Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
HCPCS code
Name of the Procedure:
Common Names: Power Wheelchair
Technical/Medical Term: Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS Code: K0848)
Summary
A power wheelchair designed for individuals with mobility impairments. It features a durable sling or solid seat and back, and can support patients weighing up to 300 pounds. This wheelchair is typically used in both indoor and outdoor settings.
Purpose
Medical Conditions: Enhances mobility for individuals with severe physical disabilities, such as those caused by spinal cord injuries, neuromuscular diseases, or severe arthritis.
Goals/Outcomes: To improve independence, facilitate daily activities, and enhance quality of life by providing greater mobility.
Indications
Symptoms/Conditions:
- Severe mobility impairment
- Progressive neuromuscular diseases
- Spinal cord injuries
- Severe arthritis or joint deformities
Patient Criteria:
- Weight up to 300 pounds
- Inability to self-propel a manual wheelchair
- Medical necessity for enhanced mobility support
Preparation
Pre-Procedure Instructions:
- Consultation with a mobility specialist or physical therapist
- Medical assessment to confirm the necessity
- Possible home environment evaluation to ensure accessibility
Diagnostic Tests/Assessments:
- Physical and functional status evaluation
- Evaluation of the patient's ability to operate the wheelchair safely
Procedure Description
Step-by-Step Explanation:
- Assessment: Detailed evaluation by a mobility specialist.
- Prescription: A healthcare provider writes a prescription for the power wheelchair.
- Customization: The wheelchair is customized to meet the specific needs of the patient.
- Training: The patient receives training on the safe operation of the wheelchair.
- Delivery: The wheelchair is delivered to the patient’s home, and final adjustments are made if necessary.
Tools/Equipment Used:
- Power wheelchair with sling/solid seat/back
- Customization tools for fitting adjustments
Anesthesia/Sedation: Not applicable.
Duration
Typical Duration: The assessment, prescription, customization, and training process can take several weeks.
Setting
Where Performed:
- Outpatient clinic
- Medical supply store
- Patient's home (for delivery and setup)
Personnel
Healthcare Professionals Involved:
- Physician or healthcare provider
- Mobility specialist or physical therapist
- Medical equipment supplier
Risks and Complications
Common Risks:
- Potential for pressure sores if not correctly fitted
- Mechanical failure Rare Risks:
- Injury from improper use Management: Regular maintenance and training to mitigate risks.
Benefits
Expected Benefits:
- Improved mobility and independence
- Enhanced quality of life Timelines: Benefits are usually immediate upon successful training and usage.
Recovery
Post-Procedure Care:
- Regular maintenance of the wheelchair
- Follow-up appointments to adjust fit and functionality
Recovery Time: No physical recovery time needed.
Restrictions/Follow-Up:
- Adherence to operation safety guidelines
- Periodic evaluations for adjustments and maintenance
Alternatives
Other Treatment Options:
- Manual wheelchair
- Power scooter
Pros and Cons:
- Manual Wheelchair: Less expensive, but requires upper body strength.
- Power Scooter: Easier to transport, but less supportive for severe disabilities.
Patient Experience
During Procedure:
- Initial fitting and consultation may include minor discomfort from adjustments.
After Procedure:
- Typically improved mobility and independence
- Potential initial discomfort from getting accustomed to the new wheelchair Pain Management/Comfort: Typically not needed but pain from improper fit or pressure sores can occur, which should be promptly addressed.