Name of the Procedure:

Replacement of Power Wheelchair Accessory: Solid (Rubber/Plastic) Caster Tire, Removable (HCPCS Code: E2391)

Summary

This procedure involves the replacement of a solid rubber or plastic caster tire on a power wheelchair. The caster tire is a crucial component that aids in the stability and maneuverability of the wheelchair.

Purpose

Medical Conditions or Problems Addressed:

• Wear and tear or damage to the caster tire
• Reduced functionality or performance of the power wheelchair
• Safety hazards due to worn or damaged caster tires

Goals or Expected Outcomes:

• Restore the maneuverability and stability of the power wheelchair
• Increase the safety and reliability of wheelchair use
• Enhance overall user experience and comfort

Indications

Specific Symptoms or Conditions:

• Noticeable wear or damage on the existing caster tire
• Difficulty in maneuvering the wheelchair
• Decreased stability or unusual vibrations while using the wheelchair

Patient Criteria:

• Users of power wheelchairs requiring a caster tire replacement
• Patients experiencing issues with their current caster tires that affect mobility and safety

Preparation

Pre-procedure Instructions:

• No specific patient preparation is required
• Ensure the wheelchair is clean and accessible
• Confirm the correct size and type of replacement caster tire

Diagnostic Tests or Assessments:

• Visual inspection of the caster tire
• Mobility assessment to evaluate the current condition of the wheelchair

Procedure Description

Step-by-Step Explanation:

1. Position the wheelchair on a stable surface.
2. Using appropriate tools, remove the damaged or worn caster tire.
3. Install the new solid rubber or plastic caster tire.
4. Secure the caster tire and test its functionality to ensure proper installation.

Tools, Equipment, or Technology Used:

• Wrenches or other hand tools
• Replacement solid caster tire (rubber or plastic)

Anesthesia or Sedation:

• Not applicable; the procedure is non-invasive

Duration

This procedure typically takes around 15 to 30 minutes.

Setting

The procedure can be performed in various settings, including:

• Home environment (if done by a caregiver or technician)
• Outpatient clinic
• Medical supply store or specialized service center

Personnel

Healthcare Professionals Involved:

• Trained wheelchair technicians
• Occupational therapists (if additional assessment is needed)

Risks and Complications

Common Risks:

• Improper installation leading to reduced functionality

Rare Risks:

• Mechanical failure if incorrect parts are used

Complications and Management:

• Subsequent adjustments may be needed to ensure optimal wheelchair performance

Benefits

Expected Benefits:

• Improved mobility and safety
• Enhanced stability and comfort during wheelchair use

Realization Timeline:

• Benefits are typically realized immediately upon replacement

Recovery

Post-procedure Care and Instructions:

• Test the wheelchair thoroughly to ensure proper function
• No additional special care required

Expected Recovery Time:

• Immediate usability of the wheelchair with the new caster tire

Restrictions or Follow-up Appointments:

• Regular checks for tire wear and maintenance as needed

Alternatives

Other Treatment Options:

• Retreading or repair of the existing caster tire (if feasible)
• Replacement of the entire wheelchair (for extensive wear and damage)

Pros and Cons Compared to Described Procedure:

• Retreading may be less expensive but is often less durable
• Full wheelchair replacement may be necessary for severe wear but is considerably more costly

Patient Experience

During the Procedure:

• The patient may experience mild disturbances due to wheel manipulations but no pain

After the Procedure:

• Improved comfort and ease in maneuvering the wheelchair
• Any previous issues related to the damaged caster tire should be resolved

Pain Management and Comfort Measures:

• Not applicable as the procedure is non-invasive