Name of the Procedure:

Power Wheelchair, Group 3 Very Heavy Duty, Captain's Chair
Technical Term: HCPCS Code K0853

Summary

This is a prescription for a specialized power wheelchair designed to support patients weighing between 451 to 600 pounds. It provides higher stability, enhanced mobility, and comfort through its captain's chair configuration.

Purpose

This power wheelchair is designed for individuals with mobility impairments due to severe physical conditions. The goal is to provide stable and efficient mobility, improve independence, and enhance the overall quality of life for patients who may otherwise be confined to a bed or regular chair.

Indications

• Severe mobility impairments caused by conditions such as muscular dystrophy, spinal cord injury, or severe arthritis.
• Patients requiring a very heavy-duty wheelchair for safe and effective mobility.
• Individuals whose body weight exceeds the capacity of standard wheelchairs but remain below 600 pounds.

Preparation

• Obtain a prescription from a healthcare provider.
• Undergo a mobility assessment by a certified medical professional, often including a physical therapist.
• Review insurance coverage and secure necessary approvals.
• No fasting or medication adjustments are typically required specifically for this procedure.

Procedure Description

1. Consultation and Prescription: A healthcare professional evaluates the patient's condition and necessity for a very heavy-duty power wheelchair.
2. Customization: The wheelchair is customized to fit the patient's specific needs, including adjustments to the seat, backrest, and controls.
3. Fitting and Training: The patient receives hands-on training on how to use the wheelchair safely and effectively.
4. Delivery: The equipped and customized wheelchair is delivered to the patient’s home or healthcare facility, often with a technician available for setup.

Duration

The entire process, from consultation to delivery, may take several weeks, although the fitting session can be completed in a few hours.

Setting

Typically performed in outpatient clinics, rehabilitation centers, or the patient's home for delivery and fitting.

Personnel

• Prescribing Physician
• Physical or Occupational Therapist
• Medical Equipment Provider Technicians

Risks and Complications

• Potential for pressure sores if not correctly fitted.
• Mechanical or electronic malfunctions requiring periodic maintenance.
• Risk of falls or injuries if used improperly.

Benefits

• Improved mobility and independence.
• Enhanced comfort with a robust and supportive captain's chair design.
• Increased participation in daily activities and social engagements.

Recovery

• No physical recovery required since this is a prescription process rather than a medical procedure.
• Regular follow-up visits with a healthcare provider to ensure optimal use and maintenance of the wheelchair.

Alternatives

• Manual Wheelchairs: Require patient or caregiver effort for mobility.
• Standard Power Wheelchairs: Suitable for patients with lower weight capacities.
• Mobility Scooters: Another option but often lack the customization and support for heavier weights.

Patient Experience

• Patients are likely to feel increased independence and comfort.
• Initial learning curve associated with navigating and controlling the power wheelchair.
• Any discomfort or issues should be promptly addressed by healthcare providers to ensure the best possible experience.