Wheelchair Seating Evaluation Form and Instructions 2025

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Code 97542 is used to report management of a patient using a wheelchair including assessment (eg, pos- tural/positioning needs), fitting (eg, pressure relief), and training (eg, getting in and out of the wheelchair safely and managing wheelchair propulsion on various terrains).
The Functional Mobility Assessment (FMA) is a tool that measures a consumers ability to function while using mobility equipment like walkers, wheelchairs, or prosthetic/orthotic devices.
Reminders Make sure the patient is sitting in the middle of the chair with space at both hips so neither thigh is touching the side of the chair. Make sure the patient is sitting up straight and resting on the back of the chair. The thighs should be parallel to the floor when the feet are on the footrests.
Wheelchair Skills Test (WST, WST-Q) There are multiple versions of this measure for manual wheelchairs, powered wheelchairs, and scooters, for both wheelchair users and caregivers (excepting scooters). As of August 2024, the latest version of all tests and forms is 5.4.
Definition: The L Test of Functional Mobility (L Test) is a performance-based measure that can be used to assess physical function, including dynamic balance ability. The test is a modification of the Timed Up and Go (TUG) designed to overcome the ceiling effect of the TUG found in higher-functioning patients.

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This test consists of 4 functional tests: Timed Forward Wheeling, Forward Vertical Reach, Ramp Ascent and One-Stroke Push.
Some diagnoses that may potentially qualify your patient for a standard power or manual wheelchair include: Arthritis. COPD. Congestive Heart Failure. Degenerative Disc Disease. Diabetes. Diabetic Neuropathy. Fibromyalgia. Osteoarthritis.
The Functional Mobility Assessment (FMA) is a measure that evaluates an individuals ability and satisfaction with a mobility device.

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