Espuma Non-Adhesive

Last updated on 5/6/24 | First published on 5/6/24 | Literature review current through Oct. 2024 [cite]

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Technology and Product Assessment

Product Type: Foam

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.

Espuma Non-Adhesive is a Foam dressing.

INTENDED USES: Used for the following types of wounds and ulcers with moderate to heavy drainage/exudation rate: Pressure ulcers stage 2 and superficial stage 3. Partial and full thickness diabetic foot ulcers. Venous insufficiency leg ulcers. Partial and full thickness arterial ulcers. Partial thickness burns and abrasions. Open surgical wounds. Skin tear.

CLAIMED BENEFITS: Made of absorbent, atraumatic foam with uniformly distributed highly absorbing powder with a highly breathable bacterial and viral proof polyurethane backing layer. High absorption capacity, so increases wearing time. Contains exudate locking technology, so reduces risk of leakage and can be used under compression. Exudates are easily distributed throughout the wound dressing, so no skin maceration. No strike-through, so no fear of clothes and bed lining sheets staining and reduces of cross infection. Waterproof, bacteria proof and virus proof outermost layer. Highly breathable dressing allows gaseous changes which is ideal for wound healing. Non-adherent gel forming wound dressing allows easy removal of the dressing without pain.

OPTIONS: per square millimeter

Manufacturer: Pharmaplast

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

Espuma Non-Adhesive, Tracheostomy, 65 x 65 mm, box of 10

Espuma Non-Adhesive, Tracheostomy, 60 x 80 mm, box of 10

Espuma Non-Adhesive, Tracheostomy, 80 x 80 mm, box of 10

Espuma Non-Adhesive, 75 x 75 mm, box of 10

Espuma Non-Adhesive, 100 x 100 mm, box of 10

Espuma Non-Adhesive, 100 x 150 mm, box of 5

Espuma Non-Adhesive, 100 x 200 mm, box of 5

Espuma Non-Adhesive, 150 x 150 mm, box of 5

Espuma Non-Adhesive, 150 x 200 mm, box of 3

Espuma Non-Adhesive, 200 x 200 mm, box of 3

Espuma Non-Adhesive, 200 x 300 mm, box of 3

Espuma Non-Adhesive, Cavity 20 x 300 mm, box of 3

* 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

Pharmaplast
Espuma Non-Adhesive, Tracheostomy, 65 x 65 mm, box of 10

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, Tracheostomy, 65 x 65 mm, box of 10

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, Tracheostomy, 60 x 80 mm, box of 10

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, Tracheostomy, 80 x 80 mm, box of 10

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 75 x 75 mm, box of 10

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 100 x 100 mm, box of 10

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 100 x 150 mm, box of 5

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 100 x 200 mm, box of 5

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 150 x 150 mm, box of 5

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 150 x 200 mm, box of 3

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 200 x 200 mm, box of 3

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, 200 x 300 mm, box of 3

$.00

Coming soon

Pharmaplast
Espuma Non-Adhesive, Cavity 20 x 300 mm, box of 3

$.00

Coming soon

* 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

Espuma Non-Adhesive, Tracheostomy, 65 x 65 mm, box of 10

Coming soon

Espuma Non-Adhesive, Tracheostomy, 65 x 65 mm, box of 10

Coming soon

Espuma Non-Adhesive, Tracheostomy, 60 x 80 mm, box of 10

Coming soon

Espuma Non-Adhesive, Tracheostomy, 80 x 80 mm, box of 10

Coming soon

Espuma Non-Adhesive, 75 x 75 mm, box of 10

Coming soon

Espuma Non-Adhesive, 100 x 100 mm, box of 10

Coming soon

Espuma Non-Adhesive, 100 x 150 mm, box of 5

Coming soon

Espuma Non-Adhesive, 100 x 200 mm, box of 5

Coming soon

Espuma Non-Adhesive, 150 x 150 mm, box of 5

Coming soon

Espuma Non-Adhesive, 150 x 200 mm, box of 3

Coming soon

Espuma Non-Adhesive, 200 x 200 mm, box of 3

Coming soon

Espuma Non-Adhesive, 200 x 300 mm, box of 3

Coming soon

Espuma Non-Adhesive, Cavity 20 x 300 mm, box of 3

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Espuma Non-Adhesive, Tracheostomy, 65 x 65 mm, box of 10

Espuma Non-Adhesive, Tracheostomy, 60 x 80 mm, box of 10

Espuma Non-Adhesive, Tracheostomy, 80 x 80 mm, box of 10

Espuma Non-Adhesive, 75 x 75 mm, box of 10

Espuma Non-Adhesive, 100 x 100 mm, box of 10

Espuma Non-Adhesive, 100 x 150 mm, box of 5

Espuma Non-Adhesive, 100 x 200 mm, box of 5

Espuma Non-Adhesive, 150 x 150 mm, box of 5

Espuma Non-Adhesive, 150 x 200 mm, box of 3

Espuma Non-Adhesive, 200 x 200 mm, box of 3

Espuma Non-Adhesive, 200 x 300 mm, box of 3

Espuma Non-Adhesive, Cavity 20 x 300 mm, box of 3

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.

