Name of the Procedure:

• Common Name: Wheelchair with Fixed Arm, Footrests
• Technical/Medical Term: HCPCS Procedure Code E1221

Summary

A wheelchair with fixed armrests and footrests is a type of mobility aid designed to help individuals who have difficulty walking or moving. This type of wheelchair has armrests that do not move and footrests that provide support to the user's feet.

Purpose

• Medical Conditions or Problems Addressed: This wheelchair is designed for individuals with mobility impairments due to spinal cord injuries, muscular dystrophy, multiple sclerosis, arthritis, or other conditions that diminish physical mobility.
• Goals or Expected Outcomes: The primary goal is to enhance the user's mobility, independence, and quality of life by providing a reliable and stable means of transportation.

Indications

• Specific Symptoms or Conditions: This wheelchair is suitable for individuals who have significant difficulty walking or are unable to walk.
• Patient Criteria or Factors: It is appropriate for patients who require a stable and durable wheelchair with fixed arm and footrests for daily use.

Preparation

• Pre-procedure Instructions: No special preparations are needed prior to acquiring the wheelchair.
• Diagnostic Tests or Assessments: A complete evaluation by a healthcare provider or physical therapist to determine the individual's specific needs and ensure the wheelchair is appropriately fitted.

Procedure Description

• Step-by-Step Explanation:
  1. Assessment: Evaluate the patient’s needs and measurements for proper fitting.
  2. Selection: Choose the appropriate model of E1221 wheelchair.
  3. Delivery: The wheelchair is delivered to the patient.
  4. Adjustment: Fine-tune the wheelchair settings (e.g., seat height, footrest length) to ensure comfort and usability.
• Tools, Equipment, or Technology Used: The wheelchair itself, measuring tape for fitting, adjustment tools such as wrenches or screwdrivers.
• Anesthesia or Sedation Details: Not applicable.

Duration

The assessment and fitting process usually take about 1-2 hours. The usage of the wheelchair is ongoing as needed by the patient.

Setting

Typically performed in a clinical setting like a hospital, outpatient clinic, or rehabilitation center. The assessment and delivery can also be done at the patient’s home.

Personnel

• Physical Therapists
• Occupational Therapists
• Rehabilitation Technicians
• Medical Equipment Suppliers

Risks and Complications

• Common Risks: Skin irritation or pressure sores from prolonged use, discomfort if the wheelchair is not properly fitted.
• Rare Risks: Risk of injury if the wheelchair is used improperly.
• Complications Management: Regular follow-up appointments to adjust the wheelchair and check the patient’s condition.

Benefits

• Expected Benefits: Improved mobility, increased independence, enhanced quality of life, and greater participation in daily activities.
• Timeline for Benefits: Immediate improvement in mobility upon proper use.

Recovery

• Post-procedure Care and Instructions: Regular maintenance of the wheelchair such as cleaning and checking for repairs.
• Expected Recovery Time and Restrictions: No recovery time as this is not a surgical procedure. Patients should adhere to regular check-ups to ensure the wheelchair continues to meet their needs.

Alternatives

• Other Treatment Options: Other types of wheelchairs (e.g., electric wheelchairs, lightweight wheelchairs), walking aids (e.g., walkers, canes), scooters.
• Pros and Cons of Alternatives: Electric wheelchairs offer more autonomy but are more expensive. Walkers and canes provide less support. Scooters are suitable for individuals with better upper body control.

Patient Experience

• During the Procedure: The patient will undergo an assessment and fitting, which is non-invasive and should not cause pain.
• After the Procedure: The patient may feel immediate relief and increased mobility. They will need to learn how to operate the wheelchair safely. Pain management is usually unnecessary, but pressure sores should be monitored. Comfort measures include regular adjustments for fit and cushioning.