Name of the Procedure:

Replacement of Power Wheelchair Foam Caster Tire (HCPCS Code: E2389)

• Common names: Foam Caster Tire Replacement
• Technical terms: Power Wheelchair Accessory, Foam Caster Tire, Any Size, Replacement Only

Summary

The replacement of a power wheelchair foam caster tire involves removing the worn-out tire and installing a new one to ensure the wheelchair functions safely and effectively. This replacement is crucial for maintaining the mobility and comfort of the wheelchair user.

Purpose

This procedure aims to address issues like wear and tear, damage, or reduced performance of the caster tires on power wheelchairs. The goal is to restore optimal functionality and safety, ensuring smooth and reliable mobility for the user.

Indications

• Worn-out or damaged caster tires
• Reduced maneuverability and stability of the wheelchair
• Noticeable changes in the ride comfort and handling of the wheelchair
• Frequent flats or leaks in the current tires

Preparation

• No specific pre-procedure instructions are necessary for the patient.
• The wheelchair should be inspected to confirm that the caster tire replacement is required.
• Ensure the replacement foam caster tire is the correct size for the wheelchair model.

Procedure Description

1. Ensure the wheelchair is on a flat, stable surface.
2. Use a jack or equivalent tool to lift the wheelchair, allowing access to the caster tire.
3. Remove the bolts or screws securing the old caster tire.
4. Detach the old tire from the wheel assembly.
5. Place the new foam caster tire onto the wheel assembly.
6. Secure the new tire with bolts or screws, ensuring they are tightened appropriately.
7. Lower the wheelchair to the ground and perform a functional test to ensure proper installation.

Tools and equipment used:

• Jack or lifting tool
• Screwdriver or wrench set
• New foam caster tire (specific size according to wheelchair model)

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

This procedure is generally performed in a home setting, wheelchair repair shop, or by a trained technician in an outpatient clinic.

Personnel

• Trained wheelchair technician
• Caregiver (if performed at home)

Risks and Complications

• Improper installation leading to reduced wheelchair performance or stability
• Potential damage to the wheelchair if not handled correctly
• Missing or loose bolts could cause accidents

Benefits

• Improved mobility and performance of the power wheelchair
• Enhanced safety and comfort for the user
• Extended lifespan of the wheelchair

The benefits are usually realized immediately upon successful replacement and testing.

Recovery

• No significant recovery period is associated with this procedure.
• Users should observe for any unusual noises or performance issues and report them immediately.
• Follow-up appointments are generally not required unless additional repairs are necessary.

Alternatives

• Professional service by a certified wheelchair repair shop
• Temporary use of a manual wheelchair or walker if the power wheelchair is under extended repair

Pros and Cons:

• Professional service ensures correct installation but may be more costly.
• Manual alternatives temporarily reduce mobility independence but can be useful backups.

Patient Experience

During the procedure, the patient may feel a slight inconvenience due to the temporary immobilization of the wheelchair. Post-procedure, users will typically experience improved mobility and comfort. Pain is not generally associated with this procedure, but ensuring proper handling and installation can prevent potential discomforts related to wheelchair malfunctions.