Composites
Action
Composite dressings combine two or more physically distinct products and are manufactured as a single dressing with several functions. Features must include a physical (not chemical) bacterial barrier that is present over the entire dressing pad and extends out into the adhesive border; an absorptive layer other than an alginate or other fiber-gelling dressing, foam, hydrocolloid, or hydrogel; and either a semiadherent or nonadherent property over the wound site.
Indications
Composite dressings may be used as primary or secondary dressings for partial-and full-thickness wounds with minimal to heavy exudate, healthy granulation tissue, or necrotic tissue (slough or moist eschar), or mixed wounds (granulation and necrotic tissue).
Advantages
May facilitate autolytic debridement
Allow for exchange of moisture vapor
Mold well
May be used on infected wounds
Are easy to apply and remove
Include an adhesive border
Disadvantages
Require a border of intact skin for anchoring the dressing
HCPCS code overview
The HCPCS codes normally assigned to composite dressings with an adhesive border are:
A6200—pad size ≥16 in2
A6201—pad size > 16 in2 but ≥48 in2
A6202—pad size > 48 in2
A6203—pad size ≥16 in2
A6204—pad size > 16 in2 but ≥48 in2
A6205—pad size > 48 in2
Alldress Composite Dressing
Mölnlycke Health Care
How supplied
Cover dressing: 4″ × 4″, 6″ × 6″; A6203 6″ × 8″; A6204
Action
Alldress is a multilayered, waterproof, all-in-one sterile wound dressing; each layer serves a purpose. The porous contact layer is low-adherent and protects the wound surface. An absorbent layer wicks away excess exudate and debris, minimizing exposure of intact skin to moisture and maceration. A gentle adhesive holds the dressing securely in place, and the nonwoven layer provides stability to the dressing structure for ease of application. A semipermeable film layer maintains a moist wound environment and at the same time protects the wound from external environmental contamination and doesn’t let wound fluid pass through the dressing. The smooth surface reduces the friction from bed linen and clothing and potential disturbance of the dressing.
Indications
For use as a primary or secondary cover dressing through all phases of healing for pressure ulcers (stages 1 to 4); partial- and full-thickness wounds; tunneling wounds; infected and noninfected wounds; wounds with minimal, moderate, or heavy drainage; wounds with serosanguineous or purulent drainage; and red, yellow, or black wounds
Contraindications
None provided by the manufacturer
Application
If necessary, gently irrigate or flush the wound with normal saline solution or another nonirritating solution.
Gently blot excess saline solution in the wound with sterile gauze.
Remove one side of the dressing’s backing, and place the other side on the skin. Be careful not to stretch the dressing over the wound.
Smooth the edges to ensure secure adhesion.
Removal
Change the dressing when it’s nearly saturated (soaking is visible through the outer surface of the dressing) or as required by the product.
CompDress Island Dressing
Derma Sciences, Inc.
How supplied
Pad: 2″ × 2″, 4″ × 4″, 4″ × 6″, 6″ × 6″, 4″ × 8″, 4″ × 10″, 6″ × 8″, 4″ × 14″
Action
CompDress is a sterile multilayer dressing combining a nonadherent gauze pad contact layer with a dressing retention tape.
Indications
For use as a primary or secondary dressing to manage acute and chronic lightly to moderately draining wounds
Contraindications
None provided by the manufacturer
Application
Clean the wound with PrimaDerm Dermal Cleanser or solution.
Pat dry the skin adjacent to the wound.
Peel back the dressing’s backing, and position dressing over the wound.
Smooth the dressing edges to ensure secure adhesion.
Removal
Gently lift the edge of the dressing.
Continue around the perimeter of the dressing until it lifts off easily.
Covaderm Plus
DeRoyal
How supplied
Multilayered pad with fabric tape border 1″ pad with 2″ tape, 1 1/2″pad with 2 1/2″ tape, 2 1/2″ pad with 4″ tape, 2 ″ 7 1/2″ pad with 4″ × 10″ tape; A6203 4″ pad with 6″ tape, 2 1/2″ diameter pad with 4″ diameter tape with 2″ radial slit; A6203 2″ × 11″ pad with 4″ × 14″ tape, 4″ × 6″ pad with 6″ × 8″ tape; A6204
Action
Covaderm Plus is an adhesive barrier composite wound dressing that consists of a protective, nonadherent wound contact layer; a soft drainage absorption pad; a semiocclusive polyurethane film (to maintain moisture, prevent contamination, and allow vapor transmission); and a conformable adhesive tape border.
Indications
For use as a primary or secondary dressing to manage pressure ulcers (stages 1 to 4), leg ulcers, I.V. sites, chronic wounds, and surgical wounds; may also be used on partial- and full-thickness wounds, burns, tunneling wounds, infected and noninfected wounds, wounds with moderate drainage, wounds with serosanguineous or purulent drainage, and red, yellow, or black wounds; may also be used to cover orthopedic incisions and joint pins under casts
Contraindications
None provided by the manufacturer
Application
Peel the dressing’s backing from the center to expose the pad.
Apply the pad over the cleansed wound, making sure that adhesive tape doesn’t touch the wound site.
Remove the product’s backing one side at a time, and smooth the dressing into place.
Removal
Carefully lift the edges of the tape, and peel off the dressing.
Covaderm Plus VAD
DeRoyal
How supplied
Multilayered dressing: 4″ × 4″, 6″ × 6″; A6203
Action
The Covaderm Plus Vascular Access Device (VAD) dressing is a multilayered dressing that provides protection, bacterial barrier, absorption, cushioning, and conformability and also has an extra tape that is uniquely shaped to seal around the vascular access catheter extension.
Indication
For use with central venous catheter sites (subclavian, jugular, femoral, and antecubital); peripheral I.V. sites; implanted parts; and midline catheters
Contraindication
None provided by the manufacturer
Application
Peel the dressing’s backing from the center to expose the pad.
Apply the pad over the cleansed wound, making sure that adhesive tape doesn’t touch the wound site.
Remove the product’s backing one side at a time, and smooth the dressing into place.
Removal
Carefully lift the edges of the tape, and peel off the dressing.
DermaDress
DermaRite Industries, LLC
How supplied
Dressing: 4″ × 4″, 6″ × 6″; A6203, 6″ × 8″
Action
DermaDress is a multilayered waterproof sterile dressing. A low-adherent layer protects the wound, a semi-occlusive layer keeps external contamination from striking through, and a nonwoven adhesive tape holds the dressing in place.
Indications
For use as a primary or secondary dressing to manage pressure ulcers (stages 1 to 4); full-thickness wounds; wounds with minimal, moderate, or heavy drainage; and red, yellow, or black wounds
Contraindications
None provided by the manufacturer
Application
Clean the wound with DermaKlenz wound cleanser or Safe Wash saline.
Remove one side of the backing, and place the dressing over the wound.
Remove the remaining backing to cover the wound entirely.
Secure the edges of the dressing with gentle pressure.
Removal
Carefully loosen the perimeter of the dressing.
Holding down one edge of the dressing, gently lift dressing.
DuDress Film Top Island Dressing
Derma Sciences, Inc.
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