Name of the Procedure:

Positioning Wheelchair Seat Cushion, Width 22 Inches or Greater, Any Depth (HCPCS Code: E2606).

Summary

The positioning wheelchair seat cushion is designed to support individuals who use wheelchairs by providing enhanced comfort and proper seating posture. It aids in preventing pressure sores and promotes better distribution of body weight.

Purpose

The seat cushion is primarily used to assist individuals with limited mobility who spend extended periods in a wheelchair. The goals are to improve comfort, enhance posture, reduce the risk of pressure ulcers, and evenly distribute body weight to prevent discomfort and potential injuries.

Indications

• Difficulty maintaining proper seating posture.
• History of pressure sores or ulcers.
• Conditions requiring prolonged wheelchair use (e.g., spinal cord injury, multiple sclerosis, and cerebral palsy).
• Need for customized seating support due to body morphology.

Preparation

• No special preparation is required for the patient.
• Assessment by a healthcare professional to determine the appropriate cushion size and type based on the individual's needs.
• Measurement of the wheelchair’s seating area to confirm the 22-inch width or greater requirement.

Procedure Description

1. Selection of the appropriate cushion based on patient assessment.
2. Placement of the cushion on the wheelchair seat, ensuring it fits properly.
3. Adjustments and securement of the cushion to prevent movement during use.

4. Patient positioning on the cushion to confirm comfort and proper alignment.

   • Tools: Measuring tape, the selected wheelchair seat cushion.
   • No anesthesia or sedation involved.

Duration

The procedure typically takes 15-30 minutes, including assessment, cushion selection, and installation.

Setting

The procedure can be performed in various settings such as a hospital, outpatient clinic, rehabilitation center, or even at home with guidance from a healthcare professional.

Personnel

• Physical Therapist
• Occupational Therapist
• Assistive Technology Professional (ATP)
• Rehabilitation Specialist

Risks and Complications

• Minimal risks are involved.
• Potential discomfort if the wrong size or type of cushion is used.
• Possible skin irritation if not properly maintained.

Benefits

• Enhanced comfort and seating posture.
• Risk reduction of developing pressure sores.
• Better distribution of body weight, preventing discomfort.
• Immediate benefits realized upon proper seating.

Recovery

• No recovery period is necessary.
• Post-procedure care includes routine checks to ensure the cushion remains in good condition.
• Follow-up appointments as needed to reassess seating needs.

Alternatives

• Standard wheelchair cushions (may not provide customized support).
• Air or gel cushions (varying support and comfort).
• Custom-molded seating systems (may offer higher degree of customization but can be more expensive).

Patient Experience

• Patients should feel immediate comfort and improved seating posture.
• Continuous comfort during prolonged wheelchair use.
• Minimal to no pain; if discomfort arises, it can often be managed by adjusting the cushion or selecting a different type.