Name of the Procedure:

Manual wheelchair accessory installation for pneumatic caster tire, any size (HCPCS E2214)

Summary

In simple terms, this procedure involves replacing or installing a pneumatic (air-filled) caster tire on a manual wheelchair. This is essential for ensuring smooth and comfortable mobility for wheelchair users.

Purpose

The procedure is used to replace worn-out or damaged caster tires on manual wheelchairs. Proper caster tires support smoother movement, improved control, grip, and overall comfort for the user.

Indications

• Visible wear and tear on existing caster tires
• Decreased mobility efficiency or control
• Increased vibrations or discomfort during use
• Enhanced performance for active wheelchair users
• The necessity for specific tire sizes due to user requirements or environmental conditions

Preparation

• The wheelchair should be temporarily immobilized and stabilized.
• The user should ensure that the wheelchair is clean.
• Gather necessary tools, like a wrench and tire lever.
• No specific medical assessments or fasting are required, but checking the wheelchair manual for specific instructions may be beneficial.

Procedure Description

1. Ensure the wheelchair is on a stable surface.
2. Use a wrench to remove the caster wheel from the wheelchair fork.
3. Carefully deflate the old pneumatic tire if necessary, using a valve tool.
4. Use a tire lever to detach the old tire from the wheel rim.
5. Place the new pneumatic caster tire onto the rim, ensuring it is seated evenly.
6. Inflate the new tire to the recommended pressure using an air pump.
7. Reattach the caster wheel back onto the wheelchair fork using a wrench, ensuring all bolts are securely tightened.
8. Conduct a brief test to ensure the tire is properly installed and functional.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The procedure can be performed in a home setting, repair shop, or outpatient clinic.

Personnel

• Wheelchair technician or trained caregiver
• No specialized medical professionals required, though occupational therapists can assist

Risks and Complications

• Possible puncture during installation
• Incorrect tire pressure leading to poor performance or risk of damage
• User discomfort if installation is incorrect

Benefits

• Improved wheelchair performance and maneuverability
• Enhanced user comfort and safety
• Prolonged lifespan of the wheelchair

Recovery

• Immediate use of the wheelchair post-procedure
• No significant restrictions or recovery time required
• Follow-up checks on tire pressure and condition recommended periodically

Alternatives

• Use of solid, non-pneumatic caster tires (benefit: puncture-proof; drawback: less cushioning)
• Use of semi-pneumatic tires (compromise between solid and air-filled tires)

Patient Experience

During the procedure, the patient can remain comfortably seated out of the wheelchair or be temporarily positioned in a supportive chair. There should be no pain involved. Post-procedure, the user should experience smoother movement and improved comfort with minimal immediate adjustments required.

Pain management and comfort measures are unnecessary as the process involves no direct physical discomfort.