Restore® Calcium Alginate Dressing - Silver

Last updated on 11/10/22 | First published on 11/14/18 | Literature review current through Mar. 2025 [cite]

more...

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.

Restore Calcium Alginate Dressing – Silver is an antimicrobial alginate dressing.

INTENDED USES: Indicated for moderately to heavily exuding partial- and full-thickness wounds.

CLAIMED FEATURES: It is a sterile, non-woven calcium alginate dressing composed of an ionic silver complex (silver sodium hydrogen zirconium phosphate), which releases silver ions in the presence of wound exudate.

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

Manufacturer: Hollister

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

Restore Calcium Alginate Dressing – Silver 2" x 2" (5 cm 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

Restore Calcium Alginate Dressing – Silver 4" x 4.75" (10 cm x 10 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

Restore Calcium Alginate Dressing – Silver 12" rope (30.5 cm rope), Box of 5

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

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

Hollister
Restore Calcium Alginate Dressing – Silver 2" x 2" (5 cm x 5 cm), Box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

Hollister
Restore Calcium Alginate Dressing – Silver 4" x 4.75" (10 cm x 10 cm) , Box of 10

$4.02
each dressing

$20.12

1 change/day (1 sheet)

Hollister
Restore Calcium Alginate Dressing – Silver 12" rope (30.5 cm rope), Box of 5

$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

Restore Calcium Alginate Dressing – Silver 2" x 2" (5 cm x 5 cm), Box of 10

Coming soon

Restore Calcium Alginate Dressing – Silver 4" x 4.75" (10 cm x 10 cm) , Box of 10

Coming soon

Restore Calcium Alginate Dressing – Silver 12" rope (30.5 cm rope), Box of 5

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Restore Calcium Alginate Dressing – Silver 2" x 2" (5 cm x 5 cm), Box of 10

Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 1/day Wear time: Up to 3 days

Restore Calcium Alginate Dressing – Silver 4" x 4.75" (10 cm x 10 cm) , Box of 10

Restore Calcium Alginate Dressing – Silver 12" rope (30.5 cm rope), Box of 5

Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Moderate Exudate: High Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 3/week Wear time: Up to 7 days

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

Use of WoundReference is subject to the Subscription and License Agreement.

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 1082 Version 1.0

Restore® Calcium Alginate Dressing - Silver

Restore® Calcium Alginate Dressing - Silver

ESSENTIALS

RELATED TOPICS

Basic Navigation

Feature Navigation

Solutions

Individuals:

Institutions:

Special Features:

Newsletter Signup