QUESTION: Odd BK request?
Rick Milen
Description
Collection
Title:
QUESTION: Odd BK request?
Creator:
Rick Milen
Date:
12/7/2006
Text:
Dear List,
I'm working with a 66 y/o, 6'1, 250 lb male with a R-BKA who drives a small pickup with a regular cab. He had the pedal adaptation done to the vehicle, but he cannot get his R knee or hip to flex enough to get his 28cm foot into the cab (short limb, big belly). Being a regular cab, the seat cannot go back any farther than he has it and he is not functionally safe enough to doff and re-don his prosthesis for this transfer. Another vehicle is not an option and his wife works 12hr days, so he needs to be able to get himself to dialysis & therapy. Handicapped bus service only does pick-ups once in the early AM & drop offs late in the day.
His friend showed him the rotation adapter used for ease of dressing an AK . This guy would like a rotator so that when he sits on his truck seat he can swing the foot out of the way and get behind the wheel. Questions: Is this medically justified for a BK prosthesis? Has anyone ever been reimbursed for L5984 in a transtibial case?
It will definitely increase this man's independence, but he cannot afford the out of pocket cost for this item. As always, your thoughts are greatly appreciated.
Rick Milen, CPO, PTA
Certified Prosthetist-Orthotist; B.S.
Physical Therapist Assistant; A.S.
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I'm working with a 66 y/o, 6'1, 250 lb male with a R-BKA who drives a small pickup with a regular cab. He had the pedal adaptation done to the vehicle, but he cannot get his R knee or hip to flex enough to get his 28cm foot into the cab (short limb, big belly). Being a regular cab, the seat cannot go back any farther than he has it and he is not functionally safe enough to doff and re-don his prosthesis for this transfer. Another vehicle is not an option and his wife works 12hr days, so he needs to be able to get himself to dialysis & therapy. Handicapped bus service only does pick-ups once in the early AM & drop offs late in the day.
His friend showed him the rotation adapter used for ease of dressing an AK . This guy would like a rotator so that when he sits on his truck seat he can swing the foot out of the way and get behind the wheel. Questions: Is this medically justified for a BK prosthesis? Has anyone ever been reimbursed for L5984 in a transtibial case?
It will definitely increase this man's independence, but he cannot afford the out of pocket cost for this item. As always, your thoughts are greatly appreciated.
Rick Milen, CPO, PTA
Certified Prosthetist-Orthotist; B.S.
Physical Therapist Assistant; A.S.
---------------------------------
Want to start your own business? Learn how on Yahoo! Small Business.
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Rick Milen, “QUESTION: Odd BK request?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/227714.