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Non-disposable underpads, all sizes

HCPCS code

Name of the Procedure:

Non-Disposable Underpads (HCPCS Code: A4553)


Non-disposable underpads are absorbent pads placed on chairs, beds, or other surfaces to protect them from moisture and soiling. They are typically used in medical settings or at home for patients dealing with incontinence, during medical examinations, or post-surgical care.


Non-disposable underpads are used to manage incontinence, preserve hygiene, and protect surfaces from moisture and potential bacterial contamination. The primary goal is to ensure patient comfort and maintain sanitary conditions.


  • Incontinence (urinary or fecal)
  • Post-surgical drainage management
  • Protecting bedding or furniture from medical treatments
  • Preventing bedsores by keeping skin dry and reducing friction


  • No specific preparation is required for the patient.
  • Ensure the underpad is clean and dry before use.
  • The surrounding area should be clean and free from any clutter.

Procedure Description

  1. Prepare the Underpad: Ensure it is clean, dry, and appropriately sized.
  2. Position the Pad: Place it under the patient’s hips and buttocks, aligning the pad to cover the necessary area.
  3. Secure the Pad: Some non-disposable underpads may come with straps or adhesive to prevent slipping.
  4. Adjust as Needed: Regularly check and adjust the positioning to maintain effectiveness.


The placement of non-disposable underpads is an ongoing need but takes only a few minutes to position or replace as needed.


Non-disposable underpads can be used in various settings, including hospitals, nursing homes, outpatient clinics, and home care environments.


  • Caregivers
  • Nurses
  • Healthcare aides
  • Family members (in a home care setting)

Risks and Complications

  • Skin Irritation: Possible if the underpad is not changed regularly.
  • Allergic Reactions: Rare but possible reactions to materials used in the underpad.
  • Infection: Inadequate changing and cleaning could lead to infections.


  • Provides a clean and dry surface, enhancing comfort.
  • Prevents damage to furniture and bedding.
  • Helps manage incontinence and post-surgical fluid drainage effectively.
  • Contributes to overall hygiene and sanitation.


  • No specific recovery protocol as this is a supplementary device.
  • Regular monitoring and changing are crucial.
  • Maintain skin care and hygiene to prevent irritation and infections.


  • Disposable Underpads: Easy to use but generates more waste.
  • Absorbent Briefs: Worn directly by the patient for mobility and ease.
  • Incontinence Chair Pads: Designed specifically for chairs and wheelchairs.

Pros and Cons:

  • Non-Disposable Underpads: Environmentally friendly, cost-effective, but require regular cleaning.
  • Disposable Underpads: Convenient, no washing required, but less eco-friendly and more expensive over time.

Patient Experience

  • During Use: Patients might feel comfort and protection from moisture.
  • Pain Management: Non-applicable directly; however, the product helps prevent discomfort related to skin irritation and sores.
  • Comfort Measures: Regular changing and proper skin care will enhance overall comfort and well-being.

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