit from adjustable and removable features for ease of transfer.

Preparation

Pre-Procedure Instructions

• No specific fasting or medication adjustments required.
• Ensure a proper fitting and assessment by a healthcare provider or a physical therapist to customize the wheelchair to the patient’s needs.

Diagnostic Tests or Assessments

• Physical assessment to determine the patient’s mobility and transfer needs.
• Measure the patient's body dimensions to ensure a proper fit.

Procedure Description

Step-by-Step Explanation

1. Assessment: Healthcare provider assesses the patient's mobility needs and physical dimensions.
2. Selection and Ordering: Based on the assessment, the appropriate wheelchair model (E1140) is chosen and ordered.
3. Custom Fitting: When the wheelchair arrives, it will be custom-fitted to the patient by adjusting armrests, footrests, and seat height.
4. Training: Patient and possibly a caregiver are trained on the proper use, adjustment, and maintenance of the wheelchair.
5. Follow-Up: Routine follow-up appointments ensure the wheelchair continues to meet the patient’s needs.

Tools, Equipment, or Technology Used

• HCPCS E1140 wheelchair with detachable parts.
• Measurement tools for fitting.

Anesthesia or Sedation Details

• None required.

Duration

The fitting and training process typically take 1-2 hours.

Setting

The procedure is performed in an outpatient clinic, rehabilitation center, or at home.

Personnel

• Physical Therapist or Occupational Therapist.
• Healthcare provider or Physician.
• Supplier or Technician for the wheelchair fitting.

Risks and Complications

Common Risks

• Initial discomfort or difficulty in adjusting to the wheelchair.
• Potential for skin irritation or pressure sores if not fitted properly.

Rare Risks

• Mechanical failure or malfunctions of wheelchair parts.

Management of Complications

• Regular monitoring and adjustments by healthcare professionals.
• Immediate attention to any discomfort or mechanical issues.

Benefits

Expected Benefits

• Improved mobility and independence.
• Enhanced quality of life by facilitating daily activities.
• Customizable features offer high comfort and ease of use.

Realization Time

Benefits can be realized immediately upon proper use of the wheelchair.

Recovery

Post-Procedure Care

• Routine maintenance of the wheelchair.
• Regular follow-up for adjustments.

Expected Recovery Time

• Continuous use with periodic evaluations as necessary.

Restrictions or Follow-Up Appointments

• Follow-up appointments to ensure proper fit and function.

Alternatives

Other Treatment Options

• Scooters.
• Power wheelchairs.
• Standard wheelchairs without detachable features.

Pros and Cons of Alternatives

• Pros: Some alternatives may be more suitable for different levels of mobility or specific environments.
• Cons: May not offer the same level of customization and flexibility as the E1140 model.

Patient Experience

During the Procedure

• Comfortable fitting and training session.
• No invasive procedures involved.

After the Procedure

• Increased independence and ease of performing daily tasks.
• Possible initial adjustment period to new mobility aid.

Pain Management and Comfort Measures

• Proper fitting and regular adjustments to prevent discomfort.
• Use of cushions or additional padding as required for comfort.