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Dimora Silicone Foam Dressing

Dimora Silicone Foam Dressing

Dimora Silicone Foam Dressing

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

Dimora Silicone Foam Dressing With Border is a foam dressing

INTENDED USES: Suitable for venous leg ulcers, pressure ulcers, diabetic foot ulcers, abrasion wounds, joints, I-II degree burns, and home acute wound care.

CLAIMED BENEFITS: No pain to peel off, no adhesion of wound exudate; The dressing has its own decompression effect to prevent secondary damage caused by external pressure on the wound.

Manufacturer: Dimora
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
Dimora Silicone Foam Dressing With Border, 3
Dimora Silicone Foam Dressing With Border, 3"x3", box of 10
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Dimora Silicone Foam Dressing With Border, 4
Dimora Silicone Foam Dressing With Border, 4"x4". box of 10
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Dimora Silicone Foam Dressing With Border, 6
Dimora Silicone Foam Dressing With Border, 6"x6", box of 5
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Dimora Silicone Foam Dressing With Border, 2
Dimora Silicone Foam Dressing With Border, 2"x5", box of 5
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Dimora Silicone Foam Dressing With Border, 4
Dimora Silicone Foam Dressing With Border, 4"x8", box of 5
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
Dimora Silicone Foam Dressing With Border, Scarum, 7
Dimora Silicone Foam Dressing With Border, Scarum, 7"x7", box of 10
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6212
* 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
Dimora Silicone Foam Dressing With Border, 3
Dimora
Dimora Silicone Foam Dressing With Border, 3"x3", box of 10
$2.38
each dressing
$11.88
3 changes/week
Dimora Silicone Foam Dressing With Border, 4
Dimora
Dimora Silicone Foam Dressing With Border, 4"x4". box of 10
$2.38
each dressing
$11.88
3 changes/week
Dimora Silicone Foam Dressing With Border, 6
Dimora
Dimora Silicone Foam Dressing With Border, 6"x6", box of 5
$2.38
each dressing
$11.88
3 changes/week
Dimora Silicone Foam Dressing With Border, 2
Dimora
Dimora Silicone Foam Dressing With Border, 2"x5", box of 5
$2.38
each dressing
$11.88
3 changes/week
Dimora Silicone Foam Dressing With Border, 4
Dimora
Dimora Silicone Foam Dressing With Border, 4"x8", box of 5
$2.38
each dressing
$11.88
3 changes/week
Dimora Silicone Foam Dressing With Border, Scarum, 7
Dimora
Dimora Silicone Foam Dressing With Border, Scarum, 7"x7", box of 10
$2.38
each dressing
$11.88
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
Dimora Silicone Foam Dressing With Border, 3
Dimora Silicone Foam Dressing With Border, 3"x3", box of 10
Application: Can be used as primary dressing Exudate: Moderate Exudate: High Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Dimora Silicone Foam Dressing With Border, 4
Dimora Silicone Foam Dressing With Border, 4"x4". box of 10
Application: Can be used as primary dressing Exudate: Low Exudate: Moderate Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Dimora Silicone Foam Dressing With Border, 6
Dimora Silicone Foam Dressing With Border, 6"x6", box of 5
Application: Can be used as primary dressing Exudate: Moderate Exudate: High Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Dimora Silicone Foam Dressing With Border, 2
Dimora Silicone Foam Dressing With Border, 2"x5", box of 5
Application: Can be used as primary dressing Exudate: Moderate Exudate: High Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Dimora Silicone Foam Dressing With Border, 4
Dimora Silicone Foam Dressing With Border, 4"x8", box of 5
Application: Can be used as primary dressing Exudate: Moderate Exudate: High Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days
Dimora Silicone Foam Dressing With Border, Scarum, 7
Dimora Silicone Foam Dressing With Border, Scarum, 7"x7", box of 10
Application: Can be used as primary dressing Exudate: Moderate Exudate: High 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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Official reprint from WoundReference® woundreference.com ©2024 Wound Reference, Inc. All Rights Reserved
Use of WoundReference is subject to the Subscription and License Agreement. ​
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 1776 Version 1.0

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