Tegaderm High Performance Foam Adhesive Dressing

Last updated on 6/15/23 | First published on 6/15/23 | Literature review current through Oct. 2024 [cite]

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Technology and Product Assessment

Product Type: Foam

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.

Tegaderm High Performance Foam Adhesive Dressing is a foam dressing.

INTENDED USES: For Wound Care, Dressing & Device Securement, For Skin Injuries-Allergic & Irritant Contact Dermatitis

CLAIMED BENEFITS: The mini wrap dressing is constructed of a conformable, absorbent, polyurethane foam

pad with a highly breathable, non-waterproof, film backing reinforced with soft cloth tape.

Manufacturer: Solventum Corporation

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

Tegaderm High Performance Foam Adhesive Dressing, Small Oval, 4 in x 4.5 in, box of 10

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

A6212

Tegaderm High Performance Foam Adhesive Dressing, Mini Oval, 2.75 in x 3 in, box of 10

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

A6212

Tegaderm High Performance Foam Adhesive Dressing, Mini Wrap, 2.75 in x 2.75 in, box of 10

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

A6212

* 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

Solventum Corporation
Tegaderm High Performance Foam Adhesive Dressing, Small Oval, 4 in x 4.5 in, box of 10

$2.38
each dressing

$11.88

3 changes/week

Solventum Corporation
Tegaderm High Performance Foam Adhesive Dressing, Mini Oval, 2.75 in x 3 in, box of 10

$2.38
each dressing

$11.88

3 changes/week

Solventum Corporation
Tegaderm High Performance Foam Adhesive Dressing, Mini Wrap, 2.75 in x 2.75 in, box of 10

$2.38
each dressing

$11.88

3 changes/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

Tegaderm High Performance Foam Adhesive Dressing, Small Oval, 4 in x 4.5 in, box of 10

Coming soon

Tegaderm High Performance Foam Adhesive Dressing, Mini Oval, 2.75 in x 3 in, box of 10

Coming soon

Tegaderm High Performance Foam Adhesive Dressing, Mini Wrap, 2.75 in x 2.75 in, box of 10

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Tegaderm High Performance Foam Adhesive Dressing, Small Oval, 4 in x 4.5 in, box of 10

Tegaderm High Performance Foam Adhesive Dressing, Mini Oval, 2.75 in x 3 in, box of 10

Tegaderm High Performance Foam Adhesive Dressing, Mini Wrap, 2.75 in x 2.75 in, box of 10

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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Tegaderm High Performance Foam Adhesive Dressing

Tegaderm High Performance Foam Adhesive Dressing

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