Name of the Procedure:

Positioning Wheelchair Back Cushion, Posterior, Width Less than 22 Inches, Any Height, Including any Type Mounting Hardware (E2613)

• Common Names: Wheelchair back cushion
• Technical Terms: Posterior wheelchair back cushion, HCPCS code E2613

Summary

A wheelchair back cushion is a supportive device mounted on the backrest of a wheelchair. Designed for enhanced comfort and proper positioning, this cushion supports the user's posture, helps prevent pressure sores, and accommodates various body shapes.

Purpose

The positioning wheelchair back cushion addresses conditions like poor posture, back pain, and pressure ulcers that can occur in long-term wheelchair users. The goal is to improve comfort, support proper spine alignment, and prevent skin breakdown and complications arising from prolonged sitting.

Indications

• Chronic back pain or discomfort
• Poor trunk control or posture
• Risk or presence of pressure ulcers
• Spinal deformities or conditions needing supportive cushioning
• Post-surgical support for back-related procedures

Preparation

• No significant pre-procedure preparation is typically needed.
• Review of the patient's medical history and physical assessment to determine the need and appropriate cushion type.

Procedure Description

1. Evaluation: Healthcare provider evaluates the patient's posture, spinal alignment, and specific needs.
2. Selection: Based on the evaluation, a suitable back cushion, less than 22 inches wide, is chosen.
3. Mounting: Using the included mounting hardware, the cushion is securely attached to the wheelchair's backrest.
4. Adjustment: Cushion and wheelchair are adjusted to fit the patient's body and posture needs.
5. Education: Patient or caregiver is instructed on how to maintain and adjust the cushion for ongoing use.

Duration

The procedure typically takes 30-60 minutes, including evaluation, selection, mounting, and adjustments.

Setting

This procedure can be performed in outpatient clinics, rehabilitation centers, or specialized medical equipment facilities.

Personnel

• Occupational therapists
• Physical therapists
• Rehabilitation specialists
• Medical equipment technicians

Risks and Complications

• Common Risks: Minor discomfort during initial adjustment period
• Rare Risks: Skin irritation if the cushion material is not hypoallergenic, improper mounting leading to poor posture

Benefits

• Improved comfort and reduced back pain while using the wheelchair
• Enhanced posture and spinal alignment
• Prevention of pressure sores and related complications
• Improved overall quality of life and mobility for wheelchair users
• Benefits are often realized immediately and improve over time with continued use

Recovery

• No significant recovery time is needed.
• Follow-up appointments may be scheduled to ensure the cushion's fit and effectiveness.
• Instructions may include routine checks and maintenance of the cushion.

Alternatives

• Standard wheelchair backrests without specialized cushioning.
• Custom-fitted cushions tailored to specific spinal deformities.
• Pressure-relieving cushions designed for specific medical conditions.
• Pros: Less expensive options without customization.
• Cons: May not offer the same level of support and comfort as a specialized back cushion.

Patient Experience

• The patient may feel immediate relief and comfort upon using the back cushion.
• Minimal to no pain is expected during the procedure.

• Ongoing comfort and better posture management measures are provided.

  Pain management and adjustments ensure the patient's comfort and continuous well-being.