Name of the Procedure:

Microprocessor Control Feature, Addition to Upper Limb Prosthetic Terminal Device (HCPCS Code L6882)

Summary

The procedure involves adding a microprocessor control feature to an existing upper limb prosthetic device. This advanced technology enables the prosthetic to mimic more natural movements and adapt to various tasks through intelligent control systems.

Purpose

The addition of a microprocessor to an upper limb prosthetic aims to enhance functionality and improve the quality of life for individuals who have lost an upper limb. This technology addresses issues related to limited mobility and dexterity in conventional prosthetics, allowing for more precise control and fluid movements.

Indications

• Loss of an upper limb due to trauma, congenital condition, or amputation.
• Individuals requiring enhanced functionality and control in prosthetic devices.
• Patients who are already using a prosthetic and need advanced features for better performance.

Preparation

• Initial consultation with a prosthetist and possibly an orthopedic surgeon.
• Assessment of the current prosthetic fit and function.
• No specific fasting or medication adjustments required.
• Diagnostic tests or assessments may include a range of motion tests and a review of the patient’s daily activity needs.

Procedure Description

1. Initial Assessment: The healthcare provider evaluates the existing prosthetic and discusses the potential benefits of the microprocessor feature.
2. Customization: The prosthetic device is customized to include the microprocessor unit. This involves hardware and software integration for optimal function.
3. Fitting and Testing: The upgraded prosthetic is fitted to the patient. The microprocessor is then tested and calibrated to ensure proper function.
4. Training: The patient is trained on how to use the new features of the prosthetic.

Tools and equipment used include:

• Microprocessor unit
• Prosthetic-hand hardware and software
• Calibration devices

Anesthesia or sedation is typically not required for this procedure.

Duration

The entire process, including fitting, customization, and training, can take from a few hours to several days, depending on the complexity of the device and the patient's adaptation needs.

Setting

The procedure is normally performed in an outpatient clinic, a specialized prosthetics facility, or an orthopedic center.

Personnel

• Prosthetists
• Orthopedic Surgeons (if surgical adjustments are needed)
• Rehabilitation Specialists

Risks and Complications

• Device malfunction or software glitches.
• Skin irritation or pressure sores from improper fitting.
• Learning curve and adaptation period for patients.

Benefits

• Enhanced functionality and range of motion.
• Improved dexterity for daily tasks.
• Greater comfort and natural feel.
• Faster adaptation to various activities and tasks.

Recovery

• Immediate use of the prosthetic with microprocessor features.
• Adjustments and fine-tuning may be needed over the first few weeks.
• Follow-up appointments for further calibration and check-ups.

Alternatives

• Conventional prosthetic devices without microprocessor control.
• Myoelectric prosthetics with less advanced features.
• Each alternative varies in terms of cost, ease of use, and functionality. Conventional prosthetics are less expensive but offer limited motion, while myoelectric options provide better control without the advanced adaptation provided by microprocessors.

Patient Experience

Patients might initially feel overwhelmed by the new technology but typically adapt within a few weeks. They may experience mild discomfort during fitting adjustments. Pain management is generally not necessary, but training sessions will focus on maximizing comfort and ease of use with the new device.