Medichoice Non-Adherent Pads

Last updated on 2/21/26 | First published on 2/21/26 | Literature review current through Jan. 2026 [cite]

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Technology and Product Assessment

Product Type: Gauze (Non-impregnated, Impregnated)

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.

Medichoice Non-Adherent Pads is a gauze, non-stick wound dressing.

INTENDED USES: Ideal for lightly draining wounds.

CLAIMED BENEFITS: Absorbent pad does not adhere to the wound. Soft, outer film and inner non-woven pad for cushion and fluid absorption. Easy removal to minimize disruption to healing tissue. Can be easily cut into various sizes and shapes without separating. Not made with natural rubber latex.

Manufacturer: Owens & Minor

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

Medichoice Non-Adherent Pads, Sterile, 2” x 3” (5.1 x 7.6 cm), box of 100

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

A6402

Medichoice Non-Adherent Pads, Sterile, 3” x 4” (7.6 x 10.2 cm, 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

Owens & Minor
Medichoice Non-Adherent Pads, Sterile, 2” x 3” (5.1 x 7.6 cm), box of 100

$.03
each

$.15

3 changes/day no border

Owens & Minor
Medichoice Non-Adherent Pads, Sterile, 3” x 4” (7.6 x 10.2 cm, box of 100

$.03
each

$.15

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

Medichoice Non-Adherent Pads, Sterile, 2” x 3” (5.1 x 7.6 cm), box of 100

Coming soon

Medichoice Non-Adherent Pads, Sterile, 3” x 4” (7.6 x 10.2 cm, box of 100

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Medichoice Non-Adherent Pads, Sterile, 2” x 3” (5.1 x 7.6 cm), box of 100

Medichoice Non-Adherent Pads, Sterile, 3” x 4” (7.6 x 10.2 cm, 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.

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Topic 3205 Version 1.0

Medichoice Non-Adherent Pads

Medichoice Non-Adherent Pads

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