Last updated on 11/10/22 | First published on 11/12/17 | Literature review current through Mar. 2024
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Technology and Product Assessment
Product Type: Alginate or other fiber gelling dressing
Other related products
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.
Mextra Super absorbent is a super absorbent dressing.
INTENDED USES: Suitable for managing highly exuding wounds, such as venous leg ulcers, diabetic foot ulcers, and in some cases pressure ulcers.
CLAIMED FEATURES: Helps reduce the risk of leakage and maceration through absorption and retention properties, Can minimize the need for frequent dressing changes, May lead to reduced treatment costs, Maintains structure and integrity without becoming bulky upon exudate absorption, Protects against fluid strike-through, Promotes patient comfort, Has protease modulating properties and provides a conducive environment for healing to proceed
Manufacturer: Mölnlycke Health Care US, LLC
Information retrieved from manufacturer and/or FDA-approved labels
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ESSENTIALS
Product
Estimated
Out-of-pocket
Cost
HCPCS Class
HCPCS
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
A6196
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
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
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
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
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
A6198
* 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
$1.80
each dressing
$9.01
1 change/day (1 sheet)
$4.02
each dressing
$20.12
1 change/day (1 sheet)
$4.02
each dressing
$20.12
1 change/day (1 sheet)
$4.02
each dressing
$20.12
1 change/day (1 sheet)
$4.02
each dressing
$20.12
1 change/day (1 sheet)
$.00
each dressing (carrier discretion)
1 change/day (1 sheet)
* 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
Product
Estimated
Out-of-pocket
Cost
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Moderate
Exudate: High
Indications: May be used under compression
Medicare freq of replacement: 1/day
Wear time: Up to 7 days
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Moderate
Exudate: High
Indications: May be used under compression
Medicare freq of replacement: 1/day
Wear time: Up to 7 days
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Moderate
Exudate: High
Indications: May be used under compression
Medicare freq of replacement: 1/day
Wear time: Up to 7 days
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Moderate
Exudate: High
Indications: May be used under compression
Medicare freq of replacement: 1/day
Wear time: Up to 7 days
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Moderate
Exudate: High
Indications: May be used under compression
Medicare freq of replacement: 1/day
Wear time: Up to 7 days
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Moderate
Exudate: High
Indications: May be used under compression
Medicare freq of replacement: 1/day
Wear time: Up to 7 days
- Based on national averages
- Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
- When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.
- 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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CLINICAL
Overview
Mextra Superabsorbent absorbs wound exudate through the wound contact layer, retains the exudate within the core and thereby could reduce the risk of maceration. The fluid-repellent nonwoven backing acts as an exudate barrier and prevents exudate strike-through.
How supplied and HCPCS
- 5˝ x 5˝ (12.5 x 12.5 cm) A6196
- 5˝ x 7˝ (12.5 x 17.5 cm) A6197
- 5˝ x 9˝ (12.5 x 22.5 cm) A6197
- 7˝ x 9˝ (17.5 x 22.5 cm) A6197
- 9˝ x 11˝ (22.5 x 27.5 cm) A6197
- 9˝ x 13˝ (22.5 x 32.5 cm) A6198
Indications
Moderately to highly exuding wounds.
Contraindications
Do not use if:
- Known sensitivity to alginates
- Wounds with heavy bleeding
- Direct application on dry or lightly exuding wounds, as dressing may adhere to wound
- Hydrogel is being used
Application
- Clean the wound area and select a suitable size of Mextra Superabsorbent.
- Apply Mextra Superabsorbent directly on the wound area with the white side of the dressing onto the wound. For best results, the pad should overlap the dry surrounding skin by at least 2 cm. Mextra Superabsorbent can also be used together with a wound contact layer, such as Mepitel® and Mepilex® Transfer
- Secure Mextra Superabsorbent with a suitable bandage such as Tubifast® bandage or a fixation tape. It can also be used under a compression bandage where appropriate.
Removal
- Alginate gels in contact with exudate and absorbs its color. Using forceps, remove dressing in one piece and cleanse wound bed to ensure residual gel is removed.
- If dressing is dry and hard to remove, saturate it with sterile saline or sterile water and allow liquid to soak into the dressing until dressing is soft
Frequency of replacement
The dressing should be changed based on the condition of the wound or before the dressing has become saturated. Mextra Superabsorbent may be left on the wound for severals days
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