McKesson Foam Dressing

Last updated on 9/7/25 | First published on 9/7/25 | Literature review current through Aug. 2025 [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.

McKesson Foam Dressing is a foam dressing.

INTENDED USES: McKesson silicone adhesive foam dressings are indicated for the management of exuding wounds, such as leg and foot ulcers, pressure ulcers, traumatic and surgical wounds, as well as superficial and partial-thickness burns. The dressing absorbs exudate and maintains a moist wound-healing environment while minimizing the risk of maceration. It may be applied and changed by clinicians or patients.

CLAIMED BENEFITS: Perforated silicone gel adhesive provides gentle but firm adhesion. Conformable and remains intact on skin. Soft silicone minimizes pain to patients and trauma to wounds upon removal. Affixes securely to dry, intact skin; seals the wound margins to help prevent exudate from leaking on surrounding tissue, minimizing risk of maceration. Breathable, moisture and bacteria resistant outer film layer. Absorbent inner hydrocellular foam pad maintains a moist wound environment to help promote healing. Dressing may be lifted and repositioned without losing its adherent properties. Wear time up to 7 days or as directed by a healthcare professional. Not made with natural rubber latex.

Manufacturer: McKesson Medical-Surgical

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

McKesson Foam Dressing, 3x3 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

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

A6212

McKesson Foam Dressing, 4x4 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

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

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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

McKesson Medical-Surgical
McKesson Foam Dressing, 3x3 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

$2.38
each dressing

$11.88

3 changes/week

McKesson Medical-Surgical
McKesson Foam Dressing, 4x4 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

$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

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

McKesson Foam Dressing, 3x3 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

Coming soon

McKesson Foam Dressing, 4x4 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

McKesson Foam Dressing, 3x3 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

McKesson Foam Dressing, 4x4 inch with Border Film Backing Silicone Gel Adhesive, Square, Sterile

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: Mepilex Border Flex Square, 4˝ x 4˝ (10 x 10 cm), case ..., Mepilex Foam Dressing, 4˝ x 4˝ (10 x 10 cm), box of 5,..., Mepilex Border Flex Square, 3˝ x 3˝ (7.5 x 7.5 cm), cas..., ALLEVYN Ag Gentle Border, 3” x 3”, Pack of 40, Allevyn Life: 4" x 4" (10.3cm x 10.3cm, 93cm2), 10/cart..., Allevyn Gentle Border Lite 2" x 2" (5cm x 5cm), 10 piec..., Mepilex Border Flex Square, 6˝ x 6˝ (15 x 15 cm), case ..., Allevyn Gentle Border Lite 4" x 4" (10cm x 10cm) 10 pie..., Allevyn Non-Adhesive Foam Wound Dressing, 4’’ x 4’’/10c..., Allevyn Heel, 1 bx/5 dressings, ALLEVYN Ag Gentle Border, 5” x 5”, Pack of 40, ALLEVYN Adhesive, 3’’ x 3’’/7.5cm x 7.5cm, 10/carton, AQUACEL® Foam Dressing: Adhesive, Square: 7.5x7.5cm (3"..., Mepilex Foam Dressing, 6˝ x 6˝ (15 x 15 cm), box of 5, ..., AQUACEL® Foam Dressing: Adhesive, Square: 10x10cm (4" x..., PolyMem Non-Adhesive Dressings, 10cm x 10cm, box of 4, Allevyn Non-Adhesive Foam Wound Dressing, 8’’ x 8’’/20c..., Mepilex® Transfer, 6˝ x 8˝, Case of 40, Allevyn Non-Adhesive Foam Wound Dressing, 2’’ x 2’’/5cm..., Allevyn Life: 6 1/16" x 6 1/16" (15.4cm x 15.4cm, 211cm..., Allevyn Life: 5 1/16" x 5 1/16 (12.9cm x 12.9cm, 146cm2..., Allevyn Non-Adhesive Foam Wound Dressing, 6’’ x 6’’/15c..., PolyMem Cloth Adhesive Dressings, 2.5cm x 8cm, box of 5, Mepilex - Soft and conformable foam dressing: 8˝ x 20˝ ..., Mepilex Foam Dressing,, 8˝ x 8˝ (20 x 20 cm), box of 5,..., Mepilex® Transfer, 8˝ x 20˝, Box of 4, Mepilex Foam Dressing, 4˝ x 8˝ (10 x 20 cm), box of 5,..., Allevyn Gentle Border Lite 3" x 3" (7.5cm x 7.5cm) 10 p..., ALLEVYN Adhesive, 5’’ x 5’’/12.5cm x 12.5cm, 10/carton, PolyMem Non-Adhesive Dressings, 13cm x 13cm, box of 2, Allevyn Life: Sacrum 6¾in x 6 7/8in (17.2cm x 17.5cm, 2..., Allevyn Life: Heel Heel 9in x 9 1/8in (25cm x 25.2cm, 5..., PolyMem Non-Adhesive Dressings, 10cm x 32cm, box of 1, PolyMem Non-Adhesive Dressings, 17cm x 19cm, box of 2, AQUACEL® Foam Pro adhesive sacral: 20x16.9cm (8" x 6¾"), Dimora Silicone Foam Dressing With Border, 4"x4". box o..., Advazorb, 3” x 3”, Pack of 10, Dimora Silicone Foam Dressing With Border, 6"x6", box o..., Allevyn Gentle Border Lite 2 1/2" x 4 3/4" (5.5cm x 12c..., Allevyn Gentle Border, 15x15cm, PolyMem Cloth Adhesive Dressings, 2" x 2", box of 20, Allevyn Life: Sacrum 8 ½in x 9in (21.6cm x 23cm, 386cm2..., Mepilex Border Flex Square, 6˝ x 8˝ (15 x 20 cm), case ..., AQUACEL® Foam Dressing: Adhesive, sacral: 20x17.5cm (8"..., PolyMem Cloth Adhesive Dressings, 5cm x 10cm, box of 5, Tegaderm High Performance Foam Adhesive Dressing, Small..., Cutimed Cavity, 10x10cm, box of 10, Advazorb, 5.9” x 5.9”, Pack of 10, Kendall™ AMD Antimicrobial Foam Dressings, 4 in. x 8 in..., Kendall™ AMD Antimicrobial Foam Dressings, 6 in. x 6 in..., AQUACEL® Foam Dressing: Adhesive, Square: 12.5x12.5cm (...,

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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 3060 Version 1.0

McKesson Foam Dressing

McKesson Foam Dressing

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