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Hollister
Wound Care
HOLLISTER
WOUND CARE
cov&tab pgs 1/22/07 5:30 PM Page 6
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83
Medicare Utilization Chart ................................................pages 84-90
Moist Wound Dressings with TRIACT Technology.....................page 91
Restore Contact Layer Dressing....................................................91
Restore Contact Layer Silver Dressing...........................................91
Restore Foam Dressing, Adhesive.................................................91
Restore Foam Dressing, Non-Adhesive..........................................91
Restore Foam Dressing, Silver, Non-Adhesive................................91
Wound Dressings.............................................................pages 92-93
Restore Hydrocolloid Dressing .....................................................92
Restore Extra Thin Hydrocolloid Dressing.......................................92
Restore Hydrocolloid Dressing with Foam Backing.........................92
Restore Calcium Alginate Dressing................................................92
Restore Calcium Alginate Silver Dressing ......................................93
Restore Hydrogel Dressing............................................................93
Restore Odor-Absorbent Dressing.................................................93
Wound Cleanser......................................................................page 94
Restore Wound Cleanser..............................................................94
Skin Care ................................................................................page 95
Restore Skin Cleanser..................................................................95
Restore Cleanser & Moisturizer.....................................................95
Restore DimethiCreme Skin Protectant..........................................95
Restore Moisture Barrier Skin Ointment.........................................95
Restore Skin Conditioning Creme..................................................95
Glossary .......................................................................................96-98
Table of Contents
•
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84
Frequency
Wound
HCPCS Long Description
of Change
Condition
Medicare Usual Dressing Change Frequency for
Wound Care Supplies
The quantity and type of dressings dispensed at any one time must take
into account the current status of the wound(s), the likelihood of change,
and the recent use of dressings. Dressing needs may change frequently,
especially in the early phases of wound treatment and/or with heavily
draining wounds. Surgical dressings must be tailored to the specific
needs of an individual patient. The table below lists some coverage
guidelines and usual dressing change frequencies. The medical necessity
for more frequent dressing changes must be clearly documented in the
patient's medical record.
*
No established usual maximum, refer to Medicare Utilization Guidelines.
Per LCD for Surgical Dressings (L11471) TriCenturion, Effective Jan., 2006
Incorporated code changes per Medicare DME PSC Bulletin
Bul20061201HCPCS2007
A4450 Tape, non-waterproof,
based on
per 18 square inches
drsg size
A4452 Tape, waterproof, per
based on
18 square inches
drsg size
A4461 Surgical dressing holder, non-reusable, each
.
A4463 Surgical dressing holder, reusable, each
.
A4465 Non-elastic binder for extremity
.
A4649 Surgical supply; miscellaneous
.
A6010 Collagen based wound filler, dry
.
form, per gram of collagen
A6011 Collagen based wound filler, gel/paste,
.
per gram of collagen
A6021 Collagen dressing, pad size
.
16 sq in or less, each
A6022 Collagen dressing, pad size more
.
than 16 sq in but less than or equal
to 48 sq in, each
A6023 Collagen dressing, pad size more
.
than 48 sq in, each
A6024 Collagen dressing wound filler, per
.
6 inches
A6025 Gel Sheet for dermal or epidermal
.
application, (E.G., silicone, hydrogel,
other), each
A6154 Wound pouch, each
3/wk
A6196 Alginate or other fiber gelling dressing,
1/day
mod-high exudate
wound cover, pad size 16 sq in or less,
each dressing
A6197 Alginate or other fiber gelling dressing,
1/day
mod-high exudate
wound cover, pad size more than 16 sq in
but less than or equal to 48 sq in,
each dressing
A6198 Alginate or other fiber gelling dressing,
1/day
mod-high exudate
wound cover, pad size more than
48 sq in, each dressing
A6199 Alginate or other fiber gelling dressing,
2 units mod-high exudate
wound filler, per 6 inches
(12 in.)/day
A6200 Composite dressing, pad size 16 sq in
3/wk
..
or less, without adhesive border,
each dressing
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A6201 Composite dressing,pad size more than
3/wk
..
16 sq in but less than or equal to 48 sq in,
without adhesive border, each dressing
A6202 Composite dressing, pad size more than
3/wk
..
