Name of the Procedure:

Changing & Maintaining Body Position Functional Limitation Assessment - HCPCS Code: G8982

Summary

The Changing & Maintaining Body Position functional limitation assessment evaluates a patient's ability to change and maintain body positions. This includes evaluating how well a patient can transition from lying down to sitting, sitting to standing, and maintaining those positions safely and effectively.

Purpose

This procedure addresses issues related to mobility and positioning, often seen in patients recovering from surgeries, injuries, or dealing with chronic conditions. The goals are to establish baseline functional abilities, monitor progress during treatment, and determine the effectiveness of therapeutic interventions.

Indications

• Patients experiencing difficulty or pain with changing and maintaining body positions.
• Conditions such as arthritis, muscular dystrophy, post-stroke rehabilitation, spinal injuries, and after orthopedic surgeries.
• Assessment for frail elderly patients at risk of falls.

Preparation

• No specific pre-procedure instructions for the patient, although they should wear comfortable clothing.
• A comprehensive medical history and physical examination.
• Baseline functional tests may be performed as part of the pre-assessment.

Procedure Description

1. Initial assessment by a physical therapist or other qualified healthcare professional.
2. Patients are guided through various movements and positions (e.g., lying down, sitting, standing).
3. Observation and documentation of the patient's ability to perform and maintain each position.
4. Use of standardized scales and tools to rate functional limitations.
5. Establishment of baseline scores to set therapy goals and monitor progress.

Duration

The initial assessment typically takes 30 to 60 minutes.

Setting

The procedure is performed in settings such as hospitals, outpatient clinics, or rehabilitation centers.

Personnel

The assessment is conducted by physical therapists, occupational therapists, or other qualified healthcare professionals.

Risks and Complications

• Minimal risks associated since it is a non-invasive assessment.
• Potential for discomfort or minor pain during certain movements, managed by immediate adjustments and support.

Benefits

• Provides a clear picture of the patient's functional limitations.
• Helps in setting realistic therapy goals and tracking improvement.
• Informs the development of personalized rehabilitation programs.

Recovery

• No recovery time as it is an assessment, not an intervention.
• Depending on the findings, patients may receive further therapeutic exercises or interventions.

Alternatives

• Other functional assessments focusing on different aspects of mobility and activities of daily living.
• In some cases, imaging studies or other diagnostic tests may complement the findings.

Patient Experience

• Patients may experience effort and strain typical of a fitness test, but the process is generally well-tolerated.
• Pain management, if necessary, will involve rest periods and modifications to the assessment process to ensure comfort.