Name of the Procedure:

Common Name(s): Power wheelchair
Technical/Medical Term(s): Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds (HCPCS Code: K0856)

Summary

A power wheelchair is a motorized mobility device designed to assist patients with significant mobility impairments. The group 3 standard power wheelchair with a single power option includes a sling or solid seat and back support and accommodates patients weighing up to 300 pounds.

Purpose

Medical Conditions: This wheelchair is intended for individuals with severe mobility limitations due to conditions such as spinal cord injuries, advanced multiple sclerosis, muscular dystrophy, or other chronic neuromuscular disorders.
Goals/Expected Outcomes: The primary goal is to enhance the patient's mobility, independence, and quality of life by enabling them to move around more easily and safely.

Indications

Symptoms/Conditions:

• Severe loss of mobility due to neuromuscular disorders
• Permanent, non-recoverable mobility impairment
• Inability to use manual wheelchairs effectively

Patient Criteria:

• Weight capacity up to 300 pounds
• Need for customized seating and positioning to prevent pressure sores and other complications
• Necessary assessment by a healthcare professional confirming the requirement

Preparation

Pre-procedure Instructions:

• Patients should undergo a comprehensive mobility assessment by a specialized healthcare provider (e.g., physical therapist, occupational therapist).
• Discuss any current medications or medical conditions that could affect the fitting or operation of the wheelchair.

Diagnostic Tests/Assessments:

• Physical and functional assessment to determine appropriate wheelchair configuration and features.

Procedure Description

Step-by-Step Explanation:

1. Assessment: A mobility specialist assesses the patient's specific needs and physical condition.
2. Customization: The wheelchair is customized with a sling or solid seat/back to provide maximum comfort and support.
3. Training: The patient is trained on how to safely operate the wheelchair, including use of the power options and adjusting the seating.
4. Fitting: Final adjustments are made to ensure proper fit and functionality.
5. Delivery: The wheelchair is delivered and the patient receives detailed instructions on maintenance and troubleshooting.

Tools/Equipment Used:

• Power wheelchair base
• Sling or solid seat/back supports
• Battery and control system for power functions

Anesthesia/Sedation: Not applicable.

Duration

The entire process, from assessment to delivery, typically takes a few weeks. The fitting and training session can last 1-2 hours.

Setting

The assessment and fitting are usually performed in an outpatient clinic or specialized mobility center.

Personnel

Healthcare Professionals Involved:

• Physical Therapist or Occupational Therapist
• Mobility Specialist
• Technicians for customization and fitting

Risks and Complications

Common Risks:

• Discomfort or pressure sores from improper fit
• Mechanical or battery failures

Rare Risks:

• Severe injury from improper use or malfunction
• Allergic reactions to materials used in the seat or backrest

Management:

• Regular follow-ups and adjustments
• Prompt repair and maintenance services

Benefits

Expected Benefits:

• Improved mobility and independence
• Enhanced quality of life
• Reduced risk of pressure sores with proper seating

Realization Timeline:
Benefits can be experienced immediately after the patient becomes proficient in using the wheelchair.

Recovery

Post-procedure Care:

• Routine checks and maintenance of the wheelchair
• Regular follow-up appointments for adjustments and assessing any changes in the patient's condition

Expected Recovery Time: Immediate ability to use the wheelchair, but ongoing adjustment period for optimal use.

Restrictions/Follow-up:

• Follow the user manual and healthcare provider's instructions
• Regular scheduled follow-up for maintenance and adjustments

Alternatives

Other Treatment Options:

• Manual wheelchair
• Mobility scooters
• Advanced power wheelchairs (group 4 or 5)

Pros and Cons:

• Manual Wheelchairs: Lower cost, but require significant upper body strength
• Mobility Scooters: Easier to operate but less customizable and supportive
• Advanced Power Wheelchairs: More advanced features but at a higher cost

Patient Experience

During the Procedure:

• Mostly involves passive involvement during assessment and fitting
• Active participation during training sessions for using the wheelchair

After the Procedure:

• Initial adjustment period to become comfortable with the new chair
• Regular use of the wheelchair in daily activities
• Pain management generally not required, as the procedure is non-invasive

This markdown text provides a comprehensive guide to the HCPCS procedure for a power wheelchair (K0856). It covers all essential aspects, ensuring users get a clear understanding of what to expect and how it benefits them.