Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
HCPCS code
Power Wheelchair, Group 2 Heavy Duty, Single Power Option, Captain’s Chair (K0838)
Name of the Procedure:
Common Name: Power Wheelchair Technical Term: Group 2 Heavy Duty Power Wheelchair with Single Power Option and Captain’s Chair Medical Code: HCPCS K0838
Summary
A heavy-duty power wheelchair equipped with a single powered function and a captain's chair, designed to assist individuals with mobility challenges who weigh between 301 to 450 pounds.
Purpose
This procedure addresses mobility issues in patients with severe physical disabilities and significant weight. The goal is to enhance independence, improve quality of life, and facilitate ease of movement both indoors and outdoors.
Indications
- Severe mobility impairment due to neuromuscular diseases, musculoskeletal conditions, or severe arthritis.
- Requirement for increased durability and weight capacity in a power wheelchair.
- Need for a powered seating option, such as tilt or recline, for positioning and pressure relief.
Preparation
- Conduct a thorough physical and mobility assessment.
- Evaluate the patient's home environment for accessibility.
- Insurance verification and authorization may be required.
- Educate the patient on wheelchair maintenance and operation.
Procedure Description
- Assessment: A healthcare provider assesses the patient's condition and mobility needs.
- Customization: The wheelchair is customized to fit the patient's body dimensions and specific needs.
- Delivery: The wheelchair is delivered and adjusted by a professional for optimal comfort and functionality.
- Training: The patient and caregivers are trained on the use, care, and maintenance of the wheelchair.
- Follow-Up: Periodic evaluations to ensure the wheelchair continues to meet the patient’s needs.
Duration
The entire process, from assessment to training, can span from a few days to a few weeks, depending on the complexity of customizations and insurance approvals.
Setting
- Outpatient clinic
- Patient’s home
- Durable Medical Equipment (DME) provider’s facility
Personnel
- Physical Therapist
- Occupational Therapist
- DME Provider Technician
- Rehabilitation Specialist
Risks and Complications
- Battery malfunction or failure.
- Mechanical breakdowns.
- Pressure sores from prolonged sitting.
- Risk of tipping or falling if operated on uneven surfaces.
Benefits
- Increased independence and mobility.
- Enhanced comfort and support with a captain's chair.
- Customized fit for better posture and ergonomics.
- Ability to perform daily activities with greater ease.
Recovery
- No medical recovery required, but adaptation to the new wheelchair may take a few days to weeks.
- Regular follow-up appointments to assess and adjust the wheelchair as needed.
Alternatives
- Manual wheelchair: Less expensive but requires significant upper body strength.
- Scooter: Less customized but more affordable and easier to transport.
- Group 3 Power Wheelchair: More advanced features but higher cost and complexity.
Patient Experience
Patients may initially feel overwhelmed due to the adjustments required for operating the new wheelchair. However, with proper training and support, they will experience increased ease of movement, independence, and improved quality of life. Pain management is usually not a concern, but comfort measures include adjusting the chair settings to prevent pressure sores.