3m ndc/nhric number · 4 in x 2.9 yd (10 cm x 2,7 m) unstretched roll 2 compression layer hcpcs...

2
3M and Coban are trademarks of 3M. Please recycle. Printed in U.S.A. © 3M 2007, 2011. All rights reserved. 70-2009-9530-9 Ordering Information 3M Coban 2 Layer Compression Therapy Product Name 3M Coban 2 Layer Compression System 3M Coban 2 Layer Lite Compression System Catalog Number 2094 2794 NDC/NHRIC Number 8333-2094-01 8333-2794-00 Roll 1 Comfort Layer HCPCS Code: A6454 4 in x 2.9 yd (10 cm x 2,7 m) Unstretched HCPCS Code: A6454 4 in x 2.9 yd (10 cm x 2,7 m) Unstretched Roll 2 Compression Layer HCPCS Code: A6454 4 in x 5.1 yd (10 cm x 4,7 m) Stretched 4 in x 3.8 yd (10 cm x 3,5 m) Unstretched HCPCS Code: A6454 4 in x 5.1 yd (10 cm x 4,7 m) Stretched 4 in x 3.5 yd (10 cm x 3,2 m) Unstretched Rolls per Box 2 rolls, 1 of each layer 2 rolls, 1 of each layer Boxes per Case 8 8 The American Medical Association (AMA) has established a CPT code for the application of multi layer compression systems - CPT Code 29581. Physicians and other healthcare providers treating patients with multi layer compression therapy may be eligible for reimbursement for their services. Current Procedural Terminology (CPT) is a listing of descriptive terms and identifying codes for reporting medical services and procedures physicians and other medical professionals perform. HCPCS and CPT codes have been provided to assist you in the preparation of insurance claims. Please note, however, that the reimbursement information provided by 3M Health Care and its representatives is intended to provide general information relevant to coverage and coding for 3M products. Insurers’ reimbursement policies can vary and the use of the codes discussed here does not guarantee that an insurer will cover or pay at any particular level. Health care providers should exercise independent clinical judgment in choosing the codes which most accurately describe the products provided. Skin and Wound Care Division 3M Health Care 3M Center, Building 275-4W-02 St. Paul, MN 55144-1000 USA 1-800-228-3957 www.3M.com/coban2layer Skin and Wound Care Division 3M Canada Post Office Box 5757 London, Ontario N6A 4T1 Canada 1-800-563-2921 3M Coban 2 Layer Compression Therapy Learn More • Visit us at www.3M.com/coban2layer • Videos featuring various application techniques, tips and introduction available on website • Contact your 3M Skin and Wound Care representative • Call the 3M Health Care Customer Helpline at 1-800-228-3957 Outside of the United States, contact the local 3M subsidiary. Application and Removal Poster

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Page 1: 3M NDC/NHRIC Number · 4 in x 2.9 yd (10 cm x 2,7 m) Unstretched Roll 2 Compression Layer HCPCS Code: A6454 4 in x 5.1 yd (10 cm x 4,7 m) Stretched 4 in x 3.8 yd (10 cm x 3,5 m) Unstretched

3M and Coban are trademarks of 3M.Please recycle. Printed in U.S.A.© 3M 2007, 2011. All rights reserved.70-2009-9530-9

Ordering Information3M™ Coban™ 2 Layer Compression Therapy

Product Name 3M™ Coban™ 2 Layer Compression System 3M™ Coban™ 2 Layer Lite Compression System

Catalog Number 2094 2794

NDC/NHRIC Number 8333-2094-01 8333-2794-00

Roll 1Comfort Layer

HCPCS Code: A64544 in x 2.9 yd (10 cm x 2,7 m) Unstretched

HCPCS Code: A64544 in x 2.9 yd (10 cm x 2,7 m) Unstretched

Roll 2Compression Layer

HCPCS Code: A64544 in x 5.1 yd (10 cm x 4,7 m) Stretched

4 in x 3.8 yd (10 cm x 3,5 m) Unstretched

HCPCS Code: A64544 in x 5.1 yd (10 cm x 4,7 m) Stretched

4 in x 3.5 yd (10 cm x 3,2 m) Unstretched

Rolls per Box 2 rolls, 1 of each layer 2 rolls, 1 of each layer

Boxes per Case 8 8The American Medical Association (AMA) has established a CPT code for the application of multi layer compression systems - CPT Code 29581. Physicians and other healthcare providers treating patients with multi layer compression therapy may be eligible for reimbursement for their services.

