Manual wheelchair accessory, wheel braking system and lock, complete, each
HCPCS code
Name of the Procedure:
Manual Wheelchair Accessory, Wheel Braking System and Lock, Complete, Each (HCPCS Code: E2228)
Common names:
- Wheelchair brake system
- Wheel lock for wheelchair
Summary
The installation of a wheel braking system and lock allows wheelchair users to securely stop and lock their wheelchair wheels in place. This provides stability and safety, preventing the wheelchair from rolling unintentionally.
Purpose
This procedure is aimed at enhancing the safety and functionality of a manual wheelchair. The main goals are to prevent unwanted movement of the wheelchair, especially on slopes or uneven surfaces, and to ensure user safety during transfers in and out of the wheelchair.
Indications
- Difficulty in stabilizing the wheelchair on inclines or declines.
- Safety concerns during transfers.
- Weak hand strength that makes standard push-and-pull brakes difficult to operate.
Preparation
No specific preparations are needed for the user, but it is advised that the wheelchair be clean and free of any structural faults. A preliminary assessment of the wheelchair may be needed to ensure compatibility and proper functioning of the new brake system.
Procedure Description
- Assess the wheelchair to determine the appropriate type and position for the brake system.
- Use the appropriate tools to remove any existing brake mechanisms.
- Securely attach the new brake system to the designated area on the wheelchair.
- Adjust the brake system to ensure it is correctly aligned with the wheel.
- Test the new brake system to ensure it effectively locks and releases the wheels.
- Provide instructions to the user on how to operate the new brake system.
Tools and Equipment:
- Screwdrivers and wrenches
- Brake system components
- Measuring tape
Anesthesia:
No anesthesia or sedation is required.
Duration
The procedure typically takes about 30-60 minutes, depending on the type of wheelchair and brake system used.
Setting
This procedure is generally performed in an outpatient clinic, medical equipment supply store, or even at the patient's home by a trained technician.
Personnel
- Medical equipment technician or rehabilitation specialist
- Occupational therapist (optional, for training the user)
Risks and Complications
- Improper installation may cause the wheelchair to be unsafe.
- The new brake system may require a period of adjustment for the user.
- Malfunctions if maintenance is neglected.
Benefits
- Increased safety when using the wheelchair.
- Enhanced stability during transfers.
- Easier to operate for users with limited hand strength.
Recovery
No recovery time is required. Users may begin using the new brake system immediately after installation and training. Follow-up appointments may be necessary to ensure the system functions correctly over time and to make any required adjustments.
Alternatives
- Standard push-and-pull brakes: simpler but may require more hand strength.
- Electric brake systems: more expensive and require a power source.
- Wheelchair anti-tip devices: provide additional safety but do not lock the wheels.
Patient Experience
During the procedure, most users will not feel any discomfort as no physical intervention on the patient is required. Post-procedure, patients should find improved ease of stopping and stabilizing their wheelchair. Awareness of the new mechanism and some adjustment time might be needed to become fully comfortable with the new system. Pain management and comfort measures are typically not necessary.