Name of the Procedure:

Transfer of an Orthosis from One Shoe to Another, Solid Stirrup, Existing (HCPCS Code L3620)

Summary

This procedure involves transferring an existing orthotic device—a solid stirrup—from one shoe to another. This might be done to accommodate a new shoe purchase or to ensure the orthosis provides proper support in a different pair of shoes.

Purpose

This procedure addresses the need for continuous orthopedic support by ensuring that the orthotic device can be used in multiple pairs of shoes. It helps manage conditions that require consistent foot and ankle support, such as certain deformities, injuries, or chronic conditions.

Indications

• Need to switch orthotic support to a new pair of shoes
• Wear and tear of the previous shoe requiring replacement
• Recommendation by a healthcare provider to use the orthosis with different footwear based on the patient's activity needs

Preparation

• No special fasting or medication adjustments are typically needed
• The patient should bring both the old and new shoes to the appointment
• Any recent changes in foot or orthotic needs should be communicated to the healthcare provider

Procedure Description

1. The patient sits comfortably with both the old and new shoes available.
2. The orthotic device (solid stirrup) is carefully removed from the old shoe.
3. Necessary adjustments are made to the orthosis to ensure it fits properly in the new shoe.
4. The orthosis is then securely attached to the new shoe, ensuring its proper alignment and function.
5. The provider checks the shoe fit to confirm comfort and effectiveness.

Tools and Equipment:

• Hand tools (e.g., screwdriver, wrenches) depending on the type of orthosis
• Measuring tape to ensure precise fit
• Possible adhesives or additional supportive materials

Anesthesia or Sedation:

• Not required for this procedure

Duration

Approximately 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a specialized orthopedic shoe store.

Personnel

• Certified Orthotist or Pedorthist
• Orthopedic Technician or Assistant

Risks and Complications

• Minimal risks generally associated with the procedure
• Possible discomfort if the orthosis is not fitted properly
• Rare risk of minor injury during transfer, such as pinching

Benefits

• Immediate use of the orthosis with new shoes
• Continued orthopedic support without the need for a new orthotic device
• Improved comfort and mobility with new, properly fitted shoes

Recovery

• No specific recovery period is needed
• Follow any provided instructions for shoe usage
• Report any discomfort or issues with fit to your provider

Alternatives

• Purchasing a new orthosis for the new pair of shoes
• Using a universal orthotic device designed to fit multiple shoes

Pros and Cons of Alternatives:

• New orthotic devices can be costly but might be tailored for better fit.
• Universal devices offer flexibility but might not provide the same level of support.

Patient Experience

During the procedure, the patient should feel minimal discomfort as it mainly involves shoe and orthosis adjustment. After the procedure, the patient may need to walk and test the fit for comfort. Any discomfort should be manageable and typically resolves quickly.

Pain management and comfort measures include:

• Ensuring shoes with the transferred orthosis are comfortable and well-padded
• Following any guidance on breaking in new shoes with the orthosis to avoid foot pain