Dynarex Surgical Gauze Sponge

Last updated on 1/29/25 | First published on 1/29/25 | Literature review current through Jan. 2025 [cite]

more...

Technology and Product Assessment

Product Type: Gauze (Non-impregnated, Impregnated)

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.

Dynarex Surgical Gauze Sponge is a gauze wound dressing.

INTENDED USES: Dynarex Surgical Gauze Sponge is designed for cleaning, dressing, and packing of wounds

CLAIMED BENEFITS: Crafted from highly absorbent 100% cotton gauze. Folded edges minimize loose threads and lint. Sterile varieties come in peel-down pouches.

Manufacturer: Dynarex 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

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2" x 2", box of 50

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3" x 3", box of 25

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4" x 4", box of 25

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4" x 4", box of 25

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8" x 2", box of 25

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing

A6403

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4" x 4", box of 10

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2" x 2", box of 100

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

[New Product]

[New Product]

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4" x 4", box of 100

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

A6402

* 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

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2" x 2", box of 50

$.03
each

$.14

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3" x 3", box of 25

$.03
each

$.14

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4" x 4", box of 25

$.03
each

$.14

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4" x 4", box of 25

$.03
each

$.14

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8" x 2", box of 25

$.10

$.51

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4" x 4", box of 10

$.03
each

$.14

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2" x 2", box of 100

$.03
each

$.14

3 changes/day no border

[New Product]

Dynarex Corporation
[New Product]

$.03
each

$.14

3 changes/day no border

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4

Dynarex Corporation
Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4" x 4", box of 100

$.03
each

$.14

3 changes/day no border

* 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

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2" x 2", box of 50

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3" x 3", box of 25

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4" x 4", box of 25

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4" x 4", box of 25

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8" x 2", box of 25

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4" x 4", box of 10

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2" x 2", box of 100

Coming soon

Coming soon

Coming soon

[New Product]

[New Product]

Coming soon

Coming soon

Coming soon

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4" x 4", box of 100

Coming soon

Coming soon

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 2" x 2", box of 50

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 3" x 3", box of 25

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 2's - 8 Ply, 4" x 4", box of 25

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 4" x 4", box of 25

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8

Dynarex Surgical Gauze Sponge, Sterile 2's - 12 Ply, 8" x 2", box of 25

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 10's -12 Ply, 4" x 4", box of 10

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 2" x 2", box of 100

[New Product]

[New Product]

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4

Dynarex Surgical Gauze Sponge, Sterile 1's - 12 Ply, 4" x 4", box of 100

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.

* Scroll table to see all products.

Other related brands: Xeroform Petrolatum Dressings, 3% Bismuth Tribromophena..., Xeroform Petrolatum Dressings, 3% Bismuth Tribromophena..., Kerlix™ Bandage Roll, 100% Cotton, 6-Ply, Small, 2-1/4"..., Mesalt®, 4˝ x 4˝ (2˝ x 2˝ folded), 30pc/box, Mesalt®, ¾˝ x 39˝ Ribbon, Kerlix™ Bandage Roll, 100% Cotton, 6-Ply, Medium, 3-7/1..., Kerlix™ Bandage Roll, 100% Cotton, 6-Ply, Large, 4-1/2"..., Kerlix™ Bandage Roll, 100% Cotton, 6-Ply, Large, 4-1/2"..., Curity™ Non-Adhering Dressings, 3" x 8" Dressing, 24/bo..., Curity™ Non-Adhering Dressings, 3" x 3" Dressing, 50/bo..., Kerlix™ Bandage Roll, 100% Cotton, 6-Ply, Large, 4-1/2"..., McKesson Iodoform Wound Packing Strip, 1/4 Inch X 5 Yar..., Xeroform Petrolatum Dressings, 3% Bismuth Tribromophena..., Xeroform Petrolatum Dressings, 3% Bismuth Tribromophena..., McKesson Wound Packing Strip, Plain, Sterile, 1/4 Inch ..., Kerlix™ Bandage Roll, 100% Cotton, 8-Ply, Large, 4-1/2"..., QuikClot EMS Dressing, 4" x 4", box of 10, McKesson Iodoform Wound Packing Strip, 1/2 Inch X 5 Yar..., McKesson Gauze Sponge, 4 X 4 Inch, 12-Ply Square, NonSt..., Med Pride Island Dressing - Sterile, 2×3.5″, case of 50, Cardinal Health Curity Plain Packing Strips, Sterile, ¼..., Dermacea Gauze Fluff Roll, 6-Ply, 4 in. x 4-1/8 yd., St..., Dukal Non-Adherent Dressing, 3 X 4 Inch, Rectangle, Ste..., Kerlix™ Bandage Roll Burn Pack, 100% Cotton, 4-1/2" x 4..., Kerlix™ Bandage Roll, 100% Cotton, 6-Ply, Large, 4-1/2"..., Dynarex Packing Strips - Plain Sterile, 1/2" x 5yd, cas..., Med Pride Island Dressing - Sterile, 4×4″, case of 25, Med Pride Island Dressing - Sterile, 6×6″, case of 25, Artiflex Orthopedic Padding Roll Undercast, 5.9 Inch X ..., Telfa "Ouchless" Non-Adherent Dressing, Sterile, 3" x 8..., Mesalt®, 6˝ x 6˝ (3˝ x 3˝ folded), 30pc/box, Medline CURAD Sterile Iodoform Gauze Packing Strips, 1/..., DermaRite Sterile Bordered Gauze with Adhesive Border, ..., CURAD Packing Strip Gauze, Plain, Sterile, Not made wit..., McKesson Wound Packing Strip, Plain, Sterile, 1/2 Inch ..., Cosmopor, Sterile, Latex-Free Adhesive Wound Dressings:..., Compdress Island Dressing - Sterile, 2" x 2'', box of 2..., Gentac Silicone Adhesive Island Wound Dressing, 6" x 6"..., Dynarex Iodoform Packing Strips, 1" x 5 yds, case of 12, McKesson Iodoform Wound Packing Strip, 1 Inch X 5 Yard,..., Cardinal Health Curity Plain Packing Strips, Sterile, ½..., WoundGard Bordered Gauze Dressing, Tape 2"x2", Pad 1"x1..., CURAD Packing Strip Gauze, Plain, Sterile, Not made wit..., Ducare Woven Gauze Sponges, Sterile, 4" x 4'', 12 ply, ..., Medline CURAD Sterile Plain Gauze Packing Strips, 1/4" ..., Medline CURAD Sterile Iodoform Gauze Packing Strips, 1/..., Jelonet, 5cm x 5cm, box of 50, Curity Cover Wound Sponges, Non-Sterile, 4 in. x 4 in.,..., Dukal Sterile Iodoform Packing Strip 1"x5yd, box of 12, Sterilux Bulky Non-Sterile, 4.5” x 4.1 yds., case of 10..., Dukal Sterile Plain Packing Strip 1/4"x5yd, box of 12,

Official reprint from WoundReference® woundreference.com ©2025 Wound Reference, Inc. All Rights Reserved

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.

Topic 2876 Version 1.0

t

-->