48 sq in, without adhesive border,
each dressing
A6203 Composite dressing, pad size
3/wk
16 sq in or less, with any size
adhesive border, each dressing
A6204 Composite dressing,pad size more
3/wk
than 16 sq in but less than or equal
to 48 sq in, with any size adhesive
border, each dressing
A6205 Composite dressing, pad size more
3/wk
than 48 sq in, with any size adhesive
border, each dressing
A6206 Contact layer, 16 sq in or less,
1/wk
line the wound
each dressing
A6207 Contact layer, more than 16sq in but less
1/wk
line the wound
than or equal to 48 sq in, each dressing
A6208 Contact layer, more than 48 sq in,
1/wk
line the wound
each dressing
A6209 Foam dressing, wound cover, pad size
3/wk
mod-heavy
16 sq in or less, without adhesive
exudate
border, each dressing
A6210 Foam dressing, wound cover, pad size
3/wk
mod-heavy
more than 16 sq in but less than or
exudate
equal to 48 sq in, without adhesive
border, each dressing
A6211 Foam dressing, wound cover, pad size
3/wk
mod-heavy
more than 48 sq in, without adhesive
exudate
border, each dressing
A6212 Foam dressing, wound cover, pad size
3/wk
mod-heavy
16 sq in or less, with any size adhesive
exudate
border, each dressing
A6213 Foam dressing, wound cover, pad size
3/wk
mod-heavy
more than 16 sq in but less than or
exudate
equal to 48 sq in, with any size adhesive
border, each dressing
A6214 Foam dressing, wound cover, pad size
3/wk
mod-heavy
more than 48 sq in, with any size
exudate
adhesive border, each dressing
A6215 Foam dressing, wound filler, per gram
1/day mod-heavy exudate
A6216 Gauze, non-impregnated, non-sterile,
3/day
pad size 16 sq in or less, without
adhesive border, each dressing
A6217 Gauze, non-impregnated, non-sterile,
3/day
pad size more than 16 sq in but less
than or equal to 48 sq in, without
adhesive border, each dressing
A6218 Gauze, non-impregnated, non-sterile,
3/day
pad size more than 48 sq in, without
adhesive border, each dressing
A6219 Gauze, non-impregnated, non-sterile,
1/day
pad size 16 sq in or less, with any size
adhesive border, each dressing
*
No established usual maximum, refer to Medicare Utilization Guidelines.
**
Bul20060901 SURG DSG, TriCenturion, Effective October 1, 2006
These codes are not valid for Medicare Submission.
Frequency
Wound
HCPCS Long Description
of Change
Condition
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A6220 Gauze, non-impregnated, non-sterile,
1/day
pad size more than 16 sq in but less
than or equal to 48 sq in, with any
size adhesive border, each dressing
A6221 Gauze, non-impregnated, non-sterile,
1/day
pad size more than 48 sq in, with any
size adhesive border, each dressing
A6222 Gauze, impregnated with other than
1/day
water, normal saline, or hydrogel,
pad size 16 sq in or less, without
adhesive border, each dressing
A6223 Gauze, impregnated with other than
1/day
water, normal saline, or hydrogel,
pad size more than 16 sq in but less
than or equal to 48 sq in, without
adhesive border, each dressing
A6224 Gauze, impregnated with other than
1/day
water, normal saline, or hydrogel, pad
size more than 48 sq in, without
adhesive border, each dressing
A6228 Gauze, impregnated with water or
.
normal saline, pad size 16 sq in or less,
without adhesive border, each dressing
A6229 Gauze, impregnated with water or
.
normal saline, pad size more than
16 sq in but less than or equal to
48 sq in, without adhesive border,
each dressing
A6230 Gauze, impregnated with water or normal
.
