E2384 Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

HCPCS code

# Power Wheelchair Accessory, Pneumatic Caster Tire, Any Size, Replacement Only, Each (E2384)

#### Name of the Procedure:
Replacement of Pneumatic Caster Tire (Power Wheelchair Tire Replacement)

#### Summary
Replacing the pneumatic caster tire on a power wheelchair involves removing the worn-out tire and installing a new one to ensure smooth and safe operation of the wheelchair.

#### Purpose
This procedure addresses worn-out or damaged caster tires on power wheelchairs. Replacing the tire helps maintain the wheelchair’s functionality, safety, and comfort for the user.

#### Indications
- Visible wear and tear or damage to the caster tire.
- Flat tire or inability to hold air.
- Difficulty maneuvering the wheelchair.
- Noticeable decrease in ride comfort.

#### Preparation
- Ensure the wheelchair is properly secured and turned off.
- Check and order the correct tire size and type for replacement.
- Gather necessary tools such as a wrench, tire levers, and air pump.
- No specific patient preparation or fasting required.

#### Procedure Description
1. **Secure the Wheelchair:** Turn off and stabilize the wheelchair to prevent movement.
2. **Remove the Old Tire:** Use a wrench to remove the bolts securing the caster wheel. Use tire levers to pry off the old pneumatic tire from the wheel rim.
3. **Install the New Tire:** Place the new tire onto the wheel rim and use the levers to secure it in place, making sure it fits snugly.
4. **Inflate the Tire:** Use an air pump to inflate the new tire to the recommended pressure.
5. **Reattach the Wheel:** Reinstall the wheel back onto the wheelchair and securely tighten the bolts.

#### Duration
The procedure typically takes about 30 minutes to an hour, depending on experience and tools available.

#### Setting
This procedure can be performed in a home setting, medical equipment service center, or outpatient clinic.

#### Personnel
- Wheelchair technician or mechanical specialist.
- In some cases, a caregiver or the wheelchair user with appropriate tools and instructions.

#### Risks and Complications
- Improper tire installation leading to poor wheelchair performance.
- Over or under-inflation of the tire causing potential damage or decreased ride quality.
- Minor risk of injury from tools if not handled properly.

#### Benefits
- Restores full functionality and safety of the power wheelchair.
- Improves maneuverability and comfort for the user.
- Immediate enhancement of ride quality and wheelchair performance.

#### Recovery
- No recovery time as this is a mechanical replacement procedure.
- Users can immediately resume use of their wheelchair.
- Regular checks to ensure the tire maintains proper inflation and condition.

#### Alternatives
- Solid tire replacement for those who prefer maintenance-free options.
- Foam-filled caster tire replacement which can provide a compromise between pneumatic and solid tires.
Pros and cons of alternatives:
  - **Solid Tires:** Maintenance-free but may provide a less comfortable ride.
  - **Foam-Filled Tires:** Offer better comfort than solid tires but still have limited cushioning compared to pneumatic ones.

#### Patient Experience
- The wheelchair user might feel a noticeable improvement in ride quality and maneuverability post replacement.
- Ensuring the tire is properly inflated can mitigate the risk of discomfort.
- No pain or discomfort should be expected during the procedure itself.

Medical Policies and Guidelines for Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

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