Amniorepair or Altiply

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Amniorepair or Altiply, per square centimeter

AMNIOREPAIR and AltiPly are lyophilized placental membrane allografts.

INTENDED USES: They are indicated for homologous use as a biological barrier or wound cover, forming a protective cover for a variety of acute and chronic wounds.

CLAIMED BENEFITS: AMNIOREPAIR and AltiPly are lyophilized placental membrane allografts that are aseptically processed to preserve the native extracellular matrix and endogenous proteins of the tissue.

OPTION: The products are enclosed in a sterile wrap then sealed in a sterile inner and secondary outer pouch. The outer pouch is contained in a labeled box. Allograft size is indicated on the package label. Using sterile forceps, the physician applies the graft directly onto the prepared wound bed with the stromal side directly against the wound bed. The graft absorbs the moisture directly from the wound be; however a few drops of sterile saline may be added to the graft after it has been applied to the wound if all areas are not rehydrated. The treated wound is covered with a non-adherent dressing followed by saline moistened gauze to fill but not pack the wound.

00561800416: AMNIOREPAIR, 16mm DISC: Q4235

00561800422: AMNIOREPAIR, 2x2cm: Q4235

00561800423: AMNIOREPAIR, 2x3cm: Q4235

00561800424: AMNIOREPAIR, 2x4cm: Q4235

00561800433: AMNIOREPAIR, 3x3cm: Q4235

00561800444: AMNIOREPAIR, 4x4cm: Q4235

00561800446: AMNIOREPAIR, 4x6cm: Q4235

Product Information

The addition of Skin Substitutes or Cellular or Tissue Based Products (CTPs) to certain wounds may afford a healing advantage over dressings and conservative treatments when these options appear insufficient to affect complete healing, after at least a 30 day period of comprehensive conservative therapy. There are currently a wide variety of bioengineered products available for soft tissue coverage to affect closure. • Human skin allografts are derived from donated human skin (cadavers) • Allogeneic matrices are derived from human tissue (fibroblasts or membrane) • Composite matrices are derived from human keratinocytes, fibroblasts and xenogeneic collagen • Acellular matrices are derived from xenogeneic collagen or tissue

Pricing and Suppliers

Is it covered by Medicare Part B?

Medicare covers the application of Cellular and Tissue Based Products (CTPs) for chronic Wounds, which are defined as wounds that do not respond to standard wound treatment for at least a 30 day period during organized comprehensive conservative therapy. Medicare has guidelines that establish what is considered medically necessary and how often an item can be used.

How can I purchase this product?

For Medicare to cover this product, it needs to be ordered and applied by your clinician. A patient cannot purchase it directly from a Durable Medical Equipment (DME) store and receive reimbursement for it.

The table below shows highest and lowest Medicare pricing across the country

Description	Medicare DME co-payment Min / Max
	$0.00 / $0.00

Estimated out-of-pocket cost:

If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://woundreference.com/app/product?id=3396

Other Stores

* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.

The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.