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Detachable, adjustable height armrest, upper portion, replacement only, each

HCPCS code

Name of the Procedure:

Detachable, adjustable height armrest, upper portion, replacement only, each (K0018)
Common Name: Armrest Replacement
Technical Term: Detachable, adjustable height armrest upper portion replacement

Summary

An armrest replacement involves removing the old or damaged upper portion of a wheelchair armrest and replacing it with a new, adjustable height armrest. This replacement helps maintain comfort and functionality for wheelchair users.

Purpose

The procedure addresses issues related to worn out, damaged, or uncomfortable wheelchair armrests. The goal is to improve the user’s comfort, support, and mobility by providing a more customizable armrest solution.

Indications

  • Worn out or damaged wheelchair armrests
  • Discomfort or pain from current armrest
  • Need for an adjustable height armrest for better ergonomics and support
  • Enhancing overall wheelchair functionality and user comfort

Preparation

  • Ensure the replacement armrest is compatible with the wheelchair model.
  • Gather necessary tools for the procedure (e.g., screwdrivers, wrenches).
  • No specific pre-procedure instructions like fasting or medication adjustments.

Procedure Description

  1. Position the wheelchair securely to prevent movement.
  2. Remove the existing upper portion of the armrest by unscrewing or unlocking it according to the wheelchair’s design.
  3. Align the new, adjustable height armrest with the attachment points on the wheelchair.
  4. Secure the new armrest in place using tools as needed, ensuring it is firmly attached.
  5. Adjust the armrest to the desired height for user comfort and functionality.
  6. Test the stability and adjustability of the armrest to ensure proper installation.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The procedure can be performed at home, in a wheelchair repair shop, or a healthcare facility like an outpatient clinic.

Personnel

No specialized healthcare professionals required; can be performed by a caregiver, family member, or wheelchair technician.

Risks and Complications

  • Incorrect installation leading to instability or discomfort
  • Potential for minor injuries during the replacement process (e.g., pinched fingers)
  • Rare risk of damaging the wheelchair frame

Benefits

  • Improved comfort and support for the wheelchair user
  • Enhanced adjustability for better ergonomics
  • Prolonged lifespan and functionality of the wheelchair

Recovery

  • Immediate use of the wheelchair is expected post-procedure.
  • No special post-procedure care required.
  • Immediate improvement in comfort and support with no significant recovery time.

Alternatives

  • Repairing the existing armrest if possible
  • Using padded covers or additional cushions as a temporary solution
  • Replacing the entire armrest assembly or opting for different types of armrests

Patient Experience

During the procedure, the wheelchair user may need to temporarily use another seating arrangement or slightly shift positions.
After the procedure, the user should experience enhanced comfort and support with the new armrest. No significant pain or discomfort expected.

Medical Policies and Guidelines for Detachable, adjustable height armrest, upper portion, replacement only, each

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