* Scroll table to see all products.

Other related brands: Mepilex Border Flex Square, 4˝ x 4˝ (10 x 10 cm), case ..., ALLEVYN Ag Gentle Border, 3” x 3”, Pack of 40, Mepilex Border Flex Square, 3˝ x 3˝ (7.5 x 7.5 cm), cas..., Allevyn Non-Adhesive Foam Wound Dressing, 4’’ x 4’’/10c..., Allevyn Life: 4" x 4" (10.3cm x 10.3cm, 93cm2), 10/cart..., Mepilex Foam Dressing, 4˝ x 4˝ (10 x 10 cm), box of 5,..., Allevyn Heel, 1 bx/5 dressings, Allevyn Gentle Border Lite 4" x 4" (10cm x 10cm) 10 pie..., Allevyn Gentle Border Lite 2" x 2" (5cm x 5cm), 10 piec..., ALLEVYN Adhesive, 3’’ x 3’’/7.5cm x 7.5cm, 10/carton, Mepilex Border Flex Square, 6˝ x 6˝ (15 x 15 cm), case ..., AQUACEL® Foam Dressing: Adhesive, Square: 7.5x7.5cm (3"..., ALLEVYN Ag Gentle Border, 5” x 5”, Pack of 40, PolyMem Non-Adhesive Dressings, 10cm x 10cm, box of 4, AQUACEL® Foam Dressing: Adhesive, Square: 10x10cm (4" x..., PolyMem Cloth Adhesive Dressings, 2.5cm x 8cm, box of 5, Allevyn Life: 6 1/16" x 6 1/16" (15.4cm x 15.4cm, 211cm..., Mepilex Foam Dressing, 6˝ x 6˝ (15 x 15 cm), box of 5, ..., Allevyn Non-Adhesive Foam Wound Dressing, 2’’ x 2’’/5cm..., Mepilex® Transfer, 6˝ x 8˝, Case of 40, Allevyn Non-Adhesive Foam Wound Dressing, 6’’ x 6’’/15c..., Allevyn Non-Adhesive Foam Wound Dressing, 8’’ x 8’’/20c..., Allevyn Gentle Border Lite 3" x 3" (7.5cm x 7.5cm) 10 p..., Allevyn Life: 5 1/16" x 5 1/16 (12.9cm x 12.9cm, 146cm2..., ALLEVYN Adhesive, 5’’ x 5’’/12.5cm x 12.5cm, 10/carton, PolyMem Non-Adhesive Dressings, 13cm x 13cm, box of 2, Mepilex Foam Dressing, 4˝ x 8˝ (10 x 20 cm), box of 5,..., Allevyn Life: Sacrum 6¾in x 6 7/8in (17.2cm x 17.5cm, 2..., Allevyn Life: Sacrum 8 ½in x 9in (21.6cm x 23cm, 386cm2..., Allevyn Life: Heel Heel 9in x 9 1/8in (25cm x 25.2cm, 5..., PolyMem Non-Adhesive Dressings, 17cm x 19cm, box of 2, Allevyn Gentle Border Lite 2 1/2" x 4 3/4" (5.5cm x 12c..., PolyMem Non-Adhesive Dressings, 10cm x 32cm, box of 1, Mepilex® Transfer, 8˝ x 20˝, Box of 4, AQUACEL® Foam Pro adhesive sacral: 20x16.9cm (8" x 6¾"), Mepilex - Soft and conformable foam dressing: 8˝ x 20˝ ..., AQUACEL® Foam Dressing: Adhesive, sacral: 20x17.5cm (8"..., PolyMem Cloth Adhesive Dressings, 2" x 2", box of 20, Mepilex Border Flex Square, 6˝ x 8˝ (15 x 20 cm), case ..., Mepilex Foam Dressing,, 8˝ x 8˝ (20 x 20 cm), box of 5,..., AQUACEL® Foam Dressing: Adhesive, Square: 12.5x12.5cm (..., Biatain Silicone Lite, 2x2 inch, box of 5, ComfortFoam Self-Adherent Soft Silicone Foam Dressing, ..., Dimora Silicone Foam Dressing With Border, 6"x6", box o..., Advazorb, 3.9” x 3.9”, Pack of 10, Dimora Silicone Foam Dressing With Border, 4"x4". box o..., PolyMem Non-Adhesive Dressings, 10cm x 61cm, box of 2, Kendall™ AMD Antimicrobial Foam Dressings, 6 in. x 6 in..., PolyMem Cloth Adhesive Dressings, 5cm x 10cm, box of 5, Allevyn Gentle Border Lite 6" x 6" (15cm x 15cm) 10 pie..., Mepilex Border Flex, 3 X 3 Inch With Border Film Backin...,

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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 2478 Version 1.0

Espuma Non-Adhesive

Espuma Non-Adhesive

ESSENTIALS

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