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Product Type: Collagen
Other related brands
Aroa Biosurgery Ltd. (distributed in the U.S. by Appulse Medical) | Model: 529314 |
HCPCS : A6022 (Medicare DME co-payment per billable unit min / max: $4.37 / $5.14)
Endoform Dermal Template Dressing is a collagen dressing.
INTENDED USES: Can be used to treat chronic wounds from day one.
CLAIMED FEATURES: Material - 90% Native,Intact Collagen /10% Extracellular Matrix Components UNSPSC Code 42311604. Features Broad spectrum MMP reduction. May be reapplied as infrequently as once per week.
OPTIONS: 10 cm x 12.7 cm fenestrated, 10/box
Wound Reference does not produce, market, re-sell or distribute health care goods or services consumed by, or used on, patients.
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Dry
Exudate: Low
Exudate: Moderate
Exudate: High
Indications: May be applied over infected tissue
Indications: May be used to pack deep wounds
Indications: May be used under compression
Medicare freq of replacement: 1/day
Medicare freq of replacement: every other day
Medicare freq of replacement: 3/week
Medicare freq of replacement: 1/week
Wear time: Up to 1 day
Wear time: Up to 3 days
Wear time: Up to 7 days
Wear time: More than 7 days

Collagen Dressings contain collagen, the protein that gives the skin its tensile strength and is a key element in the process of wound healing. Collagen Dressings are especially indicated for deeper wounds and wounds that stopped healing despite good wound care. It is not indicated for wounds with large amounts of black, dry scabs, infection, or high amounts of fluid, and should not be used in persons with sensitivity to bovine (cattle), porcine (swine), or avian (bird) products. Collagen dressings come in pads, gels or particles. They can stay in place up to 7 days, depending on the specific product.

Center for Medicare and Medicaid Services (CMS). Local Coverage Determination for Surgical Dressings (L33831) [Internet]. 2016 [cited 2017 Apr 30].



If you have coverage through Medicare Part B, you may be eligible to have this product covered by Medicare. You will need a written order prescribed by a provider enrolled in Medicare, so that you can purchase this product at a Durable Medical Equipment store that accepts Medicare. You will need to pay deductibles and co-payment. The actual co-payment amount varies according to your state. If you do not have Medicare Part B or do not meet the requirements needed for coverage, you can find this product at pharmacies and medical supply stores. When available, please see pricing in "Other Stores" below.

Important Notice: The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.
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