Current Procedural Terminology (CPT) is a listing of descriptive terms and identifying codes for reporting medical services and procedures physicians and other medical professionals perform.

HCPCS and CPT codes have been provided to assist you in the preparation of insurance claims. Please note, however, that the reimbursement information provided by 3M Health Care and its representatives is intended to provide general information relevant to coverage and coding for 3M products. Insurers’ reimbursement policies can vary and the use of the codes discussed here does not guarantee that an insurer will cover or pay at any particular level. Health care providers should exercise independent clinical judgment in choosing the codes which most accurately describe the products provided.

Skin and Wound Care Division3M Health Care3M Center, Building 275-4W-02St. Paul, MN 55144-1000USA1-800-228-3957www.3M.com/coban2layer

Skin and Wound Care Division3M CanadaPost Office Box 5757London, Ontario N6A 4T1Canada1-800-563-2921

3M™ Coban™ 2 Layer Compression Therapy

Learn More• Visit us at www.3M.com/coban2layer

• Videos featuring various application techniques, tips and introduction available on website

• Contact your 3M Skin and Wound Care representative

• Call the 3M Health Care Customer Helpline at 1-800-228-3957 Outside of the United States, contact the local 3M subsidiary.

Applicationand Removal

Poster

Page 2: 3M NDC/NHRIC Number · 4 in x 2.9 yd (10 cm x 2,7 m) Unstretched Roll 2 Compression Layer HCPCS Code: A6454 4 in x 5.1 yd (10 cm x 4,7 m) Stretched 4 in x 3.8 yd (10 cm x 3,5 m) Unstretched

Band

age

Rem

oval

Appl

icat

ion/

Rem

oval

Appl

icat

ion

for a

Hig

hly

Cont

oure

d Le

g —

Fol

low

the

Roll

Laye

r 1: T

he In

ner C

omfo

rt L

ayer

— A

pply

this

laye

r with

the

foam

sid

e ag

ains

t the

ski

n, u

sing

just

eno

ugh

tens

ion

to c

onfo

rm to

the

shap

e of

the

leg

with

min

imal

ove

rlap.

With

min

imal

ove

rlap,

and

with

just

en

ough

tens

ion

to c

onfo

rm s

moo

thly

alon

g th

e co

ntou

rs, w

ind

the

band

age

arou

nd th

e an

kle

and

proc

eed

up th

e le

g ap

plyin

g th

e la

yer i

n th

e di

rect

ion

the

roll

take

s yo

u.

The

seco

nd c

ircul

ar w

indi

ng

shou

ld c

ome

acro

ss th

e to

p of

th

e fo

ot s

o th

at th

e m

iddl

e of

the

band

age

wid

th a

ppro

ximat

ely

cove

rs th

e ar

ticul

atin

g as

pect

of

the

ankl

e jo

int.

The

top

of th

e ba

ndag

e sh

ould

end

just

bel

ow th

e fib

ular

he

ad, o

r tw

o fin

gers

wid

th b

elow

the

crea

se a

t the

bac

k of

th

e kn

ee. B

ring

the

band

age

back

dow

n th

e le

g to

cov

er

all a

reas

of t

he s

kin.

To

ensu

re a

s th

in a

laye

r as

poss

ible

, try

to m

inim

ize th

e ar

eas

of o

verla

pped

mat

eria

l.

