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

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

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

Technology and Product Assessment
Product Type: Durable - Dressings
Other related products
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.
V.A.C. WHITEFOAM is a Negative pressure wound therapy dressing kit.
INTENDED USES: To be used only with V.A.C. Therapy Units.
CLAIMED FEATURES: Less adherent material than V.A.C.® GRANUFOAM™ for use with skin grafts. Higher tensile strength makes it easy to place and remove from tunnels and undermining. Increased density for restricted in-growth of granulation tissue for a more comfortable dressing change. Pre-moistened with sterile water.
OPTIONS: Large Dressing, 10-pack
Manufacturer: KCI - An Acelity Company
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
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
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ Large Dressing, 10-pack
V.A.C.® GRANUFOAM™ Large Dressing, 10-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ Large Dressing, 5-pack
V.A.C.® GRANUFOAM™ Large Dressing, 5-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ Medium Dressing, 10-pack
V.A.C.® GRANUFOAM™ Medium Dressing, 10-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ Medium Dressing, 5-pack
V.A.C.® GRANUFOAM™ Medium Dressing, 5-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ Small Dressing, 10-pack
V.A.C.® GRANUFOAM™ Small Dressing, 10-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ Small Dressing, 5-pack
V.A.C.® GRANUFOAM™ Small Dressing, 5-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® SIMPLACE™ EX Medium Dressing, 5-pack
V.A.C.® SIMPLACE™ EX Medium Dressing, 5-pack
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® SIMPLACE™ Medium Dressing
V.A.C.® SIMPLACE™ Medium Dressing
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® SIMPLACE™ Medium Dressing
V.A.C.® SIMPLACE™ Medium Dressing
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® SIMPLACE™ Small Dressing
V.A.C.® SIMPLACE™ Small Dressing
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
A6550
V.A.C.® SIMPLACE™ Small Dressing
V.A.C.® SIMPLACE™ Small Dressing
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
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
V.A.C. WHITEFOAM™ Large Dressing, 10-pack
KCI - An Acelity Company
V.A.C. WHITEFOAM™ Large Dressing, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C. WHITEFOAM™ Large Dressing, 5-pack
KCI - An Acelity Company
V.A.C. WHITEFOAM™ Large Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack
KCI - An Acelity Company
V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C. WHITEFOAM™ Small Dressing, 10-pack
KCI - An Acelity Company
V.A.C. WHITEFOAM™ Small Dressing, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C. WHITEFOAM™ Small Dressing, 5-pack
KCI - An Acelity Company
V.A.C. WHITEFOAM™ Small Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
KCI - An Acelity Company
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ Large Dressing, 10-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ Large Dressing, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ Large Dressing, 5-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ Large Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ Medium Dressing, 10-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ Medium Dressing, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ Medium Dressing, 5-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ Medium Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ Small Dressing, 10-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ Small Dressing, 10-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ Small Dressing, 5-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ Small Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
KCI - An Acelity Company
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® SIMPLACE™ EX Medium Dressing, 5-pack
KCI - An Acelity Company
V.A.C.® SIMPLACE™ EX Medium Dressing, 5-pack
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® SIMPLACE™ Medium Dressing
KCI - An Acelity Company
V.A.C.® SIMPLACE™ Medium Dressing
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® SIMPLACE™ Medium Dressing
KCI - An Acelity Company
V.A.C.® SIMPLACE™ Medium Dressing
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® SIMPLACE™ Small Dressing
KCI - An Acelity Company
