Cardinal Health™ Four-Layer and Three-Layer Multilayer Compression Bandage System

Last updated on 11/10/22 | First published on 11/23/17 | Literature review current through Mar. 2025 [cite]

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Technology and Product Assessment

Product Type: Compression: Compression Bandages

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.

Cardinal Health, Four-Layer Compression Bandage System is a multi-layer compression bandage system.

CLAIMED FEATURES: Designed to deliver effective levels of compression and sustained results. Containing the necessary supplies for the application of compression therapy. CAHMLCB4
Roll 1 Absorbent Padding Bandage 10cm x 3.5m unstretched A6441
Roll 2 Conformable Bandage 10cm x 2.9m unstretched A6443
Roll 3 Compression Bandage 10cm x 2.9m unstretched A6449
Roll 4 Self-Adherent Cohesive Bandage 10cm x 2.5m unstretched A6454

HCPCS: A6441, A6443, A6449, A6454

OPTIONS: 4 rolls per box, 1 of each layer, 8 boxes per case

Manufacturer: Cardinal Health

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

Cardinal Health, Four-Layer Compression Bandage System (*), 4 rolls per box, 1 of each layer, 8 boxes per case

Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to 3 inches and less than 5 inches, per yard (*)

A6441(*)

Cardinal Health, Three-Layer Compression Bandage System (*), 3 rolls per box, 1 of each layer, 8 boxes per case

Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to 3 inches and less than 5 inches, per yard (*)

A6441(*)

* 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

Cardinal Health
Cardinal Health, Four-Layer Compression Bandage System (*), 4 rolls per box, 1 of each layer, 8 boxes per case

$.15
per yard (*)

$.76

1 change/week

Cardinal Health
Cardinal Health, Three-Layer Compression Bandage System (*), 3 rolls per box, 1 of each layer, 8 boxes per case

$.15
per yard (*)

$.76

1 change/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

Cardinal Health, Four-Layer Compression Bandage System (*), 4 rolls per box, 1 of each layer, 8 boxes per case

Coming soon

Cardinal Health, Three-Layer Compression Bandage System (*), 3 rolls per box, 1 of each layer, 8 boxes per case

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Cardinal Health, Four-Layer Compression Bandage System (*), 4 rolls per box, 1 of each layer, 8 boxes per case

Cardinal Health, Three-Layer Compression Bandage System (*), 3 rolls per box, 1 of each layer, 8 boxes per case

CPT Code	Description	Physician Reimbursement - Office	Physician Reimbursement - Facility	Facility Reimbursement
29581	Apply multlay comprs lwr leg	$92.05	$27.68	$144.29
29582	Apply multlay comprs upr leg	$71.78	$16.15	$0.00

Based on national averages
Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.

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: 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., CoFlex TLC, Layer 1: 4’’ x 3.4 yds., Layer 2: 4’’ x 5.1..., CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ ..., ACE Brand Elastic Bandages With Clips, 2”, each, CoFlex TLC Lite, Layer 1: 4’’ x 3.4 yds., Layer 2: 4’’ ..., CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 ..., CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds...., Profore Lite Multi-Layer Reduced-Compression Bandaging ..., 3M™ Coban™ Sterile Self-Adherent Wrap, 3 in. x 5 yd./75..., 3M™ Coban™ Sterile Self-Adherent Wrap, 4 in. x 5 yd./10..., CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 ..., Curity™ Unna Boot Bandage, 3" x 10 yds, 1 ea, Coban 2 Lite Two-Layer Compression System with Stocking..., Profore WCL, 5 1/2 x 8 (14cm x 20cm), 50pcs/pkg, case ..., ACE Brand Elastic Bandages With Clips, 4”, each, 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Profore Multi-Layer High Compression Bandaging System (..., CoFlex TLC Zinc LITE, 2 Layer Compression Bandage Syste..., Fourflex 4-Layer Compression System, 1 KT (*), 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., Unna Boot Zinc Impregnated Gauze, 3” x 10 yds, 12/cs, Econo-Paste®,Latex-Free Conforming Zinc-Oxide Paste Ban..., Curity™ Unna Boot Bandage, 4" x 10 yds, 1 ea, Unna-FLEX® Elastic Unna Boot, Each individually package..., Curity™ Unna Boot Bandage, 3" x 10 yds with Calamine, 1..., Profore LF Latex-Free Multi-Layer High Compression Band..., 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., SurePress® Absorbent Padding, 10cm x 3m (4" x 3.2 yards..., CoFlex TLC XL, Layer 1: 4’’ x 5.4 yds., Layer 2: 4’’ x ..., CoFlex TLC - Standard Compression - 2”, (Pack of 8), Unna Boot Zinc Impregnated Gauze, 4” x 10 yds, 12/cs, 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., McKesson Unna Boot with Calamine, 4 Inch X 10 Yard, Pin..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., CoFlex TLC - Standard Compression - 6”, (Pack of 8), SurePress® High Compression Bandage,10cm x 3m (4" x 3.2..., Threeflex 3-Layer Compression System, 1 KT, 3M Coban NL Non-Latex Self-Adherent Wrap, 1 in. x 5 yd...., Tensoshape®, Below the Knee. 8.5 in x 11 yds, 1 roll, 3M Coban NL Non-Latex Self-Adherent Wrap, 4 in. x 5 yd...., Curity™ Stretch Bandages,Sterile in Soft Pouch, 2" x 75..., Curity™ Unna Boot Bandage, 4" x 10 yds with Calamine, 1..., 3M™ Coban™ Sterile Self-Adherent Wrap, 6 in. x 5 yd./15..., LoPress®, Latex-Free Inelastic Compression Bandages, 3...., Gelocast 3 in. x 10 yds. (8 cm x 9 m), 1 dressings/box, Dukal Flexible Cohesive Bandages Non-Sterile, Latex Fre..., Varolast Plus, 10 cm x 10 m, box of 20, Curity™ Stretch Bandages,Sterile in Soft Pouch, 3" x 75..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Unna-Z Bandage W / Zinc&Calamine, 4X10Yd, 12/CS,

(*) multicomponent compression system. Each layer has a different HCPCS

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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 465 Version 1.0

Cardinal Health™ Four-Layer and Three-Layer Multilayer Compression Bandage System

Cardinal Health™ Four-Layer and Three-Layer Multilayer Compression Bandage System

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