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Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing

HCPCS code

Name of the Procedure:

Alginate or Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size More Than 48 sq. in., Each Dressing (A6198)


Alginate or other fiber gelling dressings are sterile wound covers used for treating wounds with moderate to heavy exudate. These dressings are larger than 48 square inches and help maintain a moist healing environment, which promotes faster recovery.


Medical Conditions Addressed:
  • Chronic wounds such as pressure ulcers, diabetic ulcers, and venous ulcers
  • Acute wounds including surgical wounds and traumatic injuries
  • Absorb excess wound exudate
  • Maintain a moist wound environment
  • Promote faster and more efficient healing
  • Reduce infection risk


  • Moderate to heavy wound exudate
  • Non-infected, granulating, and sloughy wounds
  • Patients needing a dressing that conforms well to the wound bed


Patient Instructions:
  • Clean the wound area as instructed by healthcare provider
  • Follow specific cleaning procedures if necessary
Diagnostic Tests/Assessments:
  • Wound assessment by healthcare professionals
  • Measurement and documentation of wound size

Procedure Description

  1. Cleaning the Wound: The wound is cleaned with saline or an appropriate wound cleanser.
  2. Application: The sterile alginate dressing is placed directly onto the wound.
  3. Securing the Dressing: A secondary dressing or bandage may be used to secure the alginate dressing in place.
  4. Monitoring: The wound is checked and the dressing changed as prescribed, typically every one to three days, depending on the amount of exudate.
Tools and Equipment:
  • Sterile alginate or fiber gelling dressing
  • Saline or wound cleanser
  • Secondary dressing or bandage (if required)
Anesthesia or Sedation:
  • Generally, not required


The entire dressing application process typically takes around 10-15 minutes.


  • Outpatient clinics
  • Hospitals
  • Home care settings


  • Nurses
  • Wound care specialists
  • Occasionally, physicians may be involved in initial assessments

Risks and Complications

Common Risks:
  • Skin irritation around the wound
Rare Risks:
  • Infection if the dressing is not changed appropriately
  • Allergic reaction to the dressing material
  • Proper hygiene and technique during dressing changes
  • Regular follow-up and monitoring by healthcare professionals


  • Absorption of excess wound exudate
  • Faster wound healing
  • Reduced risk of wound infection
  • Easier wound management and patient comfort


Post-Procedure Care:
  • Keep the dressing clean and dry
  • Follow the prescribed wound care routine
Recovery Time:
  • Varies depending on the wound type and patient health
  • Regular follow-up appointments may be necessary until full healing


Other Options:
  • Hydrocolloid dressings
  • Foam dressings
  • Gauze and traditional dressings
Pros and Cons:
  • Alginate dressings are superior for highly exudative wounds
  • Alternatives may be more suitable for low-exudate, dry wounds
  • Cost and frequency of dressing changes may vary

Patient Experience

During the Procedure:
  • Generally painless though some may feel slight discomfort during cleaning
After the Procedure:
  • Minimal discomfort
  • Some may need pain management for severe wounds

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