Name of the Procedure:

Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each (HCPCS Code: E2225)

Summary

This procedure involves replacing only the caster wheel of a manual wheelchair, excluding the tire. The caster wheel is essential for the mobility and stability of the wheelchair, ensuring smooth and safe motion.

Purpose

Replacing a worn-out or damaged caster wheel:

• Enhances wheelchair mobility and stability.
• Prevents further damage to the wheelchair.
• Ensures the safety and comfort of the user.

Indications

• Worn-out, damaged, or broken caster wheels.
• Decreased wheelchair mobility.
• Difficulty steering or maneuvering the wheelchair.
• Excessive noise or roughness from the caster wheel area.

Preparation

• No fasting or special medication adjustments needed.
• Ensure the wheelchair is clean and accessible.
• Check and document any pre-existing damage to parts of the wheelchair.

Procedure Description

1. Position the wheelchair on a flat, stable surface.
2. Secure the wheelchair to prevent movement during the procedure.
3. Use the appropriate tools to detach the existing caster wheel from its bracket.
4. Examine the bracket and surrounding area for any signs of wear or damage.
5. Install the replacement caster wheel, ensuring it fits securely onto the bracket.
6. Test the wheelchair's mobility to ensure the new caster wheel is functioning correctly.

Tools and equipment used include:

• Wrench set or socket set
• Replacement caster wheel
• Locking pliers or vice grips if needed

No anesthesia or sedation is required as this is a non-invasive procedure.

Duration

The procedure typically takes 20-30 minutes.

Setting

• Can be performed at home, outpatient clinic, or wheelchair repair shop.

Personnel

• Often performed by a caregiver, a certified wheelchair technician, or physical therapist.

Risks and Complications

• Minimal risks as this is a straightforward mechanical replacement.
• Rare risks include:
  • Improper installation leading to reduced stability.
  • Potential for injury if the wheelchair is not securely positioned during the procedure.

Benefits

• Improved mobility and ease of use.
• Increased safety and comfort for the wheelchair user.
• Prolonged lifespan of the wheelchair through proper maintenance.

Recovery

• The user can typically resume normal activities immediately.
• Follow-up may include checking the new caster wheel after a few days of use to ensure it remains secure.

Alternatives

• Full caster assembly replacement (including tire).
• Professional wheelchair maintenance service.
• Using temporary alternative mobility aids if the wheelchair is out of service.

Pros and cons:

• Full caster replacement can be more costly but offers a more thorough update.
• Professional services ensure high-quality repair but might involve downtime.

Patient Experience

• The procedure is quick and should cause minimal disruption.
• The user might experience immediate improvement in mobility.
• Comfort measures include ensuring the wheelchair is securely fixed during the procedure and properly testing for smooth operation post-installation.