Mepitel® One

Last updated on 11/10/22 | First published on 11/11/17 | Literature review current through Mar. 2024 [cite]

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Technology and Product Assessment

Product Type: Contact Layer

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.

Mepitel One is a wound contact layer.

INTENDED USES: Areas of use: Skin tears, Painful wounds, Surgical incisions, Skin abrasions, Traumatic wounds, Partial thickness burns, Lacerations, Blistering, Radiation skin, Leg and foot ulcers, Partial and full thickness grafts. It can also be used as protective layer on non-exuding wounds and on areas with fragile skin.

CLAIMED FEATURES: Minimizes pain and trauma at dressing changes. Safetac layer on wound contact side only (one sided) for easy handling and application, May remain in place for up to 14 days which allows cost effective and undisturbed wound healing, Enables less frequent dressing changes, Minimizes the risk of maceration, Leaves no residue and does not dry out, Transparent for easy wound inspection during application and wear, Conforms well to body contours, promoting patient comfort during wear, Stays in place

Manufacturer: Molnlycke 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

Mepitel One - The one-sided Wound Contact Layer , 2˝ x 3˝ (5 x 7.5 cm), Pack of 70

Contact layer, sterile, 16 sq. in. or less, each dressing

A6206

Mepitel One The one-sided Wound Contact Layer: 3˝ x 4˝ (7.5 x 10 cm), Pack of 10

Contact layer, sterile, 16 sq. in. or less, each dressing

A6206

Mepitel One The one-sided Wound Contact Layer: 4˝ x 7˝ (10 x 18 cm), Pack of 70

Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing

A6207

Mepitel One The one-sided Wound Contact Layer: 6.8” x 10” (17 x 25 cm), Pack of 40

Contact layer, sterile, more than 48 sq. in., each dressing

A6208

Mepitel One The one-sided Wound Contact Layer: 10.8” x 20” (27.5 x 50 cm), Pack of 14

Contact layer, sterile, more than 48 sq. in., each dressing

A6208

Mepitel One The one-sided Wound Contact Layer: 3.75˝ x 59˝ (9.5 x 150 cm), Pack of 9

Contact layer, sterile, more than 48 sq. in., each dressing

A6208

* 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

Molnlycke Health Care US, LLC
Mepitel One - The one-sided Wound Contact Layer , 2˝ x 3˝ (5 x 7.5 cm), Pack of 70

$.00
each dressing (carrier discretion)

1 change/week

Molnlycke Health Care US, LLC
Mepitel One The one-sided Wound Contact Layer: 3˝ x 4˝ (7.5 x 10 cm), Pack of 10

$.00
each dressing (carrier discretion)

1 change/week

Molnlycke Health Care US, LLC
Mepitel One The one-sided Wound Contact Layer: 4˝ x 7˝ (10 x 18 cm), Pack of 70

$1.80
each dressing

$8.99

1 change/week

Molnlycke Health Care US, LLC
Mepitel One The one-sided Wound Contact Layer: 6.8” x 10” (17 x 25 cm), Pack of 40

$.00
each dressing (carrier discretion)

1 change/week

Mölnlycke Health Care US, LLC
Mepitel One The one-sided Wound Contact Layer: 10.8” x 20” (27.5 x 50 cm), Pack of 14

$.00
each dressing (carrier discretion)

1 change/week

Molnlycke Health Care US, LLC
Mepitel One The one-sided Wound Contact Layer: 3.75˝ x 59˝ (9.5 x 150 cm), Pack of 9

$.00
each dressing (carrier discretion)

1 change/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

Mepitel One - The one-sided Wound Contact Layer , 2˝ x 3˝ (5 x 7.5 cm), Pack of 70

Coming soon

Mepitel One The one-sided Wound Contact Layer: 3˝ x 4˝ (7.5 x 10 cm), Pack of 10

Coming soon

Mepitel One The one-sided Wound Contact Layer: 4˝ x 7˝ (10 x 18 cm), Pack of 70

Coming soon

Mepitel One The one-sided Wound Contact Layer: 6.8” x 10” (17 x 25 cm), Pack of 40

