Name of the Procedure:

Manual Wheelchair Accessory, Nonstandard Seat Frame Depth, 20 to Less Than 22 Inches
Common Name(s): Custom Wheelchair Seat Frame Adjustment
Technical/Medical Term: HCPCS Code E2203

Summary

A nonstandard wheelchair seat frame with a depth of 20 to less than 22 inches is a tailored accessory for manual wheelchairs. It customizes the seating area to better accommodate individuals with specific physical needs, enhancing comfort and mobility.

Purpose

Medical Conditions or Problems Addressed

• Spinal deformities
• Muscle atrophy
• Severe arthritis
• Other mobility-related conditions

Goals or Expected Outcomes

• Improved seating support
• Enhanced comfort
• Optimized posture
• Reduced risk of pressure sores
• Enhanced mobility and independence

Indications

Specific Symptoms or Conditions

• Discomfort in standard wheelchair seating
• Improper posture alignment
• Skin breakdown or pressure sores
• Poor seating balance

Patient Criteria

• Individuals who require a customized fitting due to their physiological structure
• Patients suffering from chronic discomfort in their existing wheelchair

Preparation

Pre-Procedure Instructions

• Evaluation by a physical therapist or wheelchair specialist
• Possible modifications to current wheelchair or assessment if a new wheelchair is needed
• Measurements for the custom seat depth

Procedure Description

Step-by-Step Explanation

1. Assessment: The patient's current seating situation is evaluated.
2. Measurements: Critical measurements are taken to ensure proper fit (e.g., back of hip to knee length).
3. Customization: The wheelchair seat frame is adjusted or fabricated to the specified depth.
4. Fitting: The new seat frame is fitted onto the wheelchair.
5. Adjustments: Final adjustments are made to ensure comfort and support.

Tools, Equipment, Technology

• Measuring tools (tape measure, calipers)
• Custom seat frame components
• Adjustment tools (wrenches, screwdrivers)

Anesthesia or Sedation

• Not applicable

Duration

Typically takes 1-2 hours for assessment and fitting.

Setting

Outpatient clinic or specialized wheelchair service center.

Personnel

• Physical Therapist
• Wheelchair Specialist
• Occupational Therapist

Risks and Complications

Common Risks

• Initial discomfort while adjusting to the new seat

Rare Risks

• None significant

Possible Complications

• Misalignment if measurements are inaccurate
• Need for further adjustments

Benefits

Expected Benefits

• Improved comfort and posture
• Enhanced mobility and independence
• Reduced risk of pressure sores

Onset of Benefits

• Immediately noticeable with proper fitting adjustments

Recovery

Post-Procedure Care

• Regular follow-up appointments to ensure proper fit and comfort
• Potential minor adjustments after use

Recovery Time

• Immediate use; minimal to no downtime

Restrictions or Follow-up

• Routine checks as recommended by the healthcare provider

Alternatives

Other Treatment Options

• Standard wheelchair seat frames
• Wheelchair cushions and pads

Pros and Cons of Alternatives

• Standard Seat Frame: Less customization, may be less comfortable
• Cushions and Pads: Added comfort but may not entirely solve poor fitting issues

Patient Experience

During Procedure

• Minimal physical exertion; mostly involves fitting and adjustments

After Procedure

• Improved comfort and seating support
• Possible minor adjustments needed

Pain Management

• Typically no pain involved
• Any discomfort should be promptly addressed by healthcare professionals