Name of the Procedure:

Power Wheelchair, Group 2 Heavy Duty, Captain's Chair, Patient Weight Capacity 301 to 450 Pounds (HCPCS Code: K0825)

Common Names:

• Heavy Duty Power Wheelchair
• Group 2 Power Wheelchair
• Motorized Wheelchair

Technical/Medical Term:

• Power wheelchair (Group 2, heavy duty, captain’s chair)

Summary

A power wheelchair is a motorized mobility device designed for individuals who have difficulty walking or are unable to walk due to medical conditions. The Group 2 heavy-duty power wheelchair with a captain's chair (K0825) supports a patient weight capacity of 301 to 450 pounds and provides increased durability and comfort compared to standard wheelchairs.

Purpose

The power wheelchair addresses mobility issues in patients with severe physical limitations. It aims to enhance independence, improve quality of life, and ensure safe and efficient movement for patients within their home and community.

Indications

• Severe physical disability that impairs the ability to walk
• Conditions such as muscular dystrophy, multiple sclerosis, or severe arthritis
• Patients weighing between 301 and 450 pounds who require a durable and supportive mobility solution

Preparation

• Obtain a medical evaluation and prescription from a healthcare provider discussing the need for a heavy-duty power wheelchair
• No specific fasting or medication adjustments are typically required
• Diagnostic tests might include assessments of mobility, strength, and cardiovascular health

Procedure Description

1. Assessment and Prescription: The patient's medical need for a power wheelchair is documented by a healthcare professional.
2. Selection and Customization: The appropriate Group 2 heavy-duty power wheelchair with a captain’s chair is chosen based on the patient's weight and comfort needs. Customizations and adjustments are made to optimize fit and function.
3. Order and Delivery: The wheelchair is ordered through a medical supplier and delivered to the patient's home.
4. Training: The patient and caregivers receive training on the operation, safety, and maintenance of the wheelchair.

Tools and Equipment:

• Power wheelchair with motors, battery, and captain’s chair
• Control panel or joystick for maneuvering
• Charger and maintenance tools

Anesthesia or Sedation:

• Not applicable

Duration

The entire process from assessment to delivery and training can take several weeks, depending on the availability of the specific wheelchair model and customization requirements.

Setting

• The assessment and prescription can occur in a healthcare provider's office or rehabilitation clinic.
• Delivery and initial training typically take place at the patient’s home.

Personnel

• Healthcare provider (e.g., physician, physical therapist)
• Medical equipment provider/technician
• Rehabilitation specialist for training

Risks and Complications

• Risk of improper fit or function leading to discomfort or pressure sores
• Potential mechanical failures requiring maintenance
• Possible difficulty in maneuvering in tight spaces or uneven terrain

Benefits

• Enhanced mobility and independence
• Improved quality of life and ability to perform daily activities
• Increased safety compared to manual wheelchairs for patients with significant weight and strength limitations

Recovery

• No recovery period is required; however, an initial adjustment period for the patient to become familiar with the wheelchair is expected
• Regular maintenance and periodic check-ups are recommended to ensure optimal functioning

Alternatives

• Manual wheelchairs (may not be suitable for patients needing heavy-duty support and motorized functions)
• Mobility scooters (offering less customization and support compared to power wheelchairs)
• Home modifications, physical therapy, or personal care aides to support mobility

Patient Experience

• The patient will experience significant improvement in mobility and independence once they acclimate to the power wheelchair.
• Initial training sessions will help in learning the controls and ensuring comfort.
• Pain management and comfort measures include ergonomic adjustments and periodic reassessment of fit.