Coming soon

Mepitel One The one-sided Wound Contact Layer: 10.8” x 20” (27.5 x 50 cm), Pack of 14

Coming soon

Mepitel One The one-sided Wound Contact Layer: 3.75˝ x 59˝ (9.5 x 150 cm), Pack of 9

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Mepitel One - The one-sided Wound Contact Layer , 2˝ x 3˝ (5 x 7.5 cm), Pack of 70

Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Dry Exudate: Low Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: More than 7 days

Mepitel One The one-sided Wound Contact Layer: 3˝ x 4˝ (7.5 x 10 cm), Pack of 10

Mepitel One The one-sided Wound Contact Layer: 4˝ x 7˝ (10 x 18 cm), Pack of 70

Mepitel One The one-sided Wound Contact Layer: 6.8” x 10” (17 x 25 cm), Pack of 40

Mepitel One The one-sided Wound Contact Layer: 10.8” x 20” (27.5 x 50 cm), Pack of 14

Mepitel One The one-sided Wound Contact Layer: 3.75˝ x 59˝ (9.5 x 150 cm), Pack of 9

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: ADAPTIC TOUCH™ Non-Adhering Silicone Dressing, 2 " X 3 ..., ADAPTIC TOUCH™ Non-Adhering Silicone Dressing, 3 " X 4 ..., Restore Contact Layer FLEX Dressing with TRIACT Technol..., Telfa™ Clear Wound Dressing, 4" x 5", 25 Per Box, 50 Sh..., Mepitel 3" x 4" (7.5 x 10 cm), Box of 10, Cutimed® Sorbact® WCL, 2 × 3 in. (5 × 7.6 cm), Box of 1..., Telfa™ Clear Wound Dressing, 3" x 3", 25 Per Box, 50 Sh..., ADAPTIC Non-Adhering Dressing, 3 x 8 inch, case of 36, Restore Contact Layer FLEX Dressing with TRIACT Technol..., Mepitel 2" x 3" (5 x 7.5 cm), Box of 10, ADAPTIC Non-Adhering Dressing, 3 x 3 inch, case of 50, ADAPTIC TOUCH™ Non-Adhering Silicone Dressing, 5 " X 6 ..., Cutimed® Sorbact® WCL, 8 × 8 in. (20 × 20 cm), Box of 1..., Telfa™ Clear Wound Dressing, 12" x 12", 25 Per Box, 50 ..., Mepitel 8" x 12" (20 x 30 cm), Box of 5, Cutimed® Sorbact® WCL, 6 × 6 in. (15 × 15 cm), Box of 1..., Telfa™ Clear Wound Dressing, 12" x 24", 25 Per Box, 50 ..., Mepitel 4" x 7"(10 x 18 cm), Box of 10, Cutimed® Sorbact® WCL, 4 × 4 in. (10 × 10 cm), Box of 1..., Telfa™ Clear Wound Dressing, 39" x 25 yds, Cutimed® Sorbact® WCL, 4 × 8 in. (10 × 20 cm), Box of 1..., Telfa™ Clear Wound Dressing, 3"x 8", Cutimed® Sorbact® WCL, 4 × 5 in. (10 × 12.7 cm), Box of..., TRITEC Silver, 4" X 5", box of 10, TRITEC, 4" X 5", box of 10, Restore Contact Layer FLEX Dressing with TRIACT Technol..., UrgoTul, 2" x 2", box of 10, TRITEC Silver, 4" x 48", box of 10, TRITEC, 4" X 48", case of 10, TRITEC Silver, 6" X 6", box of 10, ADAPTIC TOUCH™ Non-Adhering Silicone Dressing, 8 " X 12..., TRITEC Silver, 1" X 24", box of 10, UrgoTul, 4" x 5", box of 10, UrgoTul, 6" x 8", box of 10,

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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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Mepitel® One

Mepitel® One

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