saline, pad size more than 48 sq in, without
adhesive border, each dressing
A6231 Gauze, impregnated, hydrogel,
1/day
min - no exudate
for direct wound contact, pad size
16 sq in or less, each dressing
A6232 Gauze, impregnated, hydrogel,
1/day
min - no exudate
for direct wound contact, pad size
more than 16 sq in but less than or
equal to 48 sq in, each dressing
A6233 Gauze, impregnated, hydrogel,
1/day
min - no exudate
for direct wound contact, pad size
more than 48 sq in, each dressing
A6234 Hydrocolloid dressing, wound cover,
3/wk
light-mod exudate
pad size 16 sq in or less, without
adhesive border, each dressing
A6235 Hydrocolloid dressing, wound cover,
3/wk
light-mod exudate
pad size more than 16 sq in but less
than 48 sq in, without adhesive border,
each dressing
A6236 Hydrocolloid dressing, wound cover,
3/wk
light-mod exudate
pad size more than 48 sq in, without
adhesive border, each dressing
A6237 Hydrocolloid dressing, wound cover,
3/wk
light-mod exudate
pad size 16 sq in or less, with any size
adhesive border, each dressing
A6238 Hydrocolloid dressing, wound cover,
3/wk
light-mod exudate
pad size more than 16 sq in but less
than 48 sq in, with any size adhesive
border, each dressing
*
No established usual maximum, refer to Medicare Utilization Guidelines.
Frequency
Wound
HCPCS Long Description
of Change
Condition
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A6239 Hydrocolloid dressing, wound cover,
3/wk
light-mod exudate
pad size more than 48 sq in, with any
size adhesive border, each dressing
A6240 Hydrocolloid dressing, wound filler,
3/wk
light-mod exudate
paste, per fluid ounce
A6241 Hydrocolloid dressing, wound filler,
3/wk
light-mod exudate
dry form, per gram
A6242 Hydrogel dressing, wound cover,
1/day
min - no exudate
pad size 16 sq in or less, without
adhesive border, each dressing
A6243 Hydrogel dressing, wound cover, pad size
1/day
min - no exudate
more than 16 sq in but less than 48 sq in,
without adhesive border, each dressing
A6244 Hydrogel dressing, wound cover,
1/day
min - no exudate
pad size more than 48 sq in, without
adhesive border, each dressing
A6245 Hydrogel dressing, wound cover,
3/wk
min - no exudate
pad size 16 sq in or less, with any size
adhesive border, each dressing
A6246 Hydrogel dressing, wound cover,
3/wk
min - no exudate
pad size more than 16 sq in but less
than 48 sq in, with any size adhesive
border, each dressing
A6247 Hydrogel dressing, wound cover,
3/wk
min - no exudate
pad size more than 48 sq in, with any
size adhesive border, each dressing
A6248 Hydrogel dressing, wound filler,
1/day up to
min -
gel, per fluid ounce
3 oz/mo
no exudate
A6250 Skin sealants, protectants,
.
moisturizers,ointments, any type, any size
A6251 Specialty absorptive dressing, wound
1/day
mod-high exudate
cover, pad size 16 sq in or less without
adhesive border, each dressing
A6252 Specialty absorptive dressing, wound
1/day
mod-high exudate
cover, pad size more than 16 sq in but
less than 48 sq in, without adhesive
border, each dressing
A6253 Specialty absorptive dressing, wound
1/day
mod-high exudate
cover, more than 48 sq in, without
adhesive border, each dressing
A6254 Specialty absorptive dressing, wound
every other
mod-high
cover, pad size 16 sq in or less with
day
exudate
any size adhesive border, each dressing
A6255 Specialty absorptive dressing, wound
every other
mod-high
cover, pad size more than 16 sq in
day
exudate
but less than 48 sq in, with any size
adhesive border, each dressing
A6256 Specialty absorptive dressing,
every other
mod-high
wound cover, more than 48 sq in,
day
exudate
with any size adhesive border,
each dressing
A6257 Transparent film, 16 sq in or less,
3/wk
min exudate
each dressing
A6258 Transparent film, more than
3/wk
min exudate
16 sq in but less than or equal
to 48 sq in, each dressing
A6259 Transparent film more than
3/wk
min exudate
48 sq in,each dressing
*
No established usual maximum, refer to Medicare Utilization Guidelines.
Frequency
Wound
HCPCS Long Description
of Change
Condition
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Medicare Utilization
A6260 Wound cleanser, any type, any size
.
