Name of the Procedure:

Mobility: Walking & Moving Around Functional Limitation Assessment (HCPCS Code G8979)

Summary

This procedure involves assessing an individual's walking and mobility capabilities at different stages of their therapy. It helps to track the progress, set goals, and determine therapy needs for patients with mobility limitations.

Purpose

The procedure is designed to identify and address mobility limitations in patients, aiming to improve their walking and overall movement. The expected outcome is enhanced functional capacity and independence in daily activities.

Indications

• Difficulty in walking or moving around
• Post-surgical rehabilitation (e.g., knee or hip replacement)
• Mobility impairments due to neurological conditions (e.g., stroke, Parkinson's disease)
• Musculoskeletal disorders (e.g., arthritis)

Preparation

• No particular preparation required for the patient.
• Initial diagnostic assessments like strength tests or gait analysis may be conducted.

Procedure Description

1. Initial Assessment: A physical therapist evaluates the patient’s current mobility and records limitations in movement.
2. Goal Setting: Based on the initial findings, specific mobility goals are set for the therapy episode.
3. Interim Reporting: Periodic assessments are conducted to track progress and update goals as needed.
4. Final Evaluation: At discharge or the end of the reporting period, a final assessment is made to document any remaining limitations and progress achieved.

Tools Used:

• Gait analysis equipment
• Stopwatches or mobile apps for timing walking speed
• Physical therapy equipment for assisted walking/strength training

Duration

Each assessment session typically takes about 30-60 minutes.

Setting

The procedure is performed in outpatient clinics, rehabilitation centers, or hospital settings.

Personnel

• Physical therapists
• Rehabilitation specialists

Risks and Complications

• Minimal risks involved as the procedure is non-invasive.
• Potential for minor discomfort during assessments if mobility is significantly impaired.

Benefits

• Improved understanding of mobility limitations
• Tailored therapy plans to enhance walking and movement
• Better tracking of patient progress over time
• Potential for increased independence and quality of life

Recovery

• No specific recovery period required.
• Patients may need to follow physical therapy exercises and attend regular follow-up appointments.

Alternatives

• Occupational therapy for activities of daily living
• Use of mobility aids (e.g., walkers, wheelchairs)
• Surgical interventions if mobility limitations are due to structural issues (e.g., bone deformities)

Patient Experience

During the procedure, the patient might experience some physical exertion but should not feel significant pain. After the procedure, there might be mild fatigue. Pain management, if required, will largely depend on the underlying condition and may involve over-the-counter pain relievers or prescribed medications. Comfort measures include ensuring regular breaks and providing support during assessments.