Name of the Procedure

Common name(s): Power wheelchair
Technical/medical term: Group 2 standard portable wheelchair with captain's chair, patient weight capacity up to 300 lbs (HCPCS code K0821)

Summary

This procedure describes obtaining a specialized power wheelchair designed for individuals who need mobility assistance with specific features like portability and a captain's chair for comfort.

Purpose

Medical conditions: This power wheelchair is designed for individuals with severe mobility impairments due to conditions such as advanced arthritis, neuromuscular disorders, spinal cord injuries, or other debilitating ailments.

Goals/Expected outcomes: The primary goal is to restore mobility, enhance the quality of life, and increase the independence of the patient.

Indications

Symptoms/Conditions: Candidates include individuals experiencing significant difficulty with ambulation, those who cannot operate standard mobility devices, or those requiring specialized seating and positional adjustments.

Patient criteria: Must weigh no more than 300 pounds and have a medical assessment indicating the necessity of a power wheelchair with the specific features provided by the K0821.

Preparation

Pre-procedure instructions:

• Ensure a full medical evaluation by a healthcare provider to confirm the need for this specific type of wheelchair.
• Verify insurance coverage and policies.
• Clearance and recommendation from a physical therapist or occupational therapist may also be required.

Diagnostic tests/assessments:

• Physical and functional mobility assessment.

• Home safety evaluation to ensure accommodation for the wheelchair.

Procedure Description

Steps involved:

• Patient consultation and measurement for proper wheelchair sizing.
• Configuration of the power wheelchair to meet the patient's specific needs.
• Training session on the operation and features of the power wheelchair.

Tools/Equipment:

• Group 2 standard power wheelchair with the captain’s chair.
• Tools for adjusting and customizing the wheelchair.

Anesthesia/Sedation: Not applicable as this is not a surgical procedure.

Duration

The entire process, from assessment to delivery and training, can take several weeks but the fitting and training session usually takes a few hours.

Setting

Typically performed in outpatient clinics, specialty medical supply stores, or at the patient's home during an in-home assessment and fitting.

Personnel

Healthcare professionals involved:

• Physical therapists or occupational therapists for functional assessment.
• Medical equipment specialists for wheelchair configuration.
• Healthcare providers for medical validation and prescription.

Risks and Complications

Common risks:

• Improper fit leading to discomfort or improper body support.
• Mechanical failures or malfunctions.

Possible complications:

• Skin breakdown due to improper seating.
• Increased dependency if not used appropriately.
• Mechanical repairs and maintenance issues.

Management: Regular follow-ups and reassessment, prompt mechanical servicing, and training for proper use.

Benefits

Expected benefits: Improved mobility and independence, enhanced quality of life, reduced physical strain on caregivers.

Timeliness of benefits: These can usually be realized immediately upon proper usage of the wheelchair.

Recovery

Post-procedure care:

• Regular maintenance of the wheelchair.
• Routine follow-up appointments for reassessment.
• Patient and caregiver education on safe operation and maintenance.

Expected recovery time: Not applicable.

Alternatives

Other treatment options:

• Manual wheelchairs.
• Scooters.
• Group 1 power wheelchairs or other mobility aids.

Pros and Cons:

• Manual wheelchairs: Require physical effort from the user.
• Scooters: Less customizable seating and positioning.
• Other power wheelchairs: May not have the specific features or portability of the K0821 model.

Patient Experience

During the procedure: The fitting and training process usually involves some physical assessment and learning, which patients generally find manageable.

After the procedure: Patients should experience increased comfort, mobility, and independence. Pain management is not typically necessary, though adjustments may be required for optimal comfort. Regular check-ins are recommended to ensure proper function and fit.