Aquacel Ag Foam with Silver

Last updated on 11/10/22 | First published on 11/11/17 | Literature review current through Oct. 2024 [cite]

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Technology and Product Assessment

Product Type: Antimicrobial

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. For information about specific products, please contact the manufacturer directly.

AQUACEL® Ag Foam Dressing is a silver foam dressing.

CLAIMED FEATURES: It offers the healing benefits of an AQUACEL® Ag interface layer, the comfort of foam and the bacteria-killing power of ionic silver.

Manufacturer: ConvaTec

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

Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6209

Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6209

Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

A6212

Aquacel Ag Adhesive, 17.5x17.5cm (7" x 7"), 10 per box

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

Aquacel Ag Adhesive, 25x30cm (10" x 12"), 5 per box

Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing

A6214

Aquacel Ag Adhesive, heel, 20x14cm (8" x 5½"), 5 per box

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

Aquacel Ag Adhesive, sacral 20x17.5cm (8" x 7"), 5 per box

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

Aquacel Ag Adhesive, sacral 24 cm x 21.5 cm (9.4" x 8.4"), 5 per box

Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing

A6214

Aquacel Ag Non adhesive, 5x5cm (2" x 2"), 10 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6209

Aquacel Ag Non adhesive, 10x10cm (4" x 4"), 10 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6209

Aquacel Ag Non adhesive, 15x15cm (6" x 6"), 5 per box

Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

A6210

Aquacel Ag Non adhesive, 20x20cm (8" x 8"), 5 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6209

Aquacel Ag Non adhesive, 15x20cm (6" x 8"), 5 per box

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6209

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Select your 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

ConvaTec
Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box

$1.83
each dressing

$9.14

3 changes/week

ConvaTec
Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box

$1.83
each dressing

$9.14

3 changes/week

ConvaTec
Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box

$2.38
each dressing

$11.88

3 changes/week

ConvaTec
Aquacel Ag Adhesive, 17.5x17.5cm (7" x 7"), 10 per box

$.00
each dressing (carrier discretion)

3 changes/week

ConvaTec
Aquacel Ag Adhesive, 25x30cm (10" x 12"), 5 per box

$2.52
each dressing

$12.59

3 changes/week

ConvaTec
Aquacel Ag Adhesive, heel, 20x14cm (8" x 5½"), 5 per box

$.00
each dressing (carrier discretion)

3 changes/week

ConvaTec
Aquacel Ag Adhesive, sacral 20x17.5cm (8" x 7"), 5 per box

$.00
each dressing (carrier discretion)

3 changes/week

ConvaTec
Aquacel Ag Adhesive, sacral 24 cm x 21.5 cm (9.4" x 8.4"), 5 per box

$2.52
each dressing

$12.59

3 changes/week

ConvaTec
Aquacel Ag Non adhesive, 5x5cm (2" x 2"), 10 per box

$1.83
each dressing

$9.14

3 changes/week

ConvaTec
Aquacel Ag Non adhesive, 10x10cm (4" x 4"), 10 per box

$1.83
each dressing

$9.14

3 changes/week

ConvaTec
Aquacel Ag Non adhesive, 15x15cm (6" x 6"), 5 per box

$4.88
each dressing

$24.38

3 changes/week

ConvaTec
Aquacel Ag Non adhesive, 20x20cm (8" x 8"), 5 per box

$1.83
each dressing

$9.14

3 changes/week

ConvaTec
Aquacel Ag Non adhesive, 15x20cm (6" x 8"), 5 per box

$1.83
each dressing

$9.14

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

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box

Coming soon

Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box

Coming soon

Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box

Coming soon

Aquacel Ag Adhesive, 17.5x17.5cm (7" x 7"), 10 per box

Coming soon

Aquacel Ag Adhesive, 25x30cm (10" x 12"), 5 per box

Coming soon

Aquacel Ag Adhesive, heel, 20x14cm (8" x 5½"), 5 per box

Coming soon

Aquacel Ag Adhesive, sacral 20x17.5cm (8" x 7"), 5 per box

Coming soon

Aquacel Ag Adhesive, sacral 24 cm x 21.5 cm (9.4" x 8.4"), 5 per box

Coming soon

Aquacel Ag Non adhesive, 5x5cm (2" x 2"), 10 per box

Coming soon

Aquacel Ag Non adhesive, 10x10cm (4" x 4"), 10 per box

Coming soon

Aquacel Ag Non adhesive, 15x15cm (6" x 6"), 5 per box

Coming soon

Aquacel Ag Non adhesive, 20x20cm (8" x 8"), 5 per box

Coming soon

Aquacel Ag Non adhesive, 15x20cm (6" x 8"), 5 per box

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box

Application: Can be used as primary dressing Application: Can be used as secondary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Moderate 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

Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box

Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box

Aquacel Ag Adhesive, 17.5x17.5cm (7" x 7"), 10 per box

Aquacel Ag Adhesive, 25x30cm (10" x 12"), 5 per box

Aquacel Ag Adhesive, heel, 20x14cm (8" x 5½"), 5 per box

Aquacel Ag Adhesive, sacral 20x17.5cm (8" x 7"), 5 per box

Aquacel Ag Adhesive, sacral 24 cm x 21.5 cm (9.4" x 8.4"), 5 per box

Aquacel Ag Non adhesive, 5x5cm (2" x 2"), 10 per box

Aquacel Ag Non adhesive, 10x10cm (4" x 4"), 10 per box

Aquacel Ag Non adhesive, 15x15cm (6" x 6"), 5 per box

Aquacel Ag Non adhesive, 20x20cm (8" x 8"), 5 per box

Aquacel Ag Non adhesive, 15x20cm (6" x 8"), 5 per box

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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Other related brands: Promogran Prisma Matrix, 4.34sq.in, 10 eaches/CT, Hydrofera Blue Classic Antibacterial Foam Dressing, 4" ..., Hydrofera Blue READY Antibacterial Foam Dressing, 4" x ..., Iodosorb Gel 10g, 4 tubes, Medihoney Gel Dressing, 0.5 oz tube 10/box, 4 boxes/cas..., Iodoflex Pads 5g (1 1/2" x 2 3/8"), 5 sachets, Medihoney Gel Dressing 1.5 oz tube 1/box, 12 boxes/case, Hydrofera Blue READY Antibacterial Foam Dressing, 2.5" ..., Iodosorb Gel 40g, 1 tube, Hydrofera Blue TRANSFER Antibacterial Dressings, 4” x ..., Hydrofera Blue TRANSFER Antibacterial Dressings, 2.5” ..., Hydrofera Blue Classic Antibacterial Foam Dressing, 2" ..., Medihoney Calcium Alginate Dressing, 4" x 5" 10/box, 5 ..., ACTICOAT 7, 2" x 2", Box of 5, Promogran Prisma Matrix, 19.1 sq.in 10 eaches/CT, Medihoney Calcium Alginate Dressing, 2" x 2" 10/box, 10..., Mepilex Ag Silver Foam Dressing, 4˝ x 4˝ (10 x 10 cm), ..., Hydrofera Blue Classic Antibacterial Foam Dressing, 6" ..., MEDIHONEY® HCS, Adhesive: 2.8" x 2.8", 10/box, Algidex Ag® Paste, 10 cc Tube Paste, 10/box, 30/cs, ACTICOAT Flex 7, 2" x 2", Pack of 5, Medihoney Hydrogel - Non-Adhesive, 2.4" x 2.4", Pack of..., Hydrofera Blue TRANSFER Antibacterial Dressings, 8” x ..., ACTICOAT, 4" x 4", Pack of 12, Endoform Antimicrobial Dermal Template 4" X 5" NON-FENE..., Iodoflex Pads 10g (2 1/8" x 3"), 3 sachets, Medihoney Paste Dressing, 0.5 oz tube 10/box, 4/case, AQUACEL Ag SURGICAL Cover Dressing, MEDIHONEY® Honeycolloid Adhesive: 2" x 2" (3½" x 3½" wi..., ACTICOAT 7, 4" x 5", Box of 5, ACTICOAT, 4" x 8", Pack of 12, MEDIHONEY® Honeycolloid Adhesive: 4½" x 4½" (6" x 6" wi..., Mepilex Ag Silver Foam Dressing, 4˝ x 8˝ (10 x 20 cm), ..., ACTICOAT, 2" x 2", Pack of 5, Endoform Antimicrobial Dermal Template 4" X 5" FENESTRA..., Endoform Antimicrobial Dermal Template 2" X 2" FENESTRA..., MEDIHONEY® HCS, Adhesive: 4½" x 4½", 10/box, Medihoney Hydrogel - Non-Adhesive, 4.3" x 4.3" , Pack o..., Mepilex Transfer Ag, 4” x 5”, Box of 5, SILVERCEL Non-Adherent Dressing 2 x 2 inch (5 x 5cm), b..., Hydrofera Blue Classic Antibacterial Foam Dressing, 1.2..., GEL, SILVER, ANTIMICROB, SILVASORB, 3 OZ, 12/CS, Medihoney Paste Dressing, 1.5 oz tube 1/box, 12/case, Mepilex Ag Silver Foam Dressing, 8˝ x 8˝ (20 x 20 cm), ..., ACTICOAT, 5" x 5", Pack of 5, Hydrofera Blue READY Antibacterial Foam Dressing, 8" x ..., AQUACEL Ag Hydrofiber Dressing, Square, 5x5cm, box of 1..., ACTISORB™ Silver 220 Dressing, 2.6” x 3.8”, box of 10, Mepilex Ag Silver Foam Dressing, 6˝ x 6˝ (15 x 15 cm), ..., Medihoney Calcium Alginate Dressing, ¾" x 12" 5/box, Algidex Ag® Silver Alginate Wound Dressing: 4”x 4” Foam...,

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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 176 Version 1.0

Aquacel Ag Foam with Silver

Aquacel Ag Foam with Silver

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