Suprasorb X PHMB Antimicrobial Hydrobalance Dressing

Last updated on 1/8/23 | First published on 10/3/22 | Literature review current through Oct. 2024 [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.

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing is a cellulose antimicrobial dressing

INTENDED USES: For the care of superficial or deep wounds with slight to moderate amounts of exudate that are infected or at risk of infection; Indications: arterial and venous ulcers,

diabetic ulcers, pressure ulcers, superficial 2nd degree burns, post-operative surgical wounds, skin grafts, skin graft donor sites, abrasions, lacerations; Wound healing stages:

Exudation phase, Granulation phase, Epithelialisation phase

CLAIMED BENEFITS: Suprasorb X + PHMB is an antimicrobial wound dressing that acts against a broad spectrum of pathogens, such as MRSA and VRE*. Very rapid and virtually complete release of polyhexanide (PHMB) from the dressing has been demonstrated in vitro within 24 hours. Depending on the wound status, Suprasorb X + PHMB either donates moisture to the wound or absorbs excess exudate. This creates a moist environment perceived by patients as pleasant and pain-relieving. The material used in Suprasorb X + PHMB allows it to conform readily to any type or depth of wound, making it particularly suitable for awkward parts of the body.

Manufacturer: L&R USA, Inc.

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

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 5 x 5cm, case of 5

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 9 x 9cm, case of 5

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 14 x 20cm, case of 5

* 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 X+PHMB Antimicrobial Hydrobalance Dressing, 5 x 5cm, case of 5

$.00

Coming soon

L&R USA, Inc.
Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 9 x 9cm, case of 5

$.00

Coming soon

L&R USA, Inc.
Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 14 x 20cm, case of 5

$.00

Coming soon

* 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 X+PHMB Antimicrobial Hydrobalance Dressing, 5 x 5cm, case of 5

Coming soon

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 9 x 9cm, case of 5

Coming soon

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 14 x 20cm, case of 5

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 5 x 5cm, case of 5

Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Dry Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Indications: May be used to pack deep wounds Indications: May be used under compression Wear time: Up to 7 days

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 9 x 9cm, case of 5

Suprasorb X+PHMB Antimicrobial Hydrobalance Dressing, 14 x 20cm, case 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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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, Medihoney Gel Dressing, 0.5 oz tube 10/box, 4 boxes/cas..., 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" ..., Iodosorb Gel 40g, 1 tube, Hydrofera Blue TRANSFER Antibacterial Dressings, 4” x ..., Hydrofera Blue Classic Antibacterial Foam Dressing, 2" ..., Hydrofera Blue TRANSFER Antibacterial Dressings, 2.5” ..., Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box, Medihoney Calcium Alginate Dressing, 4" x 5" 10/box, 5 ..., Promogran Prisma Matrix, 19.1 sq.in 10 eaches/CT, ACTICOAT 7, 2" x 2", Box of 5, Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box, Hydrofera Blue Classic Antibacterial Foam Dressing, 6" ..., Mepilex Ag Silver Foam Dressing, 4˝ x 4˝ (10 x 10 cm), ..., Medihoney Calcium Alginate Dressing, 2" x 2" 10/box, 10..., ACTICOAT Flex 7, 2" x 2", Pack of 5, Algidex Ag® Paste, 10 cc Tube Paste, 10/box, 30/cs, MEDIHONEY® HCS, Adhesive: 2.8" x 2.8", 10/box, Medihoney Hydrogel - Non-Adhesive, 2.4" x 2.4", Pack of..., ACTICOAT, 4" x 4", Pack of 12, Hydrofera Blue TRANSFER Antibacterial Dressings, 8” x ..., Iodoflex Pads 10g (2 1/8" x 3"), 3 sachets, Endoform Antimicrobial Dermal Template 4" X 5" NON-FENE..., Medihoney Paste Dressing, 0.5 oz tube 10/box, 4/case, ACTICOAT 7, 4" x 5", Box of 5, AQUACEL Ag SURGICAL Cover Dressing, ACTICOAT, 4" x 8", Pack of 12, Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box, MEDIHONEY® Honeycolloid Adhesive: 2" x 2" (3½" x 3½" wi..., MEDIHONEY® Honeycolloid Adhesive: 4½" x 4½" (6" x 6" wi..., Endoform Antimicrobial Dermal Template 4" X 5" FENESTRA..., Mepilex Transfer Ag, 4” x 5”, Box of 5, MEDIHONEY® HCS, Adhesive: 4½" x 4½", 10/box, Endoform Antimicrobial Dermal Template 2" X 2" FENESTRA..., Medihoney Hydrogel - Non-Adhesive, 4.3" x 4.3" , Pack o..., ACTICOAT, 2" x 2", Pack of 5, Mepilex Ag Silver Foam Dressing, 4˝ x 8˝ (10 x 20 cm), ..., Mepilex Ag Silver Foam Dressing, 8˝ x 8˝ (20 x 20 cm), ..., Aquacel Ag Non adhesive, 5x5cm (2" x 2"), 10 per box, Medihoney Calcium Alginate Dressing, ¾" x 12" 5/box, ACTISORB™ Silver 220 Dressing, 2.6” x 3.8”, box of 10, Medihoney Paste Dressing, 1.5 oz tube 1/box, 12/case, GEL, SILVER, ANTIMICROB, SILVASORB, 3 OZ, 12/CS, AQUACEL Ag Advantage Ribbon, .39 x 18 inch, box of 5, AQUACEL Ag Advantage Ribbon, .75 x 18 inch, box of 5, Hydrofera Blue Classic Antibacterial Foam Dressing, 1.2...,

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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 1797 Version 1.0

Suprasorb X PHMB Antimicrobial Hydrobalance Dressing

Suprasorb X PHMB Antimicrobial Hydrobalance Dressing

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