Suprasorb® A Calcium Alginate Dressing

Last updated on 11/10/22 | First published on 10/3/22 | Literature review current through Oct. 2024 [cite]

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Technology and Product Assessment

Product Type: Alginate or other fiber gelling dressing

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.

Suprasorb A Calcium Alginate Dressing is an alginate dressing

INTENDED USES: For the care of non-infected superficial or deep wounds with high levels of exudate; Indications: arterial ulcers, venous ulcers, diabetic ulcers, skin graft donor sites, pressure ulcers; Wound healing stages: Exudation phase, Granulation phase

CLAIMED BENEFITS: The high exudate absorption capacity of Suprasorb A promotes wound healing. The absorption of wound exudate causes the exchange of sodium ions with calcium ions, forming a gel. Bacteria and debris are trapped in the gel, creating a moist wound environment. Suprasorb A not only promotes wound healing but also offers a high degree of comfort due to its exceptionally soft structure and ease of packing.

Manufacturer: L&R USA, Inc.

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

Suprasorb A Dressing, 2 x 2", box of 10

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

A6196

Suprasorb A Dressing, 4 x 4", box of 10

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

A6196

Suprasorb A Dressing, 4 x 5", box of 10

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

A6196

Suprasorb A Dressing, 4 x 8", box of 10

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

A6196

Suprasorb A Rope, 12", 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

L&R USA, Inc.
Suprasorb A Dressing, 2 x 2", box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

L&R USA, Inc.
Suprasorb A Dressing, 4 x 4", box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

L&R USA, Inc.
Suprasorb A Dressing, 4 x 5", box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

L&R USA, Inc.
Suprasorb A Dressing, 4 x 8", box of 10

$1.80
each dressing

$9.01

1 change/day (1 sheet)

L&R USA, Inc.
Suprasorb A Rope, 12", 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

Suprasorb A Dressing, 2 x 2", box of 10

Coming soon

Suprasorb A Dressing, 4 x 4", box of 10

Coming soon

Suprasorb A Dressing, 4 x 5", box of 10

Coming soon

Suprasorb A Dressing, 4 x 8", box of 10

Coming soon

Suprasorb A Rope, 12", box of 5

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Suprasorb A Dressing, 2 x 2", 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 used to pack deep wounds Indications: May be used under compression Medicare freq of replacement: 1/day Wear time: Up to 1 day Wear time: Up to 3 days Wear time: Up to 7 days

Suprasorb A Dressing, 4 x 4", box of 10

Suprasorb A Dressing, 4 x 5", box of 10

Suprasorb A Dressing, 4 x 8", box of 10

Suprasorb A Rope, 12", box of 5

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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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 1794 Version 1.0

Suprasorb® A Calcium Alginate Dressing

Suprasorb® A Calcium Alginate Dressing

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