Name of the Procedure:

Manual Wheelchair Accessory, Solid (Rubber/Plastic) Propulsion Tire Replacement
Common Name: Wheelchair tire replacement
Technical Term: HCPCS Code E2220

Summary

Replacing solid (rubber or plastic) propulsion tires on a manual wheelchair. This involves removing the old tires and installing new ones to ensure the wheelchair functions effectively and provides a smooth ride.

Purpose

Medical Conditions or Problems: Worn-out, damaged, or ineffective wheelchair tires
Goals and Outcomes: Restore wheelchair functionality, ensure user safety, improve maneuverability and comfort

Indications

Symptoms or Conditions:

• Worn or cracked wheelchair tires
• Difficulty in propelling the wheelchair
• Reduced comfort or increased effort in using the wheelchair
  Patient Criteria:
• Users of manual wheelchairs in need of tire replacement for maintenance or repair

Preparation

Pre-Procedure Instructions:

• Ensure the wheelchair user has an alternative mode of mobility during the procedure
• Check if any specific tire model needs to be ordered for compatibility
  Diagnostic Tests or Assessments:
• Visual inspection of wheelchair for any additional repair needs
• Confirm tire size and type

Procedure Description

1. Place the wheelchair on a stable surface.
2. Detach the wheels from the wheelchair frame.
3. Remove the old propulsion tires by deflating them if they are pneumatic, or simply by prying them off if they are solid tires.
4. Install the new solid rubber or plastic tires by securing them onto the wheels.
5. Reattach the wheels to the wheelchair frame and ensure they are securely in place.
6. Test the wheelchair for smooth operation.

Tools and Equipment: Tire pry tools, replacement tires, wheel removal tools
Anesthesia or Sedation: Not applicable for this procedure

Duration

Typically takes about 30 minutes to an hour.

Setting

Can be performed in a medical equipment service center, outpatient clinic, or at home by qualified personnel.

Personnel

Healthcare professionals or trained technicians specializing in wheelchair maintenance and repair.

Risks and Complications

Common Risks:

• Improper installation leading to wheel instability
• Damage to the wheelchair frame during wheel removal or attachment
  Rare Risks:
• Injury from incorrect tool use
  Management:
• Follow manufacturer guidelines and use proper tools
• Professional inspection post-installation

Benefits

Expected Benefits: Enhanced wheelchair functionality, safety, and user comfort
Realization Time: Immediately upon completion of the tire replacement

Recovery

Post-Procedure Care: Regular checks for proper installation, periodic maintenance
Expected Recovery Time: Immediate usability with no downtime
Restrictions or Follow-Up: None; routine maintenance as needed

Alternatives

Other Treatment Options:

• Use of pneumatic tires instead of solid tires
• Upgrading to a different type of wheelchair with better features
  Pros and Cons:
• Pneumatic tires offer a cushioned ride but may require more maintenance
• Newer wheelchair models might be more expensive but offer advanced features

Patient Experience

During the Procedure: Minimal discomfort; typically no involvement of the patient directly
After the Procedure: Improved wheelchair performance, smoother ride; minimal adjustment period
Pain Management and Comfort: Not generally applicable, as the procedure itself is non-invasive