A6261 Wound filler, gel/paste, per fluid ounce,
1/day
not elsewhere classified
A6262 Wound filler, dry form, per gram,
1/day
not elsewhere classified
A6266 Gauze, impregnated, other than water,
1/day
normal saline, or zinc paste, any width,
per linear yard
A6402 Gauze, non-impregnated, sterile,
3/day
pad size 16 sq in or less, without
adhesive border, each dressing
A6403 Gauze, non-impregnated, sterile,
3/day
pad size more than 16 sq in but less
than 48 sq in, without adhesive border,
each dressing
A6204 Gauze, non-impregnated, sterile,
3/day
pad size more than 48 sq in, without
adhesive border, each dressing
A6407 Packing strips, non-impregnated,
3/day
up to 2 inches in width, per linear yard
A6410 Eye pad, sterile, each
.
A6411 Eye pad, non-sterile, each
.
A6412 Eye patch, occlusive, each
.
A6441 Padding bandage, non-elastic,
same as ds
non-woven/non-knitted, width greater
chg freq
than or equal to three inches and
less than five inches per yard
A6442 Conforming bandage, non-elastic,
same as ds
knitted/woven, non-sterile, width
chg freq
less than three inches, per yard
A6443 Conforming bandage, non-elastic,
same as ds
knitted/woven, non-sterile, width
chg freq
greater than or equal to three inches
and less than five inches, per yard
A6444 Conforming bandage, non-elastic,
same as ds
knitted/woven, non-sterile, width
chg freq
greater than or equal to five inches,
per yard
A6445 Conforming bandage, non-elastic,
same as ds
knitted/woven, sterile, width less
chg freq
than three inches, per yard
A6446 Conforming bandage, non-elastic,
same as ds
knitted/woven, sterile, width greater
chg freq
than three inches and less than five
inches, per yard
A6447 Conforming bandage, non-elastic,
same as ds
knitted/woven, sterile, width greater
chg freq
than or equal to five inches, per yard
A6448 Light compression bandage, elastic,
1/wk
knitted/woven, width less than three
inches, per yard
A6449 Light compression bandage, elastic,
1/wk
knitted/woven, width greater than or
equal to three inches and less than
five inches, per yard
A6450 Light compression bandage, elastic,
1/wk
knitted/woven, width greater than or
equal to five inches, per yard
*
No established usual maximum, refer to Medicare Utilization Guidelines.
Frequency
Wound
HCPCS Long Description
of Change
Condition
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A6451 Moderate compression bandage, elastic,
1/wk
knitted/woven, load resistance of 1.25 to
1.34 foot pounds at 50% maximum stretch,
width greater than or equal to three inches
and less than five inches, per yard
A6452 High compression bandage, elastic,
1/wk
knitted/woven, load resistance greater
than or equal to 1.35 foot pounds at
50% maximum stretch, width greater
than or equal to three inches and less
than five inches, per yard
A6453 Self-adherent bandage, elastic,
1/wk
non-knitted/non-woven, width less
than three inches, per yard
A6454 Self-adherent bandage, elastic,
1/wk
non-knitted/non-woven, width greater
than or equal to three inches and less
than five inches, per yard
A6455 Self-adherent bandage, elastic,
1/wk
non-knitted/non-woven, width greater
than or equal to five inches, per yard
A6456 Zinc paste impregnated bandage,
1/wk
non-elastic, knitted/woven, width greater
than or equal to three inches and less
than five inches, per yard
A6501 Compression burn garment, bodysuit
.
(head to foot), customer fabricated
A6502 Compression burn garment, chin strap,
.
customer fabricated
A6503 Compression burn garment, facial hood,
.
custom fabricated
A6504 Compression burn garment, glove to wrist,
.
custom fabricated
A6505 Compression burn garment, glove to
.
elbow, custom fabricated
A6506 Compression burn garment, glove to
.
axilla, custom fabricated
A6507 Compression burn garment, foot to knee
.
length, custom fabricated
A6508 Compression burn garment, foot to
.
thigh length, custom fabricated
A6509 Compression burn garment, upper trunk
to waist including arm openings (vest),
custom fabricated
A6510 Compression burn garment, trunk,
.
including arms down to leg openings
(leotard), custom fabricated
A6511 Compression burn garment, lower trunk
.
including leg openings (panty),
custom fabricated
A6512 Compression burn garment,
.
not otherwise classified
K0620 Tubular elastic dressing, any width,
1/wk
per linear yard
L8100 Gradient compression stocking, below
.
open venous ulcer
knee,18-30 MMHG, each
*
No established usual maximum, refer to Medicare Utilization Guidelines.
