Name of the Procedure:

Upper Extremity Addition, Lift Assist for Elbow (HCPCS Code L6635)

Summary

This procedure involves adding a specialized device that assists with lifting and moving the elbow. It typically helps individuals who have limited muscle strength or mobility issues in their upper extremities.

Purpose

The purpose of this procedure is to aid individuals with conditions that impair their ability to lift or move their elbow due to muscle weakness or joint problems. The goal is to enhance their functionality, reduce discomfort, and improve overall quality of life.

Indications

• Muscle weakness due to conditions like muscular dystrophy or amyotrophic lateral sclerosis (ALS).
• Joint issues stemming from arthritis or injury.
• Patients who have undergone surgery and require support during the rehabilitation process.
• Neurological conditions that affect motor skills, such as stroke or multiple sclerosis.

Preparation

• No specific fasting required.
• Patients may need to adjust medications based on physician instructions.
• A thorough medical history and physical examination.
• Diagnostic tests such as X-rays or MRI may be conducted to assess the condition of the elbow and surrounding tissues.

Procedure Description

1. The patient is comfortably positioned.
2. The healthcare provider evaluates the elbow's range of motion and strength.
3. A custom-fitted lift assist device is prepared.
4. The device is carefully affixed to the patient's elbow using adjustable straps or attachments.
5. The range of motion is tested to ensure the device is correctly fitted and functioning.
6. Instructions on how to use the device are provided to the patient and caregivers.

Tools and Equipment: Lift assist device specifically designed for the elbow, adjustable straps or attachments.

Anesthesia: Generally, no anesthesia or sedation is required for fitting the device.

Duration

The fitting and adjustment process typically takes about 30 to 60 minutes.

Setting

This procedure is usually performed in an outpatient clinic, rehabilitation center, or orthopedic clinic.

Personnel

• Orthopedic surgeon or specialized physician
• Rehabilitation specialist or occupational therapist
• Nurse or medical assistant

Risks and Complications

• Minor skin irritation or pressure sores from the device
• Discomfort or improper fit requiring adjustment
• Increased pain if not properly fitted and used correctly

Benefits

• Enhanced ability to lift and move the elbow.
• Increased independence in daily activities.
• Immediate improvement in function and comfort once the device is properly fitted.

Recovery

• Post-procedure care includes wearing the device as instructed.
• Regular follow-up appointments to adjust the device as needed.
• Activity modifications may be recommended to prevent strain.

Alternatives

• Physical therapy to strengthen muscles and improve mobility.
• Alternative assistive devices designed for the upper extremity.
• Medications or injections to manage underlying conditions.
• Surgical interventions in severe cases.

Patient Experience

• During fitting, you might feel some pulling or tugging as the device is adjusted.
• After the procedure, there may be a period of adjustment as you get used to the device.
• Mild discomfort is possible but usually manageable with over-the-counter pain relief.

• Continuous support and adjustment from healthcare providers to ensure comfort and functionality.

  Pain Management: Over-the-counter pain relievers and ice packs can be used to alleviate minor discomforts. Regular follow-up ensures that any issues are promptly addressed.