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Allevyn Life

Allevyn Life

Allevyn Life

Technology and Product Assessment
Product Type: Foam
Other related products
Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients.
ALLEVYN Life is a hydrocellular foam dressing.
INTENDED USES: Provides wound management by secondary intention for the following: shallow, ganulating wounds; Chronic and acute exudative wounds; Full and partial thickness wounds such as pressure ulcers, leg ulcers and diabetic foot ulcers; Malignant wounds; Surgical wounds; First and second degree burns; Donor sites; Skin tears; Fungating ulcers. May be used on infected wounds.
CLAIMED FEATURES: Quadrilobe shape with a wide border designed to fit the contours of the human body more securely1-2 and allows patients to shower. The protective masking layer minimises the visual impact of strikethrough (in-vitro), providing the patient with confidence that their dressing may not attract the negative attention of others. Excellent fluid locking under pressure (in-vitro). Provides the patient with peace of mind leakage prevention (in-vitro). Common wound odour absorption when tested (in-vitro) on representative compounds. ALLEVYN Life’s multi-layered design provides cushioning and helps to spread pressure (in-vitro). Silicone wound contact layer offers minimal pain and discomfort on removal8 while allowing the dressing to be repositoned. Change indicator optimises dressing change frequency and minimises wastage.
OPTIONS: 4" x 4" (10.3cm x 10.3cm, 93cm2), 10/carton
Manufacturer: Smith & Nephew, Inc.
Information retrieved from manufacturer and/or FDA-approved labels
* Wound Reference does not produce, market, re-sell or distribute health care goods or services consumed by, or used on, patients. 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.

ESSENTIALS

Product
Estimated
Out-of-pocket
Cost
HCPCS Class
HCPCS
Allevyn Life: 4
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Allevyn Life: 5 1/16
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Allevyn Life: 6 1/16
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Allevyn Life: 8 1/4
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6213
Allevyn Life: Heel Heel 9in x 9 1/8in (25cm x 25.2cm, 545cm2), 5/carton
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6213
Allevyn Life: Sacrum 6¾in x 6 7/8in (17.2cm x 17.5cm, 235cm2), 10/carton
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Allevyn Life: Sacrum 8 ½in x 9in (21.6cm x 23cm, 386cm2), 10/carton
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6213
* Hover on the information button next to each header for detailed explanation on the type of information provided by the table
Choose the state for Medicare
DME coverage and co-payment
Product
Estimated
Out-of-pocket
Cost
Patient DME Co-Payment per Billable Unit
DME Reimbursement to Suppliers
Frequency Replacement if Requirements Met
Office and/or Facility - Product reimbursement
Allevyn Life: 4
$2.24
each dressing
$11.18
3 changes/week
Allevyn Life: 5 1/16
$2.24
each dressing
$11.18
3 changes/week
Allevyn Life: 6 1/16
$2.24
each dressing
$11.18
3 changes/week
Allevyn Life: 8 1/4
$.00
each dressing (carrier discretion)
3 changes/week
Allevyn Life: Heel Heel 9in x 9 1/8in (25cm x 25.2cm, 545cm2), 5/carton
$.00
each dressing (carrier discretion)
3 changes/week
Allevyn Life: Sacrum 6¾in x 6 7/8in (17.2cm x 17.5cm, 235cm2), 10/carton
$2.24
each dressing
$11.18
3 changes/week
Allevyn Life: Sacrum 8 ½in x 9in (21.6cm x 23cm, 386cm2), 10/carton
$.00
each dressing (carrier discretion)
3 changes/week
* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.
* Hover on the information button next to each header for detailed explanation on the type of information provided by the table
Product
Estimated
Out-of-pocket
Cost
Features
Allevyn Life: 4
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Allevyn Life: 5 1/16
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Allevyn Life: 6 1/16
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Allevyn Life: 8 1/4
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Allevyn Life: Heel Heel 9in x 9 1/8in (25cm x 25.2cm, 545cm2), 5/carton
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Allevyn Life: Sacrum 6¾in x 6 7/8in (17.2cm x 17.5cm, 235cm2), 10/carton
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Allevyn Life: Sacrum 8 ½in x 9in (21.6cm x 23cm, 386cm2), 10/carton
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: High Indications: May be applied over infected tissue Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
No CPT codes to display.
  • Hover on the information button next to each header for detailed explanation on the type of information provided by the table
  • The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
  • CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.
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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.
Topic 289 Version 1.0