Medical HCPCS Procedure: E1820

Name of the Procedure:

Replacement Soft Interface Material for Dynamic Adjustable Extension/Flexion Device Common Name(s): Soft Interface Replacement Technical/Medical Terms: Dynamic Adjustable Extension/Flexion Device Soft Interface Replacement (HCPCS E1820)

Summary

This procedure involves the replacement of the soft interface material in a dynamic adjustable extension/flexion device. This device is typically used to aid in the rehabilitation of joints by controlling the extension and flexion movements. The soft interface material provides cushioning and comfort.

Purpose

The primary purpose is to maintain the proper function and comfort of the dynamic adjustable extension/flexion device, which is essential for the rehabilitation of joint injuries or post-surgery recovery. The expected outcome is improved comfort for the patient and continued effective joint movement therapy.

Indications

• Patients with joint injuries (e.g., knee, elbow) requiring controlled extension and flexion.
• Post-operative patients needing structured rehabilitation.
• Wear and tear or damage to the existing soft interface material.
• Discomfort due to degraded or insufficient cushioning in the device.

Preparation

• Patients should inform their healthcare provider about any allergies or sensitivities to materials.
• No fasting or medication adjustments are typically required.
• A brief assessment to ensure the new soft interface material is appropriately selected for the device.

Procedure Description

1. The dynamic adjustable extension/flexion device is removed from the patient.
2. The worn or damaged soft interface material is carefully detached from the device.
3. The new soft interface material is aligned and securely attached to the device.
4. The device is re-fitted to the patient, and adjustments are made to ensure it is comfortable and functioning correctly.
5. Final checks are done to confirm the proper operation of the device with the new interface material.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

This procedure can be performed in an outpatient clinic, a rehabilitation center, or at a medical equipment supplier's facility.

Personnel

• Trained medical technicians or rehabilitation specialists.
• Supervision by a physical therapist or medical doctor may be preferred.

Risks and Complications

• Minor risk of skin irritation or pressure sores due to improper fitting.
• Allergic reaction to the new interface materials.
• Rare risk of device malfunction if the new material is not properly installed.

Benefits

• Enhanced comfort for the patient.
• Improved device functionality.
• Better support for joint rehabilitation efforts.
• Immediate realization of benefits post-replacement.

Recovery

• No significant recovery period; immediate use of the device is typically possible.
• Follow-up appointments to ensure the device fits well and functions correctly.
• Patients should monitor for any signs of discomfort or skin irritation.

Alternatives

• Continuous use of the old soft interface material (not recommended for extended use due to comfort and hygiene concerns).
• Switching to a different type of rehabilitation device, if appropriate.
• Pros and cons: While alternatives may be available, they may not offer the same level of comfort and may require adjustment periods.

Patient Experience

• Patients will typically feel immediate relief and improved comfort from the new soft interface material.
• Minor adjustments may be needed to achieve optimal comfort.
• Pain management is generally not needed, but reassurance and comfort measures are provided.