Frequency
Wound
HCPCS Long Description
of Change
Condition
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Medicare Utilization
L8110 Gradient compression stocking, below
.
open venous ulcer
knee, 30-40 MMHG, each
L8120 Gradient compression stocking, below
.
open venous ulcer
knee, 40-50 MMHG, each
L8130 Gradient compression stocking, thigh
.
open venous ulcer
length,18-30 MMHG, each
L8140 Gradient compression stocking, thigh
.
open venous ulcer
length, 30-40 MMHG, each
L8150 Gradient compression stocking, thigh
.
open venous ulcer
length, 40-50 MMHG, each
L8160 Gradient compression stocking, full
.
open venous ulcer
length/chap style,18-30 MMHG, each
L8170 Gradient compression stocking, full
.
open venous ulcer
length/chap style, 30-40 MMHG, each
L8180 Gradient compression stocking, full
open venous ulcer
length/chap style, 40-50 MMHG, each
L8190 Gradient compression stocking, waist
.
open venous ulcer
length,18-30 MMHG, each
L8195 Gradient compression stocking, waist
.
open venous ulcer
length, 30-40 MMHG, each
L8200 Gradient compression stocking, waist
.
open venous ulcer
length, 40-50 MMHG, each
L8210 Gradient compression stocking,
.
open venous ulcer
custom made
L8230 Gradient compression stocking, garter belt
.
open venous ulcer
L8239 Gradient compression stocking, not
otherwise specified
.
open venous ulcer
*
No established usual maximum, refer to Medicare Utilization Guidelines.
Frequency
Wound
HCPCS Long Description
of Change
Condition
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TRIACT Technology is an innovative formulation in select
Restore wound dressings. The unique composition of TRIACT
technology provides a superior environment for moist healing
of chronic wounds, significantly reduces pain with dressing
changes, and promotes easy dressing application and removal. Dressings with
TRIACT technology are designated with this symbol.
Restore Contact Layer Dressing with TRIACT Technology: Sterile
Non-adhesive, non-occlusive wound contact dressing
Indicated for low to moderate exuding partial- and
full-thickness wounds
Ideal to use on wounds with fragile surrounding skin
Apply directly to the wound and cover with a secondary dressing
Stock No
Description
Quantity/Box
509338
4" x 5"
10
509339
6" x 8"
10
Restore Contact Layer Silver with TRIACT Technology: Sterile
Non-adhesive, non-occlusive antimicrobial wound
contact dressing
May help to reduce infection in low to moderately
exuding partial and full thickness wounds
Shown to be effective against bacteria most frequently
associated with wound infections
Apply directly to the wound and cover with a secondary
dressing
Stock No
Description
Quantity/Box
509341
4” x 5”
10
509342
6” x 8”
10
Restore Adhesive Foam Dressing with TRIACT Technology: Sterile
Semi-permeable, absorbent dressing with adhesive border
Manages moderate to heavily exuding chronic and acute wounds
Super-absorbent foam pad ensures drainage of exudates
and helps protect the skin around the lesion from maceration
Soft, semi-permeable backing
Stock No
Description
Quantity/Box
509347
4” x 4”
10
509348
6” x 6”
10
509349
6” x 8”
10
Restore Non-Adhesive Foam Dressing with TRIACT Technology: Sterile
Non-adhesive absorbent dressing
Indicated for the treatment of all types of moderate to
heavily exuding chronic and acute wounds
Super-absorbent foam pad ensures drainage of exudates and
helps protect the skin around the lesion from maceration
Soft, semi-permeable backing
Stock No
Description
Quantity/Box
509343
4” x 4”
10
509344
6” x 8”
10
Restore Non-Adhesive Foam Dressing with Silver and TRIACT
Technology: Sterile
Non-adhesive, non-occlusive antimicrobial absorbent dressing
May help to reduce infection in moderately to high exuding
partial and full thickness wounds
Super-absorbent foam pad ensures drainage of exudates and
helps protect the skin around the lesion from any maceration
Soft, semi-permeable backing
Stock No
Description
Quantity/Box
509345
4” x 4”
10
509346
6” x 8”
10
Wound Dressings with TRIACT Technology
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Wound Dressings
Restore Hydrocolloid Dressing: Sterile
51995x/51996x
Conformable occlusive dressing with flexible outer layer
Maintains moist wound environment
Manages minimal to moderate exudate in partial- and
full-thickness wounds
Available with or without tapered edges, specialty shapes
Includes disposable wound measuring guide
Stock No
HCPCS
Description
Quantity/Box
519953
A6234
Without tapered edges 4" x 4"
5
519954
A6235
Without tapered edges 6" x 8"
3
519955
A6236
Without tapered edges 8" x 8"
3
519956
A6234
With tapered edges 4" x 4"
5
519963
A6235
With tapered edges 6" x 6"
5
519957
A6235
With tapered edges 6" x 8"
3
519958
A6236
With tapered edges 8" x 8"
3
519959
A6235
With tapered edges/triangle shaped 17 sq. in.
