Melgisorb® Ag Antimicrobial Alginate Dressing

Last updated on 11/10/22 | First published on 11/16/18 | Literature review current through Feb. 2025 [cite]

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Technology and Product Assessment

Product Type: Antimicrobial

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.

Melgisorb® Ag is an antimicrobial alginate dressing.

INTENDED USES: Melgisorb Ag is indicated for the management of all moderate to heavily exuding partial to full thickness wounds including post-operative wounds, trauma wounds, leg ulcers, pressure ulcers, diabetic ulcers, graft and donor sites, cavity wounds and superficial and partial thickness burns. As Melgisorb Ag contains alginate, it may assist in supporting the control of minor bleeding in superficial wounds.

CLAIMED FEATURES: Made with carboxymethylcellulose (CMC). Its unique construction allows for high absorbency, high wet tensile strength with sustained antimicrobial efficacy. It is able to manage high volumes of exudate. The fibers form a soft gel, which creates a moist environment and promotes wound healing. The high strength fibers also allow for one piece removal.

OPTIONS: 2" x 2" (5 x 5 cm), Box of 10

Manufacturer: Mölnlycke Health Care US, LLC

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

Melgisorb® Ag Antimicrobial Alginate Dressing 2˝ x 2˝ (5 x 5 cm), Box of 10

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing

A6196

Melgisorb® Ag Antimicrobial Alginate Dressing 4˝ x 4˝ (10 x 10 cm), Box of 10

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing

A6196

Melgisorb® Ag Antimicrobial Alginate Dressing 6˝ x 6˝ (15 x 15 cm), Box of 10

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing

A6197

Melgisorb® Ag Antimicrobial Alginate Dressing 8˝ x 12˝ (20 x 30 cm), Box of 5

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing

A6198

Melgisorb® Ag Antimicrobial Alginate Dressing 1.2˝ x 18˝ (3 x 44 cm), Box of 10

Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches

A6199

* 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

Mölnlycke Health Care US, LLC
Melgisorb® Ag Antimicrobial Alginate Dressing 2˝ x 2˝ (5 x 5 cm), Box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

Mölnlycke Health Care US, LLC
Melgisorb® Ag Antimicrobial Alginate Dressing 4˝ x 4˝ (10 x 10 cm), Box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

Mölnlycke Health Care US, LLC
Melgisorb® Ag Antimicrobial Alginate Dressing 6˝ x 6˝ (15 x 15 cm), Box of 10

$4.02
each dressing

$20.12

1 change/day (1 sheet)

Mölnlycke Health Care US, LLC
Melgisorb® Ag Antimicrobial Alginate Dressing 8˝ x 12˝ (20 x 30 cm), Box of 5

$.00
each dressing (carrier discretion)

1 change/day (1 sheet)

Mölnlycke Health Care US, LLC
Melgisorb® Ag Antimicrobial Alginate Dressing 1.2˝ x 18˝ (3 x 44 cm), Box of 10

$1.29
per 6 inches

$6.46

1 change/day (up to 2 units of filler/change)

* 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

Melgisorb® Ag Antimicrobial Alginate Dressing 2˝ x 2˝ (5 x 5 cm), Box of 10

Coming soon

Melgisorb® Ag Antimicrobial Alginate Dressing 4˝ x 4˝ (10 x 10 cm), Box of 10

Coming soon

Melgisorb® Ag Antimicrobial Alginate Dressing 6˝ x 6˝ (15 x 15 cm), Box of 10

Coming soon

Melgisorb® Ag Antimicrobial Alginate Dressing 8˝ x 12˝ (20 x 30 cm), Box of 5

Coming soon

Melgisorb® Ag Antimicrobial Alginate Dressing 1.2˝ x 18˝ (3 x 44 cm), Box of 10

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Melgisorb® Ag Antimicrobial Alginate Dressing 2˝ x 2˝ (5 x 5 cm), Box of 10

