Name of the Procedure:

Orthotic Side Bar Disconnect Device, Per Bar (HCPCS Code L2768)

Summary

An orthotic side bar disconnect device makes it easier for patients to engage or disengage the side parts (bars) of their orthotic device. This makes the orthosis more adaptable and user-friendly for everyday activities.

Purpose

Orthotic side bar disconnect devices are used to enhance the functionality and flexibility of orthotic supports, often used in treating joint or limb conditions. The goal is to provide ease of use and improved mobility for the patient.

Indications

• Patients requiring orthotic devices for limb or joint support
• Individuals needing customizable orthotic adjustability for activities
• Patients with limited mobility or dexterity who find it difficult to maneuver traditional orthoses

Preparation

• No specific fasting or medication adjustments are generally required.
• A comprehensive fitting and assessment by an orthotist to customize the orthotic device and side bar disconnect.

Procedure Description

1. The orthotist will take measurements and design the orthotic device to fit the patient’s specific anatomy.
2. The side bar disconnect mechanism is incorporated into the orthosis.
3. The device is then adjusted to ensure ease of connection and disconnection of the side bars.
4. The patient is instructed on how to use the disconnect feature safely and effectively.

Duration

The fitting and adjustment procedure typically takes about 30 minutes to an hour.

Setting

This procedure is usually performed in an orthotic clinic or outpatient setting.

Personnel

The primary healthcare professional involved is an orthotist. In some cases, a physical therapist may also be involved to educate the patient on the usage and benefits.

Risks and Complications

• Improper fitting can cause discomfort or exacerbate existing conditions.
• Mechanical failure of the disconnect device, though rare, is possible.
• Minor skin irritation where the device comes into contact with the skin.

Benefits

• Easy engagement/disengagement of orthotic side bars.
• Increased user independence and mobility.
• Enhanced comfort and adaptability of orthotic support during various activities.

Recovery

• Usually, no downtime is required.
• Follow-up appointments may be scheduled to ensure the device functions correctly and to make any necessary adjustments.

Alternatives

• Traditional orthotic devices without the disconnect feature.
• Custom orthoses designed for specific activities but lacking in adaptability. Comparatively, alternatives may not offer as much convenience or user-friendliness.

Patient Experience

• The procedure is painless and non-invasive.
• Some patients may experience a learning curve in using the disconnect feature effectively.
• Pain management and comfort measures are typically not necessary, although mild adjustments may be needed initially.