Brin

g th

is w

indi

ng a

roun

d th

e ba

ck o

f the

hee

l and

lay

it ov

er

the

top

of th

e fo

ot w

here

it

over

laps

the

unde

rlyin

g m

ater

ial.

As y

ou e

nd th

e ap

plic

atio

n, a

pply

light

pr

essu

re a

nd c

ut o

ff th

e ex

cess

mat

eria

l. M

old

the

laye

rs to

geth

er to

ens

ure

that

the

band

age

win

ding

s co

here

to e

ach

othe

r.

Cut t

he w

rap

and

gent

ly pr

ess

into

pla

ce. T

he p

oste

rior p

lant

ar

surfa

ce o

f the

foot

is n

ot

com

plet

ely

cove

red.

With

the

foot

in a

dor

siflex

ed p

ositi

on,

star

t the

app

licat

ion

with

a c

ircul

ar

win

ding

at t

he b

ase

of th

e to

es,

begi

nnin

g at

the

fifth

met

atar

sal h

ead.

Be

ginn

ing

at th

e fif

th to

e pr

ovid

es

neut

ral,

com

forta

ble

foot

alig

nmen

t.

12

34

56

7

Laye

r 2: T

he O

uter

Com

pres

sion

Lay

er —

App

ly th

is la

yer a

t ful

l str

etch

. Hol

d th

e ro

ll cl

ose

to th

e fo

ot a

nd li

mb

thro

ugho

ut th

e ap

plic

atio

n fo

r con

trol

led,

eve

n co

mpr

essi

on.

Brin

g th

e ba

ndag

e ba

ck d

own

the

leg

to c

over

the

entir

e co

mfo

rt la

yer w

ith a

t lea

st tw

o la

yers

of c

ompr

essio

n m

ater

ial.

If at

any

tim

e yo

u w

ant t

o ch

ange

th

e di

rect

ion

of th

e ro

ll, yo

u m

ay

cut t

he b

anda

ge a

nd re

dire

ct th

e ap

plic

atio

n.

As y

ou e

nd th

e ap

plic

atio

n, a

pply

light

pre

ssur

e an

d cu

t off

the

exce

ss m

ater

ial.

Mol

d th

e la

yers

toge

ther

to

ensu

re th

at th

e ba

ndag

e w

indi

ngs

cohe

re to

eac

h ot

her.

Usin

g th

e fig

ure

eigh

t tec

hniq

ue, b

ring

the

roll

back

ov

er th

e to

p of

the

foot

, acr

oss

the

botto

m o

f the

foot

an

d ba

ck u

p to

com

e ar

ound

the

back

of t

he h

eel.

Com

plet

e tw

o or

thre

e fig

ures

of e

ight

aro

und

the

ankle

en

surin

g th

at th

e en

tire

heel

is c

over

ed w

ith a

t lea

st tw

o la

yers

. Cut

the

wra

p an

d ge

ntly

mol

d in

to p

lace.

With

the

foot

in d

orsifl

exed

po

sitio

n, s

tart

the

appl

icat

ion

with

a c

ircul

ar w

indi

ng a

t the

ba

se o

f the

toes

, beg

inni

ng a

t th

e fif

th m

etat

arsa

l hea

d.

Appl

y th

e ne

xt w

indi

ng b

y st

artin

g th

e ro

ll at

the

prev

ious

cu

t edg

e w

ith a

50%

ove

rlap

to th

e un

derly

ing

mat

eria

l. Br

ing

the

band

age

arou

nd th

e an

kle

and

proc

eed

up th

e le

g in

the

dire

ctio

n th

e ro

ll ta

kes

you

with

the

top

of th

e ap

plic

atio

n en

ding

just

bel

ow th

e fib

ular

hea

d.

