Name of the Procedure:

Power Wheelchair, Group 3 Standard, Captain's Chair (Medical HCPCS Code: K0849)

Summary

A Group 3 power wheelchair equipped with a captain's chair, designed for individuals with medical conditions that severely impair their mobility. This wheelchair provides a motorized mode of transport for patients weighing up to and including 300 pounds.

Purpose

Medical Conditions or Problems Addressed:

• Severe mobility impairments due to neurological, muscular, or skeletal conditions.

Goals or Expected Outcomes:

• Enhanced mobility and independence.
• Improved quality of life.

Indications

Specific Symptoms or Conditions:

• Non-ambulatory patients.
• Patients with reduced manual dexterity or strength.
• Conditions such as quadriplegia, severe arthritis, or advanced multiple sclerosis.

Patient Criteria:

• Must have a physician's prescription.
• Must meet Medicare or insurance criteria for a Group 3 power wheelchair.

Preparation

Pre-procedure Instructions:

• Obtain a proper medical evaluation.

• Ensure an assessment by a physical or occupational therapist.

  Diagnostic Tests or Assessments:

• Mobility assessment.
• Home environment evaluation for accessibility.

Procedure Description

Steps:

1. Evaluation & Prescription: Physician consults with patient and prescribes the wheelchair if criteria are met.
2. Insurance Approval: Paperwork is submitted to insurance for coverage approval.
3. Customization: Adjustments are made to fit the chair to the patient's specific needs.
4. Delivery & Setup: The wheelchair is delivered to the patient’s home or care facility and set up by a professional.

5. Training: Patient and caregivers receive training on operation and maintenance.

   Tools, Equipment, or Technology Used:

   • Group 3 standard power wheelchair with captain's chair.
   • Adjusting tools.
   • Instructional materials.

Anesthesia or Sedation Details:

• Not applicable.

Duration

• The entire process from evaluation to delivery may take several weeks, depending on insurance approval time.

Setting

• Evaluation at a medical office.
• Training and delivery at the patient's home or care facility.

Personnel

• Physician.
• Physical or occupational therapist.
• Medical equipment supplier.
• Delivery technician.

Risks and Complications

Common Risks:

• Battery failure.
• Mechanical issues.

Rare Risks:

• Pressure sores from prolonged use without proper repositioning.

  Management:

• Regular maintenance.
• Proper training in use and care.

Benefits

Expected Benefits:

• Improved mobility.
• Increased independence.
• Greater participation in daily activities.

Realization Time:

• Immediate upon effective use and training.

Recovery

Post-procedure Care and Instructions:

• Regularly charge the wheelchair.
• Routine maintenance checks.
• Follow-up visits with healthcare provider as needed.

Expected Recovery Time:

• Not applicable as this is a long-term mobility aid.

Restrictions or Follow-Up Appointments:

• Regular check-ins to address any issues.

Alternatives

Other Treatment Options:

• Manual wheelchair.

• Group 2 power wheelchair.

  Pros and Cons:

• Manual Wheelchair: Less expensive but requires upper body strength.
• Group 2 Power Wheelchair: Suitable for less severe mobility impairments, but offers fewer features.

Patient Experience

During the Procedure:

• Initial setup and training period.

After the Procedure:

• Increased ease of movement.

• Potential need for periodic maintenance.

  Pain Management and Comfort Measures:

• Proper seat cushioning to prevent discomfort.
• Adaptive controls and positioning adjustments for optimal comfort.