V.A.C.® SIMPLACE™ Small Dressing
$5.40
per dressing change (Medicare)
$26.99
15 dressing kits/ wound /month
V.A.C.® SIMPLACE™ Small Dressing
KCI - An Acelity Company
V.A.C.® SIMPLACE™ Small Dressing
$5.40
per dressing change (Medicare)
$26.99
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
Estimated
Out-of-pocket
Cost
Recom / Evidence
FDA Safety
Quality Measures
Cost Effectiveness
V.A.C. WHITEFOAM™ Large Dressing, 10-pack
V.A.C. WHITEFOAM™ Large Dressing, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C. WHITEFOAM™ Large Dressing, 5-pack
V.A.C. WHITEFOAM™ Large Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack
V.A.C. WHITEFOAM™ Large Dressing, Foam Only, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C. WHITEFOAM™ Small Dressing, 10-pack
V.A.C. WHITEFOAM™ Small Dressing, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C. WHITEFOAM™ Small Dressing, 5-pack
V.A.C. WHITEFOAM™ Small Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ Large Dressing, 10-pack
V.A.C.® GRANUFOAM™ Large Dressing, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ Large Dressing, 5-pack
V.A.C.® GRANUFOAM™ Large Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ Medium Dressing, 10-pack
V.A.C.® GRANUFOAM™ Medium Dressing, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ Medium Dressing, 5-pack
V.A.C.® GRANUFOAM™ Medium Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ Small Dressing, 10-pack
V.A.C.® GRANUFOAM™ Small Dressing, 10-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ Small Dressing, 5-pack
V.A.C.® GRANUFOAM™ Small Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C.® SIMPLACE™ EX Medium Dressing, 5-pack
V.A.C.® SIMPLACE™ EX Medium Dressing, 5-pack
Coming soon
Coming soon
Coming soon
V.A.C.® SIMPLACE™ Medium Dressing
V.A.C.® SIMPLACE™ Medium Dressing
Coming soon
Coming soon
Coming soon
V.A.C.® SIMPLACE™ Medium Dressing
V.A.C.® SIMPLACE™ Medium Dressing
Coming soon
Coming soon
Coming soon
V.A.C.® SIMPLACE™ Small Dressing
V.A.C.® SIMPLACE™ Small Dressing
Coming soon
Coming soon
Coming soon
V.A.C.® SIMPLACE™ Small Dressing
V.A.C.® SIMPLACE™ Small Dressing
Coming soon
Coming soon
Coming soon
Product
Estimated
Out-of-pocket
Cost
Features
V.A.C. WHITEFOAM™ Large Dressing, 10-pack
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
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
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
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
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
V.A.C. WHITEFOAM™ Small Dressing, Foam Only, 10-pack
V.A.C. WHITEFOAM™ Small 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.® GRANUFOAM™ Large Dressing, 10-pack
V.A.C.® GRANUFOAM™ 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.® GRANUFOAM™ Large Dressing, 5-pack
V.A.C.® GRANUFOAM™ 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.® GRANUFOAM™ Medium Dressing, 10-pack
V.A.C.® GRANUFOAM™ Medium 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.® GRANUFOAM™ Medium Dressing, 5-pack
V.A.C.® GRANUFOAM™ Medium 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.® GRANUFOAM™ Small Dressing, 10-pack
V.A.C.® GRANUFOAM™ 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.® GRANUFOAM™ Small Dressing, 5-pack
V.A.C.® GRANUFOAM™ 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
V.A.C.® GRANUFOAM™ X-Large Dressing, 5-pack
V.A.C.® GRANUFOAM™ X-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.® SIMPLACE™ EX Medium Dressing, 5-pack
V.A.C.® SIMPLACE™ EX Medium 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.® SIMPLACE™ Medium Dressing
V.A.C.® SIMPLACE™ Medium Dressing
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.® SIMPLACE™ Medium Dressing
V.A.C.® SIMPLACE™ Medium Dressing
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.® SIMPLACE™ Small Dressing
V.A.C.® SIMPLACE™ Small Dressing
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.® SIMPLACE™ Small Dressing
V.A.C.® SIMPLACE™ Small Dressing
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 CodeDescription Physician Reimbursement - Office Physician Reimbursement - Facility Facility Reimbursement
97605Neg press wound tx <=50 cm $43.26 $25.26 $183.40
97606Neg press wound tx >50 cm $51.22 $27.68 $353.00
  • 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.
* Scroll table to see all products.


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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.
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