89

1012

1314

11

Appl

icat

ion

for a

Hig

hly

Cont

oure

d Le

g —

Cut

ting

Tech

niqu

e

Laye

r 2: T

he O

uter

Com

pres

sion

Lay

er —

App

ly th

is la

yer a

t ful

l str

etch

. Hol

d th

e ro

ll cl

ose

to th

e fo

ot a

nd li

mb

thro

ugho

ut th

e ap

plic

atio

n fo

r con

trol

led,

eve

n co

mpr

essi

on.

With

the

foot

in a

dor

siflex

ed p

ositi

on,

star

t the

app

licat

ion

with

a c

ircul

ar

win

ding

at t

he b

ase

of th

e to

es,

begi

nnin

g at

the

fifth

met

atar

sal h

ead.

Usin

g th

e fig

ure

eigh

t te

chni

que,

brin

g th

e ro

ll bac

k ov

er th

e to

p of

the

foot

, acr

oss

the

botto

m o

f the

foot

and

bac

k up

to c

ome

arou

nd th

e ba

ck o

f th

e he

el. C

ompl

ete

two

or th

ree

figur

es-o

f-eig

ht a

roun

d th

e an

kle

ensu

ring

that

the

entir

e he

el is

cov

ered

with

at l

east

two

laye

rs. F

or s

moo

th c

onfo

rmab

ility

and

even

cov

erag

e, c

ut th

e co

mpr

essio

n m

ater

ial a

nd p

roce

ed u

p th

e fo

ot a

nd le

g w

ith in

divid

ual w

indi

ngs

at 5

0% o

verla

p, m

akin

g su

re to

pre

ss a

nd c

onfo

rm e

ach

subs

eque

nt la

yer.

78

End

the

wra

p at

the

fibul

ar h

ead,

or j

ust b

elow

the

back

of t

he k

nee

and

even

with

the

top

edge

of t

he

com

fort

layer

. Cut

off

any

exce

ss m

ater

ial.

Gent

ly pr

ess

and

conf

orm

the

entir

e su

rface

of t

he a

pplic

atio

n.

9

Laye

r 1: T

he In

ner C

omfo

rt L

ayer

— A

pply

this

laye

r with

the

foam

sid

e ag

ains

t the

ski

n, u

sing

just

eno

ugh

tens

ion

to c

onfo

rm to

the

shap

e of

the

leg

with

min

imal

ove

rlap.

With

the

foot

in a

dor

siflex

ed p

ositi

on, s

tart

the

appl

icat

ion

with

a c

ircul

ar w

indi

ng a

t th

e ba

se o

f the

toes

, beg

inni

ng a

t the

fifth

m

etat

arsa

l hea

d. B

egin

ning

at t

he fi

fth to

e pr

ovid

es n

eutra

l, co

mfo

rtabl

e fo

ot a

lignm

ent.

1

Cut t

he w

rap

and

gent

ly pr

ess

into

pla

ce. T

he p

oste

rior p

lant

ar

surfa

ce o

f the

foot

is n

ot

com

plet

ely

cove

red.

The

seco

nd c

ircul

ar w

indi

ng s

houl

d co

me

acro

ss th

e to

p of

the

foot

so

that

the

mid

dle

of th

e ba

ndag

e w

idth

app

roxim

atel

y co

vers

the

artic

ulat

ing

aspe

ct o

f the

ank

le jo

int.

With

min

imal

ove

rlap,

app

ly th

e ne

xt w

indi

ng s

o it

lays

sm

ooth

al

ong

the

cont

ours

and

cut

it w

hen

it ov

erla

ps th

e un

derly

ing

mat

eria

l.

Brin

g th

is w

indi

ng a

roun

d th

e ba

ck o

f the

hee

l and

lay

it ov

er

the

top

of th

e fo

ot w

here

it

over

laps

the

unde

rlyin

g m

ater

ial.

Proc

eed

up th

e le

g w

ith in

divid

ual w

indi

ngs

usin

g th

e sa

me

tech

niqu

e. E

nd th

e ap

plic

atio

n at

the

fibul

ar

head

, or j

ust b

elow

the

back

of t

he k

nee.