5
519965
A6235
With tapered edges/triangle shaped 26.5 sq. in.
5
Restore Extra Thin Hydrocolloid Dressing: Sterile
519921/519923/519925
Thinner occlusive dressing with flexible backing
Maintains moist wound environment
Manages minimal exudate in shallow wounds
Protects skin from friction injury
Includes disposable wound measuring guide
Stock No
HCPCS
Description
Quantity/Box
519921
A6234
4" x 4"
5
519923
A6235
6" x 8"
3
519925
A6236
8" x 8"
3
Restore Hydrocolloid Dressing with Foam Backing: Sterile
519930/519932/519935
Occlusive dressing with white foam backing
For low friction areas with moderate exudate
Includes disposable wound measuring guide
Stock No
HCPCS
Description
Quantity/Box
519930
A6234
4" x 4"
5
519932
A6235
6" x 8"
3
519935
A6236
8" x 8"
3
Restore Calcium Alginate Dressing: Sterile
529938/529937/529939/529940
Highly absorptive
Made from calcium sodium alginate, creating conformable
protective gel when in contact with exudate
Forms moist wound interface
Remains intact when saturated so it is removed in one piece
Stock No
HCPCS
Description
Quantity/Box
529938
A6196
2" x 2"
10
529937
A6196
4" x 4"
10
529939
A6197
4" x 8"
5
529940
A6199
12" rope
5
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Restore Calcium Alginate Dressing Silver: Sterile
529967/529968/529969
Releases silver ions in the presence of wound fluid
Effective antimicrobial agent against a broad spectrum
of microorganisms
Indicated for moderate to heavily exuding partial to full
thickness wounds
Assists in maintaining a moist environment and allows
intact removal
Stock No
Description
Quantity/Box
529967
2" x 2"
10
529968
4" x 4.75"
10
529969
1" x 12"
5
Restore Hydrogel Dressing
529974/529972/529973
Maintains moist healing environment in partial-
and full-thickness wounds
Clear, viscous gel
Up to 72-hour wear time
Available in three forms
Stock No
HCPCS
Description
Quantity/Box
529974
A6248
Amorphous gel in tube 3 oz.
