V.A.C. WHITEFOAM™ Dressings with SENSAT.R.A.C.™ Technology

First published on 11/18/17 | Last updated on 2/24/18 | Literature review current through Oct. 2018

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ESSENTIALS

Product

Rating

Suppliers Price

HCPCS Class

HCPCS

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories

A6550

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories

A6550

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories

A6550

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories

A6550

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories

A6550

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Choose the state for Medicare
DME coverage and co-payment

Manufacturer
Product

Rating

Suppliers Price

Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

KCI - An Acelity Company
V.A.C. WHITEFOAM™ Large Dressing, 10-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

$4.90
per dressing change (Medicare)

$24.48

15 dressing kits/ wound /month

KCI - An Acelity Company
V.A.C. WHITEFOAM™ Large Dressing, 5-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

$4.90
per dressing change (Medicare)

$24.48

15 dressing kits/ wound /month

KCI - An Acelity Company
V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

$4.90
per dressing change (Medicare)

$24.48

15 dressing kits/ wound /month

KCI - An Acelity Company
V.A.C. WHITEFOAM™ Small Dressing, 10-pack

Rate It

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

$4.90
per dressing change (Medicare)

$24.48

15 dressing kits/ wound /month

KCI - An Acelity Company
V.A.C. WHITEFOAM™ Small Dressing, 5-pack

Rate It

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

$4.90
per dressing change (Medicare)

$24.48

15 dressing kits/ wound /month

* 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

Rating

Suppliers Price

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

Coming soon

Coming soon

Coming soon

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

Coming soon

Coming soon

Coming soon

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

Coming soon

Coming soon

Coming soon

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

Rate It

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

Coming soon

Coming soon

Coming soon

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

Rate It

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

Coming soon

Coming soon

Coming soon

Product

Rating

Suppliers Price

Features

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, 10-pack

Interface frequency of change: 2 times/ week Interface frequency of change: 3 times/ week Interface: White foam (PVA) Interface: Customizable to wound size/depth

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, 5-pack

Interface frequency of change: 2 times/ week Interface frequency of change: 3 times/ week Interface: White foam (PVA) Interface: Customizable to wound size/depth

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

Rate It

V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack

Interface frequency of change: 2 times/ week Interface frequency of change: 3 times/ week Interface: White foam (PVA) Interface: Customizable to wound size/depth

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

Rate It

V.A.C. WHITEFOAM™ Small Dressing, 10-pack

Interface frequency of change: 2 times/ week Interface frequency of change: 3 times/ week Interface: White foam (PVA) Interface: Customizable to wound size/depth

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

Rate It

V.A.C. WHITEFOAM™ Small Dressing, 5-pack

Interface frequency of change: 2 times/ week Interface frequency of change: 3 times/ week Interface: White foam (PVA) Interface: Customizable to wound size/depth

CPT Code	Description	Physician Reimbursement - Office	Physician Reimbursement - Facility	Facility Reimbursement
97605	Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters	$45.00	$26.64	$168.95
97606	Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters	$53.28	$28.80	$310.80

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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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.

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