Cavity Dressing
ALLEVYN◊ Plus Cavity is a cavity wound dressing that provides ALLEVYN◊ hydrocellular technology in a unique 3 dimensional structure for effective management of deep wounds. The dressing has been designed to combine maximum absorbency and conformability with easy handling and less traumatic dressing changes.
Highly Conformable to Wound Contours
ALLEVYN◊ Plus Cavity dressings are available in a range of sizes suitable for virtually all deep wounds. The dressings are highly flexible and can be molded to the wound shape. They have good contact with the wound surface and can be cut to any shape required, making them suitable for a wide range of cavity wounds. The dressing provides and maintains optimum contact with the wound surface as it absorbs, minimizing the risk of abscess formation.
Easy to Use and Apply
ALLEVYN◊ Plus Cavity dressing is presented individually sterilized in convenient plastic trays. More than one dressing may be used in the same wound if necessary. The correct dressing or combination of dressings can be quickly and easily placed into the cavity, allowing more effective use of nursing time.
Superior Non-Adherency
ALLEVYN◊ Plus Cavity dressing is designed to conform to wound cavity shape. It provides a highly effective non-adherent wound contact layer, which minimizes patient trauma and wound disturbance on removal.
Helps Create and Maintain a Moist Wound Environment
The wound contact surface of the ALLEVYN◊ Plus Cavity dressing maintains a moist wound environment which helps prevent eschar formation and helps promote an environment for healing.
Usual Allowable Amount: Subject to each DMERC policy; limit one dressing change per day.
Specific Coverage Criteria: Product documentation must include: Manufacturer's Name, Brand Name, Product Number, Product Size. Wound documentation must be included: Size of the wound in cm's, including depth, drainage levels using words like "heavy exudate" or "copious drainage". If amount of exudate can be documented in cc's, it would be helpful; Wound filler, dry form, per gram. Not a miscellaneous code.
| Product# | Size | Pcs/Pkg | Pkgs/Case | HCPCS Code |
| 66047571 | 2 x 2-3/8 | 10 | 10 | A6215 |
| 66047573 | 4 x 4 | 5 | 20 | A6215 |
| 66047574 | 6 x 8 | 3 | 16 | A6215 |