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Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material

HCPCS code

Name of the Procedure:

Addition to Upper Extremity Prosthesis, Above Elbow Disarticulation, Acrylic Material (L7404)

Summary

This procedure involves adding an acrylic material component to an upper extremity prosthesis specifically designed for individuals who have undergone an above elbow disarticulation. The addition enhances the functionality and comfort of the prosthetic arm.

Purpose

The procedure aims to improve the usability and durability of a prosthetic arm for individuals who have had an above elbow disarticulation. It addresses issues related to prosthesis wear and tear, ensures a better fit, and enhances the overall functionality of the prosthesis.

Indications

  • Above elbow amputation or disarticulation
  • Existing prosthesis that lacks necessary acrylic components for enhanced durability
  • Patient experiencing discomfort or limited usability with their current prosthesis

Preparation

  • Patient should keep the prosthetic area clean and dry.
  • No specific pre-procedure fasting or medication adjustments are typically required.
  • A prosthetic assessment to determine the suitability and necessary adjustments.

Procedure Description

  1. The existing prosthesis is examined for necessary adjustments.
  2. An acrylic material is prepared and molded according to the patient’s unique specifications.
  3. The acrylic component is integrated into the prosthesis, ensuring a secure and comfortable fit.
  4. Any necessary alignment and calibration adjustments are made for optimal function.
  5. The prosthesis is tested and adjusted as required.

Duration

The procedure typically takes about 1-2 hours.

Setting

This procedure is usually performed in a prosthetics clinic or specialized outpatient facility.

Personnel

  • Prosthetist
  • Prosthetic Technician
  • Occasionally, a physician or nurse may be involved for oversight.

Risks and Complications

  • Minor skin irritation or discomfort
  • Rare risk of pressure sores or acrylic material intolerance
  • Rare mechanical issues with the prosthesis post-procedure

Benefits

  • Improved durability and longevity of the prosthesis
  • Enhanced comfort and fit
  • Better functionality and range of motion
  • Immediate improvement in usability

Recovery

  • Immediate, as it is a non-invasive procedure.
  • Regular follow-up appointments to ensure proper fitting and functionality.
  • Patients may need to adapt to the new component, usually taking a few days.

Alternatives

  • Alternative materials such as silicone or rubber components
  • Custom-fitted prostheses with different configurations or technologies
  • Each alternative has its pros and cons, such as varying levels of durability, cost, and comfort.

Patient Experience

Patients will feel a positive difference in the comfort and usability of the prosthesis. While there may be a brief adjustment period to the new component, pain is generally minimal. Any discomfort can be managed with over-the-counter pain relievers and proper fitting adjustments.

Medical Policies and Guidelines for Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material

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