Name of the Procedure:

Manual Wheelchair Accessory Replacement: Handrim without Projections (Includes Ergonomic or Contoured Handrims), Any Type, Replacement Only, Each (HCPCS Code: E2205)

Summary

Replacing the handrim on a manual wheelchair involves installing a new, ergonomic or contoured handrim without projections. This accessory can enhance comfort and improve the mobility of wheelchair users by offering a better grip and reducing strain on the hands.

Purpose

The main goal is to replace worn-out or damaged handrims to maintain the proper functionality and comfort of a manual wheelchair. This procedure aims to ensure the user can maneuver their wheelchair effectively without discomfort or risk of injury.

Indications

• Worn-out, damaged, or broken handrims.
• Difficulty in maneuvering the wheelchair due to worn-out handrims.
• The need for ergonomic or contoured handrims for users seeking improved comfort and reduced hand strain.

Preparation

• Verify the type and size of the current handrim to ensure compatibility with the replacement.
• Confirm the user's specific needs for ergonomic or contoured handrims.
• No special pre-procedure instructions for the patient; however, ensuring the wheelchair is clean and accessible is important.

Procedure Description

1. Remove the old handrim by unscrewing or unclipping it from the wheelchair wheel.
2. Align the new handrim with the wheel holes.
3. Secure the new handrim by screwing or clipping it into place.
4. Verify that the handrim is securely attached and does not wobble or move.
5. Test the wheelchair to ensure proper functionality and comfort.

Duration

The procedure typically takes about 20 to 30 minutes.

Setting

• This procedure can be performed at home, in a rehabilitation center, or an outpatient clinic.

Personnel

• Qualified wheelchair technician or a healthcare professional with experience in wheelchair maintenance and accessories.

Risks and Complications

• Incorrect installation may lead to handrim instability.
• User discomfort if the handrim is not properly aligned.
• Rare complications include injury due to improperly secured handrim or decreased maneuverability.

Benefits

• Enhanced comfort and grip for the user.
• Improved maneuverability and control of the wheelchair.
• Reduced strain on hands and wrists.

Recovery

• No specific recovery time needed.
• Immediate use of the wheelchair is possible after proper installation.
• Follow-up adjustments may be required to ensure optimal comfort and function.

Alternatives

• Using gloves to improve grip and comfort with existing handrims.
• Replacing the entire wheelchair if multiple components are worn out.
• Opting for a different type of handrim if ergonomic or contoured is not preferred.

Patient Experience

• The patient may feel a significant improvement in comfort and ease of use immediately after the replacement.
• There should be no pain associated with using the new handrims.
• Patients can perform routine activities with potential increased mobility and reduced hand strain.