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HYPAFIX™

Dressing Retention Rolls

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Overview

HYPAFIX^◊is an adhesive, non-woven fabric for dressing retention.

Benefits

Combines security with comfort

Highly conformable

Provides reliable fixation for catheters and drainage tubes

Allows joints to be dressed without constraining movement

Indications

Retention of post-operative wound dressings

Retaining gauze and absorbent pads

To secure catheters and drainage tubes

Ordering Codes / Reimbursement Information

Usual Allowable Amount: Based on frequency of change of wound cover; up to 2 units (36 sq. in.) per dressing change when wound cover is 16 sq. in. or less; up to 3 units (54 sq. in.) per dressing change when wound cover is 16 to 48 sq. in; up to 4 units (72 sq. in.) per dressing change when wound cover is greater than 48 sq. in.
Note: a unit is based on 1-in. wide tape

Specific Coverage Criteria: Covered when needed to hold on a wound cover, elastic roll gauze or non-elastic roll gauze; is not required when a wound cover with an adhesive border is used. The medical necessity for tape in these situations must be documented.

Product # Size Rolls / Carton HCPCS Code

4209 2 x 10 yard roll 24 A4452 (per 18 sq in)

4210 4 x 10 yard roll 24 A4452 (per 18 sq in)

4211 6 x 10 yard roll 24 A4452 (per 18 sq in)

4215 2 x 2 yard roll 36 A4452 (per 18 sq in)

4216 4 x 2 yard roll 18 A4452 (per 18 sq in)

4217 6 x 2 yard roll 12 A4452 (per 18 sq in)

HYPAFIX™ is a Trademark of BSN Medical Limited.