Name of the Procedure:

Addition to lower extremity orthosis, non-corrosive finish, per bar (HCPCS Code: L2780)

Summary

This procedure involves adding a non-corrosive finish to the bars of a lower extremity orthosis, which is a custom-fitted device that's used to support, align, prevent, or correct deformities in the lower limbs. The non-corrosive finish helps protect the bars from rust and wear, extending the life of the orthosis.

Purpose

The primary goal of this procedure is to enhance the durability and functionality of a lower extremity orthosis. It addresses issues related to wear and tear of the orthotic device, ensuring that it remains effective over time.

Indications

• Patients who are using a lower extremity orthosis for conditions such as muscular dystrophy, cerebral palsy, stroke-related mobility issues, or post-surgical recovery.
• Significant wear or deterioration of the orthosis due to exposure to elements such as moisture, leading to corrosion of the metal bars.
• To prevent the need for frequent orthosis replacements, especially in individuals with long-term use.

Preparation

• No specific fasting or medication adjustments are typically required.
• A thorough assessment by an orthotist or physician to determine the condition of the current orthosis and need for the non-corrosive finish.
• Possible measurements and adjustments to ensure the orthosis fits properly after the addition.

Procedure Description

1. Assessment: The current orthosis is examined for signs of wear and corrosion.
2. Cleaning: The bars of the orthosis are cleaned to remove any dirt, debris, or existing rust.
3. Application: A non-corrosive finish is applied to the metal bars. This could involve coating or plating the bars with a rust-resistant material.

4. Final Adjustments: After the finish is applied, the orthosis is checked for proper alignment and fit, making any necessary adjustments.

   Tools/Equipment: Cleaning tools, non-corrosive coating materials, protective gear.

Duration

The procedure typically takes 1 to 2 hours, depending on the extent of the corrosion and the number of bars being treated.

Setting

This procedure is usually performed in an orthotics and prosthetics clinic.

Personnel

• Orthotist: Specializes in designing and fitting orthoses.
• Assistant: To help with the application of the non-corrosive coating and adjustments.

Risks and Complications

• Common: Minor irritation from the new finish, slight discomfort during adjustments.
• Rare: Allergic reaction to the coating material, improper fit leading to discomfort or further mobility issues.

Benefits

• Durability: Prolongs the life of the orthosis by preventing corrosion.
• Functionality: Ensures the orthosis continues to provide the necessary support and alignment.
• Cost-Effective: Reduces the frequency of needing a new orthosis.

Recovery

• Post-Procedure Care: Minimal; the patient can usually resume normal use of the orthosis immediately.
• Expected Recovery Time: Immediate, with no significant restrictions.
• Follow-Up: Routine check-ups to ensure the orthosis remains in good condition.

Alternatives

• New Orthosis: Replacing the old orthosis with a new one, which can be more costly.
• Regular Maintenance: Frequent checks and minor repairs to address corrosion before it becomes severe.
• Pros and Cons: Adding a non-corrosive finish is cost-effective and extends the life of the existing orthosis, whereas replacing the entire orthosis can be more expensive but may be necessary if the device is severely damaged.

Patient Experience

• During the Procedure: Minimal discomfort, mostly during the fitting and adjustment phase.
• After the Procedure: Immediate improvement in the durability and functionality of the orthosis.
• Pain Management: Usually, no significant pain management is required, but over-the-counter pain relief can be used if needed.