Name of the Procedure:

Transfer of an Orthosis from One Shoe to Another, Caliper Plate, New (HCPCS Code: L3610)

Summary

This procedure involves transferring an existing orthosis — a custom support device — from an old shoe to a new shoe using a caliper plate. The orthosis helps improve foot function and alignment for individuals with foot and ankle issues.

Purpose

The transfer of an orthosis to a new shoe aims to maintain or enhance foot stability and comfort as the patient's footwear changes. It's typically done to ensure the orthotic device continues to provide effective support and to prolong the functional life of the orthosis.

Indications

• Patients with existing orthoses who require a transfer to new footwear.
• Conditions such as plantar fasciitis, flat feet, high arches, or tendonitis.
• Individuals who have experienced wear and tear on their current orthosis or shoe.

Preparation

• No specific fasting or medication adjustments required.
• Patients should bring the new shoes to their appointment.
• Basic diagnostic assessments might be performed to reassess alignment and fit.

Procedure Description

1. Assessment: The healthcare professional inspects both the old and new shoes.
2. Extraction: The orthosis is carefully removed from the old shoe without damaging it.
3. Preparation: The caliper plate is prepared and adjusted to fit the new shoe.
4. Transfer: The orthosis is inserted into the new shoe and secured with the caliper plate.
5. Adjustment: Final adjustments are made to ensure optimal comfort and functionality.

Tools and Equipment:

• Caliper plate
• Hand tools for fitting
• Orthotic measuring instruments

Anesthesia: Not applicable for this procedure.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Usually performed in an outpatient clinic or orthopedic office.

Personnel

• Orthotist or orthopedic specialist
• Medical assistant (if necessary)

Risks and Complications

• Minor discomfort during adjustment period.
• Rarely, misalignment of the orthosis could cause temporary discomfort or foot pain.
• Adjustments may be needed after the initial fitting.

Benefits

• Immediate resumption of orthotic support in new footwear.
• Continued pain relief and improved foot mechanics.
• Extended usability of the existing orthosis.

Recovery

• Immediate use of the new shoe with the transferred orthosis.
• Initial adjustment period where slight discomfort might occur.
• Follow-up appointment may be scheduled to ensure proper fit and comfort.

Alternatives

• Fabrication of a new orthosis.
• Use of prefabricated insoles or over-the-counter orthotic supports.
• Direct purchase of new shoes with built-in orthotic features.

Pros and Cons of Alternatives:

• New orthosis: More costly but custom-fitted.
• Prefabricated insoles: Less expensive but may not provide perfect fit and support.
• Shoes with built-in orthotics: Convenient but might not match the custom support of an orthosis.

Patient Experience

• The patient might feel slight pressure or discomfort initially as they adjust to the new shoe.
• Comfort and pain relief are usually realized promptly.
• Any pain or discomfort can be managed with simple adjustments and follow-up care, ensuring comfort and efficacy.