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Endoform Dermal Template

Endoform Dermal Template

Endoform Dermal Template

Hollister Incorporated - Wound Care
Hollister Endoform Dermal Template Collagen Dressing - 529311BX - 2" x 2", 10 Each / Box Manufacturer #529311 Brand Endoform Dermal Template Manufacturer Hollister Application Collagen Dressing Dimensions 2 X 2 Inch Material 90% Native,Intact Collagen /10% Extracellular Matrix Components UNSPSC Code 42311604 Features Broad spectrum MMP reductionCan be used to treat chronic wounds from day oneEndoform dermal template dressings may be reapplied as infrequently as once per week, reducing cost and inconvenience compared to other collagen dressings that may need reapplication more than twice as often, per the instructions for use
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ESSENTIALS

Product
Rating
Suppliers Price
HCPCS Class
HCPCS
Endoform Dermal Template Dressing, 5 cm x 5 cm, 10/box
$165.64
All prices
Collagen dressing, sterile, size 16 sq. in. or less, each
A6021
Endoform Dermal Template Dressing, 5 cm x 5 cm fenestrated, 10/box
$152.98
All prices
Collagen dressing, sterile, size 16 sq. in. or less, each
A6021
Endoform Dermal Template Dressing, 10 cm x 12.7 cm, 10/box
Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
A6022
Endoform Dermal Template Dressing, 10 cm x 12.7 cm fenestrated, 10/box
Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
A6022
* 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
Manufacturer
Product
Rating
Suppliers Price
Patient DME Co-Payment per Billable Unit
DME Reimbursement to Suppliers
Frequency Replacement if Requirements Met
Office and/or Facility - Product reimbursement
Hollister Incorporated - Wound Care
Endoform Dermal Template Dressing, 5 cm x 5 cm, 10/box
Endoform Dermal Template Dressing, 5 cm x 5 cm, 10/box
$165.64
All prices
$4.73
each
$23.66
1 changes/week
Endoform Dermal Template Dressing, 5 cm x 5 cm fenestrated, 10/box
$152.98
All prices
$4.73
each
$23.66
1 changes/week
Endoform Dermal Template Dressing, 10 cm x 12.7 cm, 10/box
$4.73
each
$23.66
1 changes/week
Endoform Dermal Template Dressing, 10 cm x 12.7 cm fenestrated, 10/box
$4.73
each
$23.66
1 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
Rating
Suppliers Price
Features
Endoform Dermal Template Dressing, 5 cm x 5 cm, 10/box
$165.64
All prices
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 1/week Wear time: Up to 7 days
Endoform Dermal Template Dressing, 5 cm x 5 cm fenestrated, 10/box
$152.98
All prices
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 1/week Wear time: Up to 7 days
Endoform Dermal Template Dressing, 10 cm x 12.7 cm, 10/box
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 1/week Wear time: Up to 7 days
Endoform Dermal Template Dressing, 10 cm x 12.7 cm fenestrated, 10/box
Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 1/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.

CLINICAL

Indications

For single use in the treatment of the following wounds: partial and full-thickness wounds; pressure ulcers; venous ulcers; diabetic ulcers; chronic vascular ulcers; tunneled/undermined wounds; surgical wounds (donor sites/grafts, post-Mohs surgery, post-laser surgery, podiatric, wound dehiscence); trauma wounds (abrasions, lacerations, second-degree burns, and skin tears); draining wounds.

FDA

EndoForm Dermal Template (Mesynthes, Ltd., North Attleboro, MA, USA, and Wellington, New Zealand) was cleared for marketing under the 510(k) process (K092096) in January 2010. EndoForm Dermal Template is included in FDA product code KGN (dressing, wound, collagen)

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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.
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