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Betadine or phisohex solution, per pint

HCPCS code

Name of the Procedure:

Betadine or Phisohex Solution, per pint (A4246)
Common names: Betadine solution, Phisohex solution
Technical terms: Povidone-Iodine solution (Betadine), Hexachlorophene solution (Phisohex)


This procedure involves the application of an antiseptic solution, either Betadine or Phisohex, typically used to cleanse and disinfect the skin to prevent infections.


Medical Conditions or Problems Addressed
  • Prevention of infection in wounds, cuts, and surgical sites.
  • Skin antisepsis before surgical procedures or catheter placements.

    Goals or Expected Outcomes
  • Clean and disinfect the skin to reduce the risk of infections.
  • Maintain sterility in clinical settings.


Specific Symptoms or Conditions
  • Cuts, abrasions, and minor wounds needing cleansing.
  • Skin preparation before surgical procedures.

    Patient Criteria or Factors
  • Patients undergoing surgery.
  • Individuals with minor wounds or cuts that require disinfection.


Pre-Procedure Instructions
  • No specific patient preparation is needed for external use.
  • Ensure the skin area is free of dirt and debris before application.

    Diagnostic Tests or Assessments
  • Typically, no diagnostic tests are required.

Procedure Description

The procedure involves the following steps:

  1. Cleansing: The skin area is gently cleaned with soap and water.
  2. Application: The Betadine or Phisohex solution is applied directly to the skin using sterile gauze or cotton swabs.
  3. Drying: The area is allowed to air dry to ensure full antiseptic action.
Tools, Equipment, or Technology Used
  • Sterile gauze pads or cotton swabs.
  • Betadine (Povidone-Iodine) or Phisohex (Hexachlorophene) solution.
Anesthesia or Sedation
  • None required for external use.


Typically, the application process takes about 5-10 minutes.


  • Performed in various settings including hospitals, outpatient clinics, and at home under appropriate guidance for minor wounds.


  • Healthcare professionals such as nurses or doctors typically perform the application in clinical settings.

Risks and Complications

Common Risks
  • Skin irritation or allergic reactions.

    Rare Risks
  • Severe allergic reactions or skin burns in sensitive individuals.

Complications and Their Management
  • Discontinuation of use and medical consultation in the event of severe irritation or allergic reaction.


Expected Benefits
  • Effective reduction in the risk of infections.
  • Immediate cleansing and antiseptic action.


Post-Procedure Care and Instructions
  • Keep the treated area clean and dry.
  • Follow-up as advised by a healthcare professional if used in a clinical setting.
Expected Recovery Time
  • Immediate use with no specific recovery time for simple skin antisepsis.
Restrictions or Follow-Up Appointments
  • No major restrictions. Follow-up if infection or irritation occurs.


Other Treatment Options
  • Alcohol-based antiseptics.
  • Hydrogen peroxide solution.

    Pros and Cons of Alternatives
  • Alcohol-based antiseptics: Quick drying but may sting.
  • Hydrogen peroxide: Effective for minor wounds but may cause skin irritation.

Patient Experience

During the Procedure
  • Mild cooling or tingling sensation during application.

    After the Procedure
  • The skin might feel slightly tight as it dries.

    Pain Management and Comfort Measures
  • Generally painless and well-tolerated. Use soothing lotions if mild irritation occurs post-application.

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