Cut

off

exce

ss m

ater

ial.

Ligh

t pre

ssur

e ap

plie

d at

the

end

of

the

band

age

and

dow

n th

e le

g en

sure

s th

at it

sta

ys

in p

lace

dur

ing

appl

icat

ion

of th

e co

mpr

essio

n la

yer.

23

45

6

Prod

uct I

nfor

mat

ion

• Pr

ovid

es e

ffect

ive, s

usta

ined

, com

pres

sion

for t

he tr

eatm

ent o

f ven

ous

leg

ulce

rs a

nd o

ther

con

ditio

ns w

here

com

pres

sion

ther

apy

is a

ppro

pria

te.

• Fo

r pat

ient

s le

ss to

lera

nt o

f com

pres

sion,

or w

ho h

ave

mixe

d et

iolo

gy w

ith a

n AB

PI g

reat

er th

an o

r equ

al to

0.5

, Cob

an 2

Lay

er L

ite C

ompr

essio

n Sy

stem

is re

com

men

ded.

• M

any

patie

nts

have

ext

rem

e le

g co

ntou

rs. D

ue to

the

uniq

ue p

rope

rties

of C

oban

2 L

ayer

Com

pres

sion

Syst

ems,

the

appl

icat

ion

tech

niqu

e ca

n ea

sily

be a

dapt

ed to

pro

vide

conf

orm

able

, effe

ctive

, sus

tain

ed c

ompr

essio

n.•

Late

x-fre

e.

Basi

c Ap

plic

atio

n

Laye

r 2: T

he O

uter

Com

pres

sion

Lay

er —

App

ly th

is la

yer a

t ful

l str

etch

. Hol

d th

e ro

ll cl

ose

to th

e fo

ot a

nd li

mb

thro

ugho

ut th

e ap

plic

atio

n fo

r con

trol

led,

eve

n co

mpr

essi

on.

With

the

foot

in a

dor

siflex

ed

posit

ion,

sta

rt th

e ap

plic

atio

n w

ith a

circ

ular

win

ding

at t

he

base

of t

he to

es, b

egin

ning

at

the

fifth

met

atar

sal h

ead.

Usin

g th

e fig

ure

eigh

t tec

hniq

ue, b

ring

the

roll

back

ove

r the

top

of

the

foot

, acr

oss

the

botto

m o

f the

foot

and

bac

k up

to c

ome

arou

nd

the

back

of t

he h

eel.

Com

plet

e tw

o or

thre

e fig

ures

of e

ight

aro

und

the

ankl

e en

surin

g th

at th

e en

tire

heel

is c

over

ed w

ith a

t lea

st tw

o la

yers

.

The

seco

nd c

ircul

ar w

indi

ng

shou

ld c

ome

acro

ss th

e to

p of

th

e fo

ot a

nd a

roun

d th

e ba

ck o

f th

e he

el.

End

the

wra

p at

the

fibul

ar h

ead,

or

just

bel

ow th

e ba

ck o

f the

kn

ee a

nd e

ven

with

the

top

edge

of

the

com

fort

laye

r. Cu

t off

any

exce

ss m

ater

ial.

Gent

ly pr

ess

and

conf

orm

the

entir

e su

rface

of t

he a

pplic

atio

n. T

his

will

ensu

re th

at th

e tw

o la

yers

bon

d fir

mly

toge

ther

whi

ch h

elps

redu

ce

slipp

age

durin

g w

ear.

Note

: If y

ou d

etec

t any

gap

s in

the

com

pres

sion

laye

r, yo

u m

ay a

pply

addi

tiona

l com

pres

sion

laye

r mat

eria

l at f

ull s

tretc

h.

Proc

eed

up th

e le

g w

ith 5

0%

over

lap

to c

over

the

entir

e in

ner

com

fort

laye

r with

at l

east

two

laye

rs. M

aint

ain

cons

isten

t st

retc

h th

roug

hout

the

proc

ess.

