HYPAFIX

Dressing Retention Rolls

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)