Name of the Procedure:

Attention Functional Limitation, Discharge Status
Technical term: HCPCS Code G9167

Summary

This procedure assesses and records the discharge status relating to functional limitations of patients who are ending therapy or reporting periods. Essentially, it evaluates how well patients can function after completing therapy.

Purpose

Medical Conditions or Problems Addressed:

• Physical impairments due to injury or illness.
• Functional limitations impacting daily activities.

Goals or Expected Outcomes:

• To measure the improvement in patient's functional abilities.
• To report the functional status at the conclusion of therapy.
• To guide further treatment or home exercise programs if necessary.

Indications

Symptoms or Conditions Warranting the Procedure:

• Patients recovering from surgeries, injuries, or neurological conditions.
• Patients completing physical, occupational, or speech therapy programs.

Patient Criteria:

• Those who have undergone a period of structured therapy.
• Individuals ready for discharge from therapeutic care.

Preparation

Pre-Procedure Instructions:

• No specific preparation is required from the patient.

Diagnostic Tests or Assessments:

• Functional assessments used throughout the therapy program to track progress.

Procedure Description

Detailed Steps:

1. Completion of a standardized functional assessment.
2. Evaluation of the patient's ability to perform daily activities.
3. Documentation of the improvement or remaining limitations.

Tools, Equipment, or Technology Used:

• Functional assessment tools (e.g., questionnaires, performance-based tests).

Anesthesia or Sedation:

• Not applicable.

Duration

• The procedure typically takes around 15-30 minutes.

Setting

• Often performed in a therapy clinic, outpatient setting, or hospital.

Personnel

Healthcare Professionals Involved:

• Physical, occupational, or speech therapists.

Risks and Complications

Common and Rare Risks:

• Minimal risks involved, as it is a non-invasive procedure.
• Potential risk of misreporting if the assessment is not conducted accurately.

Possible Complications and Management:

• None significant. Any discrepancies in reporting can be clarified through follow-up evaluations.

Benefits

Expected Benefits:

• Provides an accurate measure of patient's functional improvement.
• Helps in planning future care or discharge instructions.

Timeline for Benefits:

• Immediate benefits upon completion and review of the assessment.

Recovery

Post-Procedure Care and Instructions:

• Follow the provided discharge instructions and home exercise programs if applicable.

Expected Recovery Time:

• Not applicable as it does not involve any recovery period.

Restrictions or Follow-Up Appointments:

• Follow-up appointments if additional therapy is recommended.

Alternatives

Other Treatment Options Available:

• Continued therapy or alternative therapeutic interventions.
• Functional assessments by other healthcare professionals.

Pros and Cons:

• This assessment provides a structured evaluation without additional procedures or risks.
• Alternatives might offer different perspectives but won't replace the continuous therapy assessments.

Patient Experience

During the Procedure:

• The patient undergoes simple functional tests and possibly answers a questionnaire.
• Zero pain or discomfort is expected.

After the Procedure:

• Summary of the assessment discussed with the patient.
• Pain management is generally not needed as it is a non-invasive procedure.