89

1011

1213

Laye

r 1: T

he In

ner C

omfo

rt L

ayer

— A

pply

this

laye

r with

the

foam

sid

e ag

ains

t the

ski

n, u

sing

just

eno

ugh

tens

ion

to c

onfo

rm to

the

shap

e of

the

leg

with

min

imal

ove

rlap.

12

34

56

7

With

the

foot

in a

dor

siflex

ed

posit

ion,

sta

rt th

e ap

plic

atio

n w

ith a

circ

ular

win

ding

at t

he

base

of t

he to

es, b

egin

ning

at t

he

fifth

met

atar

sal h

ead.

Beg

inni

ng

at th

e fif

th to

e pr

ovid

es n

eutra

l, co

mfo

rtabl

e fo

ot a

lignm

ent.

Proc

eed

up th

e le

g, to

just

bel

ow

the

fibul

ar h

ead,

or t

he b

ack

of

the

knee

with

min

imal

ove

rlap,

us

ing

just

eno

ugh

tens

ion

to

conf

orm

to th

e sh

ape

of th

e le

g.

The

seco

nd c

ircul

ar w

indi

ng

shou

ld c

ome

acro

ss th

e to

p of

th

e fo

ot s

o th

at th

e m

iddl

e of

the

band

age

wid

th a

ppro

ximat

ely

cove

rs th

e ar

ticul

atin

g as

pect

of

the

ankl

e jo

int.

Cut o

ff ex

cess

mat

eria

l.Th

e ne

xt w

indi

ng ru

ns o

ver t

he

back

of t

he h

eel.

The

post

erio

r pl

anta

r sur

face

of t

he fo

ot is

not

co

mpl

etel

y co

vere

d.

Ligh

t pre

ssur

e ap

plie

d at

the

end

of th

e ba

ndag

e en

sure

s th

at it

st

ays

in p

lace

dur

ing

appl

icat

ion

of th

e co

mpr

essio

n la

yer.

Plea

se n

ote

that

ther

e m

ay b

e a

smal

l fol

d of

com

fort

laye

r mat

eria

l in

the

Achi

lles

area

. Gui

de th

is fo

ld

off t

he A

chille

s an

d la

y it

into

the

adja

cent

con

vex

area

. Thi

s fo

ld

will

lay

dow

n sm

ooth

ly w

ithou

t ca

usin

g pa

in o

r disc

omfo

rt w

hen

cove

red

by th

e co

mpr

essio

n la

yer.

7a

For p

atie

nts

with

ver

y th

in

legs

that

hav

e vu

lner

able

bon

y pr

omin

ence

s su

ch a

s th

e tib

ial

cres

t or t

he to

p of

the

foot

, you

ca

n pr

ovid

e ad

ditio

nal c

omfo

rt an

d pr

otec

tion

by c

uttin

g a

piec

e of

the

com

fort

mat

eria

l and

pl

acin

g it

over

the

top

of th

e fo

ot,

runn

ing

it up

the

leg

to p

rote

ct

the

tibia

l cre

st. A

t the

arti

cula

ting

area

, mak

e a

slit o

n ea

ch s

ide

of

the

strip

to c

onfo

rm a

t the

ank

le.

Gent

ly pr

ess

into

pla

ce.

Thin

, Fra

gile

Leg

s

3M™

Cob

an™

2 L

ayer

Com

pres

sion

Sys

tem

3M™

Cob

an™

2 L

ayer

Lite

Com

pres

sion

Sys

tem

Coba

n 2

Laye

r Com

pres

sion

Sy

stem

may

be

rem

oved

w

ith b

anda

ge s

ciss

ors

or

by

unw

rapp

ing.

Dipp

ing

the

sciss

or ti

ps in

to

crea

m a

llow

s co

mfo

rtabl

e an

d ea

sy b

anda

ge re

mov

al.