Name of the Procedure:

Common Name: Rear Wheel Replacement Technical/Medical Term: Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each (HCPCS Code: K0070)

Summary

This procedure involves replacing the entire rear wheel assembly, including the pneumatic tire, spokes or molded components, typically on a wheelchair. It is done to ensure optimal functionality and safety of the wheelchair.

Purpose

Medical Conditions/Problems Addressed:

• Worn out or damaged wheelchair rear wheel assembly
• Flat or damaged tire

Goals/Expected Outcomes:

• Restore full functionality of the wheelchair
• Ensure patient safety and mobility
• Improve user comfort and usability

Indications

Symptoms/Conditions Warranting the Procedure:

• Difficulty maneuvering the wheelchair
• Noticeable wear or damage to the rear wheel or tire
• Decreased performance of the wheelchair

Patient Criteria:

• Individuals using a wheelchair with a replaceable rear wheel assembly
• Patients experiencing issues with their current rear wheel

Preparation

Pre-procedure Instructions:

• Ensure the wheelchair is clean and dry
• Remove any accessories attached to the rear wheel area
• Inform the maintenance personnel of any specific concerns or issues

Diagnostic Tests/Assessments:

• Visual inspection of the current rear wheel assembly
• Functional test to identify specific issues

Procedure Description

Step-by-Step Explanation:

1. Position the wheelchair securely and ensure it is stable.
2. Remove the old or damaged rear wheel assembly by releasing the locking mechanism.
3. If required, use appropriate tools to detach any components connected to the old wheel.
4. Align the new rear wheel assembly with the attachment points on the wheelchair.
5. Secure the new wheel in place using the locking mechanism, ensuring it is properly attached.
6. Test the wheelchair to confirm the new wheel operates correctly.

Tools/Equipment Used:

• Wheelchair-specific locking mechanism tools
• Replacement rear wheel assembly with pneumatic tire and spokes/molded components

Anesthesia/Sedation: Not applicable

Duration

The procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in a medical equipment service center or a specialized clinic.

Personnel

Healthcare Professionals Involved:

• Medical equipment technician
• Wheelchair specialist

Risks and Complications

Common Risks:

• Improper installation leading to decreased wheelchair performance
• Potential misalignment affecting wheelchair stability

Rare Risks:

• Damage to the wheelchair frame during installation

Complication Management:

• Re-inspection and adjustment of the wheel installation
• Consultation with a wheelchair specialist if issues persist

Benefits

Expected Benefits:

• Improved maneuverability and performance of the wheelchair
• Enhanced safety and comfort for the user

Timeline for Benefits: Benefits are typically realized immediately after the procedure.

Recovery

Post-Procedure Care:

• Regularly inspect the new wheel for signs of wear or damage
• Maintain proper tire inflation as per manufacturer guidelines

Expected Recovery Time:

• Immediate, with full functionality restored

Restrictions/Follow-Up:

• No specific restrictions; follow up with regular maintenance checks

Alternatives

Other Treatment Options:

• Repair of the existing wheel if feasible
• Replacement of the entire wheelchair if other components are also worn out

Pros and Cons of Alternatives:

• Repair may be less costly but may not ensure long-term reliability
• Full wheelchair replacement is more comprehensive but also more expensive

Patient Experience

What the Patient Might Experience:

• Minimal inconvenience during the wheel replacement
• Immediate improvement in the wheelchair’s performance

Pain Management and Comfort Measures:

• No pain associated with the procedure
• Ensure the wheelchair is properly adjusted for the user’s comfort post-installation.