Medical HCPCS Procedure: Manual Wheelchair Accessory, Pneumatic Propulsion Tire, Any Size, Each (E2211)

Name of the Procedure:

Common Name(s): Pneumatic Propulsion Tire for Manual Wheelchairs Technical Term: E2211 – Manual Wheelchair Accessory, Pneumatic Propulsion Tire, Any Size, Each

Summary

A pneumatic propulsion tire is a type of inflatable tire designed for manual wheelchairs. It replaces the standard solid or foam-filled tires to provide a smoother ride, better shock absorption, and improved maneuverability.

Purpose

Pneumatic propulsion tires are used to enhance the comfort and mobility of individuals using manual wheelchairs. They help in better handling over uneven surfaces, reduce shocks transmitted through the wheelchair frame, and increase overall user comfort.

Indications

• Individuals experiencing discomfort from rough surfaces while using their manual wheelchair.
• Patients requiring improved shock absorption due to conditions like arthritis or osteoporosis.
• Wheelchair users who need enhanced traction on slippery or uneven surfaces.

Preparation

• No specific pre-procedure instructions or fasting are required.
• Wheelchair assessment to ensure compatibility with the pneumatic tire.

Procedure Description

1. Inspection: Ensure the wheelchair wheel is compatible with a pneumatic tire.
2. Removal of Existing Tire: Carefully remove the existing solid or foam tire from the wheelchair wheel.
3. Installation: Place the new pneumatic tire onto the wheel rim.
4. Inflation: Inflate the tire to the recommended pressure, checking for any leaks or defects.
5. Testing and Adjustment: Ensure the tire is installed correctly and the wheelchair operates smoothly.

Duration

The procedure typically takes about 30-45 minutes.

Setting

The installation can be performed at home by the caregiver or patient with proper instructions, or at a medical facility such as an outpatient clinic or a wheelchair service center.

Personnel

• Caregiver or patient (for at-home installation)
• Occupational therapist or wheelchair technician (for professional settings)

Risks and Complications

• Common Risks: Tire puncture or deflation.
• Rare Risks: Installation errors leading to tire misalignment or detached tire.
• Management: Regular maintenance and prompt repair or replacement of damaged tires.

Benefits

• Greater comfort and reduced jarring impacts.
• Enhanced wheelchair maneuverability and traction.
• Improved overall mobility and user satisfaction.

Recovery

• Post-Procedure Care: Routine checks for tire pressure and condition.
• Restrictions: None, but recommendations for avoiding sharp objects or rough terrains that could damage the tire.
• Follow-up: Regular maintenance checks.

Alternatives

• Solid Tires: Less maintenance but provide a harsher ride.
• Foam-Filled Tires: Better than solid tires in shock absorption but not as effective as pneumatic tires.
• Pros and Cons: Pneumatic tires require regular inflation and are prone to punctures, but offer superior comfort; foam and solid tires are low-maintenance but provide less comfort.

Patient Experience

• During Installation: Minimal discomfort or inconvenience.
• After Installation: Enhanced comfort, smoother ride experience, and improved maneuverability. Pain management typically unnecessary. Regular care and occasional tire inflation contribute to sustained benefits.