Healthcare providers must consider many factors when evaluating costs of a given therapy. Cost of materials, the cost of
human resources to make dressing changes, time to closure, and patient satisfaction/compliance must all be considered to
decide what therapies to use. Please refer to your trained reimbursement professional for appropriate
billing procedures, modifiers, and documentation requirements.
| Description |
Size (gm) |
Form |
Product Code |
HCPC |
| 1 gram Powder Bottle |
1 |
Powder |
500 |
A6010 |
| 5 gram Powder Bottle |
5 |
Powder |
501 |
A6010 |
| 20 gram Powder Bottle |
20 |
Powder |
502 |
A6010 |
| 40 gram Powder Bottle |
40 |
Powder |
503 |
A6010 |
| 28oz Gel Tube |
28 |
Gel |
401 |
A6011 |
| Packers: |
| 6 gram Gel Tube |
10 x 6 gram |
Gel |
4005 |
A6011 |
| 1gm Powder Packer |
24 x 1 gram |
Powder |
5005 |
A6010 |
| 5gm Powder Packer |
12 x 5 gram |
Powder |
5012 |
A6010 |
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