Name of the Procedure:

Replacement of Power Wheelchair Accessory Foam Drive Wheel Tire
Technical Term: HCPCS Code E2388

Summary

This procedure involves replacing the foam drive wheel tire of a power wheelchair. Designed for any size, this accessory ensures the continued smooth operation and comfort of the wheelchair. The replacement is done to restore functionality or improve the performance of the wheelchair.

Purpose

The replacement of a foam drive wheel tire is crucial for individuals who rely on power wheelchairs for mobility. It addresses issues such as wheel degradation, loss of traction, or punctures that can compromise the safety and efficiency of the wheelchair.

Indications

• Worn or damaged tire affecting wheelchair performance.
• Loss of traction or stability in the drive wheels.
• Regular maintenance as part of wheelchair care.
• User-reported difficulties in maneuvering the wheelchair.

Preparation

• Ensure the wheelchair is turned off and safely secured to prevent movement.
• No specific fasting or medication adjustments are required.
• A quick visual inspection to assess the condition of the wheel and tire is recommended.

Procedure Description

1. Tools Required: Wrench, screwdriver, and possibly a jack to lift the wheelchair.
2. Step-by-Step:
   • Secure the wheelchair and turn off the power.
   • Use appropriate tools to remove the old drive wheel tire.
   • Carefully align and fit the new foam drive wheel tire onto the wheel.
   • Tighten any screws or fasteners to secure the new tire.
   • Test for proper installation by briefly powering on the wheelchair and checking wheel rotation.

Duration

The procedure typically takes about 30 minutes to an hour, depending on the wheelchair model and ease of access to the wheels.

Setting

This procedure can be performed in a variety of settings:

• Home (by a caregiver or trained technician)
• Outpatient clinic
• Specialized mobility equipment service center

Personnel

• Trained caregivers or family members (for minor replacements)
• Mobility equipment technicians
• Occupational therapists (for comprehensive wheelchair maintenance)

Risks and Complications

• Improper installation leading to wheel instability.
• Potential for minor injuries if precautions are not taken.
• Temporary loss of wheelchair use during the procedure.

Benefits

• Restored functionality and safety of the wheelchair.
• Improved traction and control for the user.
• Increased comfort and reduced wear on other wheelchair components.

Recovery

• Very minimal recovery time; the wheelchair can be used immediately after proper installation.
• Routine checks recommended to ensure the newly installed tire remains secure.
• Follow-up with a wheelchair technician if any issues arise.

Alternatives

• Patching or repairing the existing tire (temporary and not always effective).
• Upgrading to a different type of tire material (e.g., solid rubber tires).
• Replacing the entire wheel assembly if other components are also worn.

Patient Experience

• Minimal discomfort during the procedure, mainly observational involvement.
• Immediate improvement in wheelchair performance expected.
• Ongoing comfort and ease in mobility post-replacement.