Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
HCPCS code
Maintenance of Manual Wheelchair Accessory: Tube for Pneumatic Propulsion Tire (E2212)
Name of the Procedure:
Common name: Wheelchair Tire Tube Replacement
Technical/Medical term: Manual Wheelchair Accessory, Tube for Pneumatic Propulsion Tire, any size, each.
Summary
This procedure involves replacing the tube inside a pneumatic (air-filled) propulsion tire on a manual wheelchair. The tube ensures that the tire maintains optimal pressure for smoother mobility and shock absorption.
Purpose
Replacing the tube addresses issues like flat tires or slow air leakage that impede the wheelchair's functionality. It aims to restore the wheelchair to its optimal performance, enhancing mobility and comfort for the user.
Indications
- Flat tire or noticeable deflation.
- Bulging or worn-out tube.
- Difficulty in maneuvering the wheelchair due to tire issues.
- Regular maintenance to ensure tire longevity.
Preparation
- Ensure the wheelchair is on a flat surface for stability.
- Have a new tube ready, appropriately sized to fit the specific tire.
Tools needed: tire levers, air pump, and patches (in case of small punctures).
No special diagnostic tests are required.
Procedure Description
- Remove the Wheel: Detach the wheel from the wheelchair.
- Deflate the Tire: Completely deflate the existing tire.
- Remove the Tire: Use tire levers to carefully pry the tire off the wheel.
- Extract the Tube: Take out the damaged or old tube from inside the tire.
- Inspect the Tire: Check the interior for any sharp objects or damage.
- Insert New Tube: Partially inflate the new tube to give it shape and place it inside the tire.
- Reinstall the Tire: Place the tire back on the wheel, ensuring the tube is not pinched.
- Inflate the Tire: Fully inflate the tire to the recommended pressure.
- Reattach the Wheel: Secure the wheel back onto the wheelchair.
Duration
The procedure typically takes about 15-30 minutes.
Setting
- Performed at home, wheelchair service centers, or outpatient clinics.
Personnel
Often conducted by the wheelchair user, a caregiver, or a technician. For those who need assistance, a physical therapist or a service center technician may be involved.
Risks and Complications
- Common Risks: Pinched tube during installation, leading to another flat tire.
- Rare Risks: Tire blowout if not inflated to the correct pressure.
- Management: Ensure proper practices in installation and regular checks for optimal pressure.
Benefits
- Improved mobility and comfort.
- Longer lifespan of the wheelchair tires.
- Immediate restoration of wheelchair function.
Recovery
No recovery time is necessary. The wheelchair can be used immediately after the replacement.
Alternatives
- Foam-filled Tires: These do not puncture but can be less comfortable due to lack of cushioning.
- Flat-free Inserts: Prevent flats but may alter the ride quality.
Pros and Cons:
- Alternatives may offer puncture resistance but come at the cost of comfort and may require professional installation.
Patient Experience
- During: Minimal physical exertion required.
- After: Immediate resumption of normal activity. Any discomfort due to a poorly installed tube can be managed with correct installation techniques.