K0069 Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each

HCPCS code

#### Name of the Procedure:
Rear Wheel Assembly, Replacement (HCPCS K0069)

#### Summary
This procedure involves replacing the rear wheel assembly of a wheelchair, including the solid tire and spokes or molded components.

#### Purpose
The procedure addresses the need to replace worn or damaged rear wheels to ensure the wheelchair remains safe and functional. The goal is to provide the wheelchair user with a reliable and smooth-operating mobility device.

#### Indications
- Worn-out or damaged rear wheels
- Compromised mobility due to faulty wheels
- Safety concerns from deteriorated wheels
- Enhancing the performance of the wheelchair

#### Preparation
- Ensure the wheelchair is clean and in a stable condition.
- Verify the specifications of the replacement wheel to match the original.
- No specific patient preparation needed, as this is a mechanical adjustment.

#### Procedure Description
1. Elevate the wheelchair and secure it to prevent movement.
2. Remove the old rear wheel assembly by loosening and detaching the axle.
3. Install the new rear wheel assembly, including the solid tire and spokes or molded components.
4. Ensure the wheel is securely attached and align properly.
5. Test the wheelchair for functionality and smooth operation.

Tools used: Wrenches, screwdrivers, and possibly a tire lever for solid tires.

#### Duration
The replacement typically takes 30 to 60 minutes.

#### Setting
Performed in a wheelchair repair facility or clinic, or at the patient's home by a mobile repair service.

#### Personnel
- Wheelchair repair technician
- Possibly a nurse or healthcare provider to assess the need for replacement

#### Risks and Complications
- Improper installation may lead to wheel misalignment
- Loose components may result in unsafe usage
- Potential damage to the wheelchair frame if not handled correctly

#### Benefits
- Improved safety and mobility
- Enhanced wheelchair performance
- Immediate benefits, as the wheelchair becomes operational right after completion.

#### Recovery
- No special care needed; the wheelchair is ready to use immediately.
- Routine checks advised to ensure bolts and components remain secure.

#### Alternatives
- Repairing the existing wheel if possible
- Replacing the entire wheelchair if multiple components are compromised
- Benefits of a new wheel include reliability and potentially longer lifespan; costs may vary.

#### Patient Experience
During the procedure, the patient may need to use a temporary mobility aid. After completion, the user should experience smoother and safer wheelchair operation. No pain or discomfort is expected from the procedure itself.

Medical Policies and Guidelines for Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each

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