Melgisorb® Ag Antimicrobial Alginate Dressing 4˝ x 4˝ (10 x 10 cm), Box of 10

Melgisorb® Ag Antimicrobial Alginate Dressing 6˝ x 6˝ (15 x 15 cm), Box of 10

Melgisorb® Ag Antimicrobial Alginate Dressing 8˝ x 12˝ (20 x 30 cm), Box of 5

Melgisorb® Ag Antimicrobial Alginate Dressing 1.2˝ x 18˝ (3 x 44 cm), Box of 10

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: Promogran Prisma Matrix, 4.34sq.in, 10 eaches/CT, Hydrofera Blue Classic Antibacterial Foam Dressing, 4" ..., Hydrofera Blue READY Antibacterial Foam Dressing, 4" x ..., Iodosorb Gel 10g, 4 tubes, Iodoflex Pads 5g (1 1/2" x 2 3/8"), 5 sachets, Hydrofera Blue READY Antibacterial Foam Dressing, 2.5" ..., Medihoney Gel Dressing 1.5 oz tube 1/box, 12 boxes/case, Medihoney Gel Dressing, 0.5 oz tube 10/box, 4 boxes/cas..., Iodosorb Gel 40g, 1 tube, Hydrofera Blue TRANSFER Antibacterial Dressings, 4” x ..., Hydrofera Blue TRANSFER Antibacterial Dressings, 2.5” ..., Hydrofera Blue Classic Antibacterial Foam Dressing, 2" ..., Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box, Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box, Medihoney Calcium Alginate Dressing, 4" x 5" 10/box, 5 ..., ACTICOAT 7, 2" x 2", Box of 5, Mepilex Ag Silver Foam Dressing, 4˝ x 4˝ (10 x 10 cm), ..., Promogran Prisma Matrix, 19.1 sq.in 10 eaches/CT, ACTICOAT Flex 7, 2" x 2", Pack of 5, ACTICOAT, 4" x 4", Pack of 12, Hydrofera Blue Classic Antibacterial Foam Dressing, 6" ..., Medihoney Calcium Alginate Dressing, 2" x 2" 10/box, 10..., MEDIHONEY® HCS, Adhesive: 2.8" x 2.8", 10/box, Medihoney Paste Dressing, 0.5 oz tube 10/box, 4/case, Medihoney Hydrogel - Non-Adhesive, 2.4" x 2.4", Pack of..., Hydrofera Blue TRANSFER Antibacterial Dressings, 8” x ..., Endoform Antimicrobial Dermal Template 4" X 5" NON-FENE..., Algidex Ag® Paste, 10 cc Tube Paste, 10/box, 30/cs, Iodoflex Pads 10g (2 1/8" x 3"), 3 sachets, ACTICOAT 7, 4" x 5", Box of 5, AQUACEL Ag SURGICAL Cover Dressing, Endoform Antimicrobial Dermal Template 4" X 5" FENESTRA..., Endoform Antimicrobial Dermal Template 2" X 2" FENESTRA..., MEDIHONEY® Honeycolloid Adhesive: 2" x 2" (3½" x 3½" wi..., AQUACEL Ag Advantage Ribbon, .39 x 18 inch, box of 5, ACTICOAT, 4" x 8", Pack of 12, AQUACEL Ag Hydrofiber Dressing, Square, 5x5cm, box of 1..., ACTICOAT Flex 7, 4" x 5", Pack of 5, Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box, Mepilex Transfer Ag, 4” x 5”, Box of 5, Medihoney Hydrogel - Non-Adhesive, 4.3" x 4.3" , Pack o..., Mepilex Ag Silver Foam Dressing, 4˝ x 8˝ (10 x 20 cm), ..., AQUACEL Ag Advantage Ribbon, .75 x 18 inch, box of 5, MEDIHONEY® HCS, Adhesive: 4½" x 4½", 10/box, ACTICOAT, 2" x 2", Pack of 5, MEDIHONEY® Honeycolloid Adhesive: 4½" x 4½" (6" x 6" wi..., Cutimed® Sorbact® Gel, 3 × 3 in. (7.6 × 7.6 cm), Box of..., Mepilex Ag Silver Foam Dressing, 6˝ x 6˝ (15 x 15 cm), ..., ACTICOAT, 5" x 5", Pack of 5, SILVERCEL Non-Adherent Dressing 2 x 2 inch (5 x 5cm), b..., Manukahd Honey Impregnated Absorbent Dressing: 10/box-2...,

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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 1083 Version 1.0

Melgisorb® Ag Antimicrobial Alginate Dressing

Melgisorb® Ag Antimicrobial Alginate Dressing

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