Overview



Overview





Part III provides a comprehensive listing of additional products: abdominal dressing holders and binders, tapes and closures, wound pouches, wound cleansers, gauzes, elastic bandages, and compression bandage systems.

Because of the high volume of general products that are manufactured, the section groups similar products into tables. The table headings closely follow the categories outlined by the Medicare Part B Surgical Dressing Policy. Each table may include more than one category. In that case, as appropriate, each representative category and its respective Health Care Financing Administration Common Procedure Coding System (HCPCS) code are identified above the table.

Inclusion in these tables doesn’t mean that the manufacturers have applied for or received the HCPCS code identified above the tables. The provider and supplier are responsible for verifying the correct HCPCS codes before submitting claims to any payer.

To ensure uniform Medicare claim coding by all suppliers of wound care dressings, the Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC) performs a Coding Verification Review. If manufacturers wish to have a HCPCS code assigned to their products, they must formally apply to the SADMERC.

SADMERC and the four Durable Medical Equipment Regional Carriers (DMERCs) review the applications to determine the correct HCPCS codes for Medicare billing. These reviews result in a consensus coding decision. The assignment of an HCPCS code to a product should not be construed as an approval or endorsement of the product by SADMERC or Medicare and doesn’t imply or guarantee reimbursement or coverage.

Many other payers also require the assigned HCPCS codes on their claim forms.


ABDOMINAL DRESSING HOLDERS OR BINDERS

Abdominal dressing holders or binders are hypoallergenic adhesive straps used in place of standard surgical tapes to avoid removing and reapplying tape during dressing changes.

The HCPCS code normally assigned to abdominal dressing holders or binders is A4462.









Product Name

Manufacturer/Distributor


Medfi× Montgomery Straps

Medline Industries, Inc.






COMPRESSION BANDAGE SYSTEMS

Compression therapy products are used to manage edema and promote the return of venous blood flow to the heart. Conventional management with zinc oxide-impregnated bandaging systems, such as an Unna boot, provides inelastic compression. Multilayered, sustained, graduated, high-compression bandages aid in the management of wounds caused by venous insufficiency.

Each component used in the compression therapy system is billed using a specific code for the component, if available. The HCPCS codes normally assigned to compression bandage systems are:


Light compression bandage

A6448: Width < 3” per yard

A6449: Width ≥ 3” and < 5” per yard

A6450: Width ≥ 5” per yard


Moderate-high compression bandage

A6451: Moderate compression bandage, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width > 3″ and < 5″ per yard

A6452: High compression bandage, load resistance ≥ 1.35 foot pounds at 50% maximum stretch, width ≥ 3″ and < 5″ per yard


Self-adherent bandage

A6453: Width < 3″ per yard

A6454: Width ≥ 3″ and < 5″ per yard

A6455: Width ≥ 5″ per yard


Conforming bandage

A6442: Width < 3″ per yard A6443: Width ≥ 3″ and < 5″ per yard

A6444: Width > 5″ per yard

A6445: Width < 3″ per yard

A6446: Width ≥ 3″ and < 5″ per yard

A6447: Width ≥ 5″ per yard


Padding bandage

A6441: Width ≥ 3″ and < 5″ per yard


Zinc paste-impregnated bandage

A6456: Width ≥ 3″ and < 5″ per yard







































































































































Name of Product

Manufacturer/Distributor

Type of Compression

Subcategory


☆Coban 2 Layer Lite

3M Health Care


Multilayer compression system


Curity Unna Boot Bandage

Covidien

Inelastic

Unna Boot


DeWrap

DeRoyal

Elastic

Multilayer compression system


Dufore Four-Layer Compression Bandaging System

Derma Sciences, Inc.

Elastic

Multilayer compression system


☆EdemaWear

Compression Dynamics

Elastic/mild compression

Single layer


Fourflex

Medline Industries, Inc.

Elastic

Multilayer compression system


☆Graduate

CircAid Medical Products, Inc.

Inelastic

Compression systems for leg and foot


☆Juxta-CURES

CircAid Medical Products, Inc.

Inelastic

Multilayer compression system for lower legs


☆Juxta-Fit

CircAid Medical Products, Inc.

Inelastic

Compression garments for arm, hand, leg and foot


☆Juxta-Lite

CircAid Medical Products, Inc.

Inelastic

Compression garments for leg and foot


☆Measure-Up

CircAid Medical Products, Inc.

Inelastic

Compression systems for arm


☆Primer Latex Free Modified Unna Boot

Derma Sciences, Inc.

Inelastic

Unna boot


PROFORE LF (Latex-Free) Lite Multi-Layer Reduced Compression Bandage System

Smith & Nephew, Inc. Wound Management

Elastic

Multilayer compression system


PROFORE LF (Latex-Free) Multi-Layer High Compression Bandage System

Smith & Nephew, Inc. Wound Management

Elastic

Multilayer compression system


PROFORE Multi-Layer High Compression Bandage System

Smith & Nephew, Inc. Wound Management

Elastic

Multilayer compression system


PROGUIDE Multi-Layer High Compression Bandage System

Smith & Nephew, Inc. Wound Management

Inelastic

Multilayer compression system


Threeflex

Medline Industries, Inc.

Elastic

Multilayer compression system


☆3M Coban 2 Layer Compression System

3M Health Care


Multilayer compression system


Unna Boot

DeRoyal

Elastic

Unna boot


UNNA-FLEX Plus Venous Ulcer

ConvaTec

Elastic

Unna boot


UNNA-FLEX Plus Venous Ulcer Convenience Pack

ConvaTec

Inelastic

Unna boot/paste bandage


☆Unna Pack

Primer Modified/Duband Self Adherent

Inelastic/elastic

Cohesive wrap/Unna Boot


Unna-Z

Medline Industries, Inc.

Inelastic

Unna boots


Unna-Z with Calamine

Medline Industries, Inc.

Inelastic

Unna boots


☆VISCOPASTE PB7

Smith & Nephew, Inc., Wound Management

Inelastic

Paste bandage


☆ = New Product



CONFORMING BANDAGES

The HCPCS codes normally assigned to conforming bandages are:


Conforming bandage, nonsterile

A6442: Width < 3″ per yard

A6443: Width ≥ 3″ and < 5″ per yard

A6444: Width ≥ 5″ per yard


Conforming bandage, sterile

A6445: Width < 3″ per yard

A6446: Width ≥ 3″ and < 5″ per yard

A6447: Width ≥ 5″ per yard


Packing strips, nonimpregnated

A6407: Up to 2″ wide, per linear yard










































Product Name

Manufacturer/Distributor


Bulkee Lite 100% Non-Sterile Cotton Bandage

Medline Industries, Inc.


Bulkee Lite 100% Sterile Cotton Bandage

Medline Industries, Inc.


Bulkee II

Medline Industries, Inc.


Conform Stretch Bandage

Coviden


CURITY Packing Strips

Covidien


Duform Synthetic Conforming Bandage

Derma Sciences, Inc.


FLUFTEX Rolls

DeRoyal


Kerlix Rolls

Covidien


Medline Plain Packing Strips

Medline Industries, Inc.


Packing Strips with Iodoform

Medline Industries, Inc.


Pak-Its Gauze Packing Strips – Plain

Derma Sciences, Inc.

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  2. Dressings and Devices
  3. Hydrocolloids
  4. Wound Fillers

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Jul 5, 2016 | Posted by in NURSING | Comments Off on Overview

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