Name of the Procedure:

Power Wheelchair Accessory Replacement - Non-Expandable Controller (HCPCS Code: E2375) Common names: Non-expandable power wheelchair controller replacement

Summary

This procedure involves replacing the non-expandable controller of a power wheelchair, including all related electronics and mounting hardware. It is solely for replacement purposes and is designed to ensure the smooth and efficient operation of the wheelchair's power system.

Purpose

The power wheelchair accessory replacement addresses malfunctioning or outdated non-expandable controllers in power wheelchairs. The goal is to restore or enhance the wheelchair's operability, ensuring that the user can control the wheelchair effectively.

Indications

• Malfunctioning or unresponsive wheelchair controller.
• Wear and tear of existing controller impacting mobility.
• Recommendations from a healthcare professional following diagnostic assessments.
• Patients who rely on power wheelchairs for daily mobility and independence.

Preparation

• No specific pre-procedure instructions like fasting or medication adjustments.
• A diagnostic assessment to confirm the need for controller replacement.
• Ensure the power wheelchair is clean and accessible.

Procedure Description

1. Initial Assessment: The healthcare professional assesses the current controller's functionality.
2. Controller Removal: The malfunctioning or outdated controller is carefully detached from the wheelchair.
3. Installation of New Controller: The new non-expandable controller and associated electronics are installed.
4. Mounting Hardware Assembly: The mounting hardware is securely fixed to ensure stability.
5. Testing: The wheelchair is tested to confirm that the new controller functions correctly.

Tools and Equipment:

• Screwdrivers, wrenches, and other hand tools.
• Diagnostic equipment to test electrical connections and controller functionality.

No anesthesia or sedation is required for this procedure.

Duration

Typically, the procedure takes about 1 to 2 hours to complete, depending on the complexity and wheelchair model.

Setting

This procedure is commonly performed in an outpatient clinic or a dedicated wheelchair service center.

Personnel

• Certified wheelchair technicians or rehabilitation engineers.
• Occupational therapists or physiatrists may be involved for assessment and post-replacement evaluation.

Risks and Complications

• Electrical malfunction if connections are not properly established.
• Potential for the new controller to be incompatible with the power wheelchair.

• Mechanical issues due to improper installation.

  Most risks can be managed with thorough testing and professional installation.

Benefits

• Restored functionality of the power wheelchair.
• Improved mobility and independence for the user.
• Immediate realization of benefits post-installation with proper testing.

Recovery

• No significant recovery period required.
• Immediate post-installation testing to ensure everything is functioning correctly.
• Follow-up appointments may be scheduled to check the system after a week or two.

Alternatives

• Repair of the existing controller if feasible.
• Replacement with an expandable controller if future upgrades are anticipated.
• Manual wheelchair as a temporary or permanent alternative.

Pros and Cons:

• Repair: Pros - Cost-effective; Cons - Might not be a long-term solution.
• Expandable Controller: Pros - Future-proof; Cons - More expensive.
• Manual Wheelchair: Pros - No reliance on electronics; Cons - Requires physical effort from the user.

Patient Experience

During the procedure, the patient might be asked to stay close by to test the new controller. After the procedure, the patient should experience improved control and response from their power wheelchair. Minimal discomfort is expected, mostly related to adjusting to the new controller's sensitivity or settings. Pain management and comfort measures are typically not necessary.