12
529972
A6231
Impregnated gauze sponge 4" x 4" - sterile
15
529973
A6266
Impregnated gauze strip 2" x 3.5 yd. - sterile
12
Restore Odor-Absorbent Dressing: Sterile
519904/519906
Foam matrix dressing covered with non-woven fabric for
patients with malodorous wounds resulting from necrosis,
infection, or bacterial contamination
Activated carbon helps to neutralize offensive odors
Use as primary or secondary dressing
Stock No
HCPCS
Description
Quantity/Box
519904
A6209
4" x 4"
10
519906
A6211
6" x 10"
10
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Hollister Wound Care
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94
Wound Cleanser
Restore Wound Cleanser
529975/529976
Helps remove particulate matter and other debris
from wound bed
No-rinse alternative to saline and harsh
antiseptic cleansers
Stock No
HCPCS
Description
Quantity/Box
529975
A6260
8 oz. pump spray
12
529976
A6260
12 oz. pump spray
12
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Hollister Wound Care
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95
Restore Skin Cleanser
517210
For use on intact skin
Cleanses peristomal and perianal skin of urinary
and fecal discharge
Gentle, non-irritating
Must be rinsed
Stock No
Description
Quantity/Box
517210
8 oz. (237mL) pump spray
12
Restore Cleanser & Moisturizer
529977/529978
Effective skin protection for people with urinary and/
or fecal incontinence
Cleanser, moisturizer, protective breathable barrier for skin
Dimethicone-based
No rinse
Stock No
HCPCS
Description
Quantity/Box
529977
A6250
7.5 oz. (222mL) pump spray
12
529978
A6250
11.5 oz. (340mL) pump spray
12
Restore DimethiCreme Skin Protectant
529979
Dimethicone-based protective breathable barrier
Use on skin or mucous membrane surfaces exposed
to harmful stimuli
Moisturizes and protects
Not for use under adhesive products
Stock No
HCPCS
Description
Quantity/Box
529979
A6250
4 oz. (118mL) tube
12
Restore Moisture Barrier Skin Ointment
517230
Helps protect and soothe irritated skin
For pediatric and geriatric use
Contains vitamins A, D, and E
Petrolatum-based
Not for use under adhesive products
Stock No
HCPCS
Description
Quantity/Box
517230
A6250
2.5 oz. (75mL) tube
12
Restore Skin Conditioning Creme
517220
Moisturizes and soothes dry, flaky skin
May be used under adhesive products
Stock No
HCPCS
Description
Quantity/Box
517220
A6250
4 oz. (120mL) bottle
12
Skin Care
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Hollister Wound Care
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Product Name
96
Glossary
The following is a list of common terms which are used in
describing wounds and the periwound skin.
Abrasion:Wearing away of the skin through some mechanical process
(friction or trauma).
Abscess:Accumulation of pus formed in tissue as a result of infection.
Alginate:A highly absorptive dressing derived from brown seaweed.
Cellulitis:Inflammation of the tissues indicating a local infection;
characterized by redness, edema and tenderness.
Collagen:Main supportive protein of the skin and connective tissue.
Debridement:Removal of foreign material and devitalized or
contaminated tissue from a wound.
Dehiscence:Separation of wound edges.
Denude:Removal or loss of superficial skin layers.
Edema:Swelling
Epidermis:Outermost layer of the skin.
Erythema:Diffuse redness of the skin.
Eschar:Thick, leathery black crust; it is nonviable tissue and is colonized
with bacteria.
Excoriation:Linear scratches on the skin.
Exudate:Wound fluid or drainage.
Friction:Rubbing that causes mechanical trauma to the skin.
Full-thickness:Tissue destruction extending through the dermis to
involve subcutaneous level and possibly muscle, fascia or bone.
Granulation:Formation of connective tissue and many new capillaries in
a full-thickness wound; typically appears as red and cobblestoned.
Hydrocolloid dressing:A category of wound dressings composed of
materials, such as gelatin, pectin and carboxymethylcellulose, that
provide a moist healing environment and adhere to the skin around
the wound.
Hydrogel:Water- or glycerin- Based gels, impregnated gauzes or sheet
dressings. Hydrogels maintain a moist healing environment and absorb a
minimal amount of wound exudate.
Hydrophilic:Attracting moisture.
Infection:Overgrowth of microorganisms in sufficient quantities to over-
whelm the body’s defenses.
Maceration:Softening of tissue by soaking in fluids.
Necrotic:Devitalized tissue; may appear yellow and moist, gray, or dark
and leathery.
Partial-thickness:Wounds that extend through the epidermis and may
involve the dermis; these wounds heal by re-epithelialization.
Periwound:The area immediately around the wound.
Pus:Thick fluid composed of leukocytes, bacteria, and cellular debris.
Shear:Sliding of skin over subcutaneous tissues and bones
obstructing cutaneous capillaries, which may lead to ischemia.
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97
Pressure Ulcer:
Stage 1:An observable pressure-related
alteration of intact skin with indicators, as
compared to an adjacent or opposite area on the
body which may include changes in one or more of
the following: skin temperature (warmth or cool-
ness), tissue consistency (firm or boggy feel), and/or
sensation (pain, itching).
The ulcer appears as a defined area of persistent redness in lightly pig-
mented skin, whereas in darker skin tones, the ulcer may appear with
persistent red, blue, or purple hues.
