Composite wound dressings combine different types of dressings with several functions in one single dressing that can address different needs. They can be used directly on the wound or on top of a dressing that is in direct contact with the wound. They can have a layer that absorbs fluid from the wound and another that works as a waterproof barrier. Their waterproof nature makes them a popular choice for areas exposed to excessive moist due to incontinence. These versatile dressings protect against bacteria and other contaminants, and are easy to apply and to remove.
What are composite dressings used for?
Composite dressings can be used as a dressing for wounds and/or ulcers that are shallow (only part of the superficial layer of the skin is lost) or deep (fat layer below the skin is involved). The wound typically will have small or moderate amounts of liquid coming out of the wound (drainage). It can be used both on infected or non-infected wounds, if under the care of a healthcare professional. If your healthcare professional thinks the wound is infected, composite dressings may be used, but with caution and frequent inspection.
Sibbald et al. Wound bed preparation 2012. Journal of cutaneous medicine and surgery. 2013 Oct 1;volume 17 Suppl 1:S12-22.
Pricing and Suppliers
Is it covered by Medicare Part B?
Medicare Part B (Medical Insurance) covers specific types of dressings (such as composite dressings) that are considered medically necessary for treatment of a surgical or surgically treated wound. Medicare has guidelines that establish what is considered medically necessary and how often an item can be used.
Composite dressings are covered for wounds that have moderate or large amount of fluids.
Center for Medicare and Medicaid Services (CMS). Local Coverage Determination for Surgical Dressings (L33831) [Internet]. 2016 [cited 2017 Apr 30].
How can I purchase this product?
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 your condition does 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.
The table below shows highest and lowest Medicare pricing across the country
|Description||Medicare DME co-payment Min / Max
|Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing||
$0.66 / $0.78
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=396
* 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.