Name of the Procedure:

Wheelchair with detachable arms, elevating legrests (HCPCS Code: E1224)

Summary

A wheelchair equipped with detachable arms and elevating legrests designed to enhance patient mobility and comfort. The detachable arms facilitate easier transfers, and the elevating legrests help in reducing swelling and improving blood flow in the legs.

Purpose

This type of wheelchair is primarily used for patients who need assistance with mobility due to severe physical disabilities, injuries, or chronic conditions. The goals are to improve mobility, comfort, and quality of life, while also preventing complications like pressure sores and circulation problems.

Indications

• Individuals with limited mobility due to spinal cord injuries, stroke, multiple sclerosis, or other severe conditions.
• Patients needing frequent repositioning to prevent pressure sores.
• Those requiring leg elevation to reduce swelling or improve blood circulation.

Preparation

• The patient may need to undergo a physical and occupational therapy assessment to determine the appropriate specifications for the wheelchair.
• Ensure all other medical conditions are properly managed and controlled.

Procedure Description

1. A healthcare provider evaluates the patient’s specific needs and measurements.
2. The wheelchair is customized according to the patient’s requirements.
3. The detachable arms can be removed or installed as needed to facilitate easy transfers to and from the wheelchair.
4. The leg rests can be elevated manually or via powered controls to optimize comfort and reduce swelling.
   • No anesthesia or sedation is required as this involves seating and transfers only.

Duration

The fitting and customization process for the wheelchair typically takes 1-2 hours.

Setting

This procedure is generally performed in an outpatient clinic, a rehabilitation center, or at home by visiting healthcare professionals.

Personnel

• Occupational therapists
• Physical therapists
• Medical supply technicians
• Rehabilitation specialists

Risks and Complications

• Improper fitting can lead to discomfort and improper posture.
• Potential skin irritation or pressure sores if not used correctly.
• Mechanical issues with the wheelchair components.

Benefits

• Improved mobility and independence.
• Enhanced comfort and ability to participate in daily activities.
• Prevention of complications like pressure sores and circulatory problems.
• Benefits can be realized immediately upon proper fitting and use of the wheelchair.

Recovery

• Minimal recovery since this is a non-invasive procedure.
• Initial adjustment period of a few days to a week to get used to the wheelchair.
• Regular follow-up assessments may be required to adjust the chair for optimum comfort and functionality.

Alternatives

• Standard wheelchairs without detachable arms and elevating legrests.
• Power wheelchairs or scooters.
• Walkers or other mobility aids.
• Pros of alternatives: Potentially less expensive, less complex.
• Cons of alternatives: May offer less comfort, and require more physical effort from the patient.

Patient Experience

• Patients will experience enhanced comfort with easily adjustable components.
• Minimal pain or discomfort during transfers, especially with proper technique and equipment.
• Any minor discomfort can generally be managed with adjustments and assistance from healthcare providers.