(NPUAP, 2003)
Stage 2:
Partial thickness skin loss involving epidermis,
dermis, or both. The ulcer is superficial and
presents clinically as an abrasion, blister or
shallow crater.
(NPUAP, 2003)
Stage 3:Full thickness skin loss involving damage
to, or necrosis of, subcutaneous tissue that may
extend down to, but not through, underlying
fascia. The ulcer presents clinically as a deep
crater with or without undermining of adjacent
tissue.
(NPUAP, 2003)
Stage 4:Full thickness skin loss with extensive
destruction, tissue necrosis, or damage to
muscle, bone, or supporting structures
(e.g., tendon, joint, capsule). Undermining
and sinus tracts also may be associated with
Stage 4 pressure ulcers.
(NPUAP, 2003)
Sinus Tract:A course or pathway which can extend in any direction
from the wound base; results in dead space with potential for
abscess formation.
Slough:Stringy, necrotic tissue; usually yellow.
Strip:Removal of epidermis by mechanical means, usually tape.
Ulcer:Loss of epidermis/dermis or mucous membrane with
definite margins.
Undermine:Skin edges of a wound that have lost supporting tissue
under intact skin.
Unstageable Pressure Ulcer:Covered with eschar or slough which
prohibits complete assessment of the wound.
Wound:A break in the integrity of the skin; an injury to the body which
causes a disruption of the normal continuity of the body structures.
Wound Margin:Rim or border of a wound.
National Pressure Ulcer Advisory Panel, November, 2003
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Glossary
98
Skin Structure:
Theepidermis, which is the outermost layer of the skin, is characterized
as follows: avascular, varies in thickness (depending on body location), a
dry structure which sheds cells and replaces itself every 4 to 6 weeks;
approximately the thickness of a piece of plastic wrap.
Thedermisis located directly beneath the epidermis and is
characterized as follows: provides strength and structural support
through a vascular network of connective tissue blood vessels, nerves,
hair and nails. Sebaceous glands and sweat glands originate from this
layer which is thicker than the epidermis.
Below the dermis is thesubcutaneous tissuewhich is composed
of major vessels, lymphatics, fat and connective tissue. This area
provides insulation and nutritional support for the skin. Located below
the subcutaneous tissue are fascia, muscles, tendons and bone. The
thickness of the dermis and subcutaneous layers vary from person
to person and on different parts of the body.
Types of Ulcers:
Pressure Ulcers:Any lesion of the skin caused by unrelieved pressure
resulting in damage to underlying tissue. Pressure ulcers usually occur
over bony prominences such as the heel, coccyx or trochanter which are
in contact with a surface, such as a bed, wheelchair, shoe or cast. When
pressure is not relieved, tissue ischemia develops and a pressure ulcer
results. Most pressure ulcers are preventable. Therefore, early risk
assessment, skin care, attention to patient support surfaces and
education are essential.
Venous Ulcers:These are the most common type of lower-leg ulcers in
ambulatory people. The underlying cause involves vein damage or
an incompetent calf muscle pump action which leads to venous
hypertension. As a result, the blood pools in the lower extremities
causing edema and leakage of fibrinogen and other blood products
into the tissues. Trauma to the area or increased pressure within the
tissues results in ulceration.
Arterial Ulcers:Arterial ulcers result from chronic or acute arterial
insufficiency to the skin and subcutaneous tissue of the lower
extremities. The most common cause is a progressive disease:
atherosclerosis. The precipitating event leading to ulceration is
usually trauma, such as a bumped toe or tight shoes. Arterial ulcers
may occur alone or in combination with diabetes, venous stasis and
numerous other conditions. Multidisciplinary management of these
patients with early intervention and close monitoring is key to
prevention of more serious complications.
Neuropathic Ulcers:Neuropathic ulcers may occur in individuals with
diabetes, spinal cord injury, Hansen’s Disease, or other conditions that
result in loss of sensation in the legs and feet. Diabetic foot ulcers are
most commonly caused by peripheral neuropathy and peripheral vascular
disease. Multidisciplinary management of these patients with early
intervention and close monitoring is key to prevention of more
serious complications.
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1.800.323.4060
104
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