All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)
HCPCS code
Name of the Procedure:
Common Name: Energy Storing Foot Prosthesis
Technical Term: HCPCS L5976 - All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)
Summary
An energy-storing foot prosthesis is a specialized artificial limb designed to replace the lower extremity, specifically the foot, in individuals who have undergone an amputation. This prosthesis allows for better energy return during walking, providing a more natural and efficient gait.
Purpose
Medical Conditions: This prosthesis is used for individuals who have lost a foot due to trauma, disease, or congenital conditions.
Goals: To enhance mobility, provide stability, and enable a more natural walking pattern by storing and releasing energy with each step.
Indications
- Amputation of the lower extremity.
- Patients requiring improved mobility and energy efficiency in their prosthesis.
- Candidates who lead an active lifestyle or wish to enhance their walking ability.
Preparation
- A thorough medical examination and gait analysis.
- Custom fitting by a certified prosthetist.
- Potential pre-procedure imaging (e.g., X-rays) to assess the residual limb.
- Patients should discuss their mobility goals and lifestyle with their healthcare provider.
Procedure Description
- Assessment: A detailed evaluation of the patient's residual limb and mobility needs.
- Casting/Molding: Creating a custom mold of the residual limb to ensure a precise fit for the prosthesis.
- Fitting: The energy-storing foot prosthesis is custom manufactured and then fitted to the patient.
- Adjustment: Initial adjustments are made to ensure comfort and functionality.
- Training: The patient undergoes training sessions to learn how to walk effectively with the new prosthesis.
Tools/Equipment: Custom molds, casting materials, specialized prosthetic parts (e.g., Seattle Carbon Copy II foot), and fitting tools.
Anesthesia: Not typically required for fitting a prosthesis.
Duration
The fitting and adjustment process can take several hours over multiple sessions.
Setting
The procedure is typically performed in an outpatient clinic or specialized prosthetic center.
Personnel
- Certified Prosthetist
- Physical Therapist
- Orthopedic Specialist
Risks and Complications
- Pressure sores or irritation at the site of contact.
- Prosthesis malfunction or wear over time.
- Initial discomfort or lack of proper fitting needing adjustments.
Benefits
- Improved mobility and walking efficiency.
- Enhanced quality of life and ability to engage in physical activities.
- Reduced energy expenditure compared with traditional prosthetic feet.
Recovery
- Initial adaptation period of several weeks to a few months.
- Follow-up appointments for adjustments and monitoring.
- Regular physical therapy sessions to optimize gait and balance.
Alternatives
- Traditional prosthetic feet without energy-storing capabilities (may not offer the same efficiency or comfort).
- High-technology microprocessor-controlled prosthetic feet (which may offer enhanced features but at a higher cost).
Pros of Alternatives: Lower cost or potentially advanced features.
Cons of Alternatives: May not provide the same natural gait efficiency or energy return.
Patient Experience
During the adaptation period, patients may experience mild discomfort which typically diminishes over time. Adapting to the prosthesis involves learning how to walk properly to take full advantage of the energy-storing capabilities. Pain management and comfort measures include regular adjustments and consultation with the prosthetist and physical therapist.