Name of the Procedure:

Extra heavy duty wheelchair (K0007)

Common Name(s): Extra heavy-duty wheelchair, Bariatric wheelchair
Technical Terms: HCPCS code K0007, Bariatric manual wheelchair

Summary

An extra heavy-duty wheelchair is designed to accommodate individuals who require a more robust and durable mobility aid due to a higher body weight. These wheelchairs are constructed with stronger materials to provide enhanced support and comfort.

Purpose

The extra heavy-duty wheelchair assists individuals with mobility impairments, specifically those who are heavier and need the added strength and support. It aims to improve the user's mobility and independence while ensuring safety and comfort.

Indications

• Individuals with severe mobility impairments.
• Patients with a body weight that exceeds the capacity of standard wheelchairs.
• Conditions like obesity, severe arthritis, paraplegia, or muscular dystrophy which require greater support.

Preparation

• No specific fasting or medication adjustments are typically required.
• Assessment by a healthcare provider to determine the appropriate type and specifications of the wheelchair.
• Measurements for customization, ensuring the wheelchair fits the patient’s body dimensions and weight appropriately.

Procedure Description

1. Medical Evaluation: A healthcare provider evaluates the patient’s weight, height, and specific needs.
2. Customization: The wheelchair is ordered or adjusted according to the patient’s measurements and requirements.
3. Fitting: During fitting, adjustments are made to ensure the wheelchair provides optimal support and comfort.
4. Training: The patient and caregivers receive instructions on safely using and maintaining the wheelchair.

Tools and Equipment:

• Measurement tools.
• Adjustable parts for customization.
• Heavy-duty materials including reinforced frames, larger wheels, and stronger seating materials.

Anesthesia or Sedation: Not applicable.

Duration

The fitting and adjustment process typically takes 1 to 2 hours.

Setting

Performed in a clinical setting, rehabilitation center, or at a specialty wheelchair provider.

Personnel

• Occupational therapists
• Rehabilitation specialists
• Specialty wheelchair technicians

Risks and Complications

• Pressure sores from prolonged sitting.
• Mechanical failure if not properly maintained.
• Potential difficulty if the wheelchair is too heavy to transport or maneuver.

Benefits

• Enhanced mobility, independence, and quality of life.
• Increased safety and comfort due to the robust design.
• Immediate improvement in mobility experienced upon receiving and correctly using the wheelchair.

Recovery

• Immediate usage post fitting.
• Instructions on regular maintenance.
• Follow-up appointments as needed for adjustments or repairs.

Alternatives

• Standard manual wheelchairs (may not provide adequate support for heavier users).
• Motorized wheelchairs (more expensive, less physically demanding).
• Mobility scooters (less suitable for indoor use or individuals requiring specific seating support).

Patient Experience

Patients might initially feel discomfort during the fitting and adjustment phase as they get accustomed to the new wheelchair. However, proper training and adjustments greatly enhance comfort and ease of use. Pain management typically isn’t an issue, but psychological support may be provided to assist with adapting to the new mobility aid.