Xeroform Petrolatum Dressing

Last updated on 1/29/25 | First published on 1/29/25 | Literature review current through Dec. 2024 [cite]

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Technology and Product Assessment

Product Type: Antimicrobial

Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients. For information about specific products, please contact the manufacturer directly.

Xeroform Petrolatum Dressing is an antimicrobial wound dressing.

INTENDED USES: These dressings are for when mild medication or deodorizing are required, such as postoperative applications, 1st and 2nd degree burns, and skin grafts.

CLAIMED BENEFITS: Xeroform impregnated dressings are similar to our Petrolatum Gauze

dressings, with the addition of 3% bismuth tribromophenate. Does not contain natural rubber latex.

Manufacturer: Gentell

Information retrieved from manufacturer and/or FDA-approved labels

* Wound Reference does not produce, market, re-sell or distribute health care goods or services consumed by, or used on, patients. The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.

ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

Xeroform Petrolatum Dressing, Sterile, 1" x 8'', box of 50

Xeroform Petrolatum Dressing, Sterile, 5" x 9", box of 50

Xeroform Petrolatum Dressing, Sterile, 2" x 2", box of 25

Xeroform Petrolatum Dressing, Sterile, 4” x 4”, box of 25

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Select your state for Medicare
DME coverage and co-payment

Product

Estimated
Out-of-pocket
Cost

Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

Gentell
Xeroform Petrolatum Dressing, Sterile, 1" x 8'', box of 50

$.00

Coming soon

Gentell
Xeroform Petrolatum Dressing, Sterile, 5" x 9", box of 50

$.00

Coming soon

Gentell
Xeroform Petrolatum Dressing, Sterile, 2" x 2", box of 25

$.00

Coming soon

Gentell
Xeroform Petrolatum Dressing, Sterile, 4” x 4”, box of 25

$.00

Coming soon

* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Product

Estimated
Out-of-pocket
Cost

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

Xeroform Petrolatum Dressing, Sterile, 1" x 8'', box of 50

Coming soon

Xeroform Petrolatum Dressing, Sterile, 5" x 9", box of 50

Coming soon

Xeroform Petrolatum Dressing, Sterile, 2" x 2", box of 25

Coming soon

Xeroform Petrolatum Dressing, Sterile, 4” x 4”, box of 25

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Xeroform Petrolatum Dressing, Sterile, 1" x 8'', box of 50

Xeroform Petrolatum Dressing, Sterile, 5" x 9", box of 50

Xeroform Petrolatum Dressing, Sterile, 2" x 2", box of 25

Xeroform Petrolatum Dressing, Sterile, 4” x 4”, box of 25

No CPT codes to display.

Hover on the information button next to each header for detailed explanation on the type of information provided by the table
The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.

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Other related brands: Promogran Prisma Matrix, 4.34sq.in, 10 eaches/CT, Hydrofera Blue Classic Antibacterial Foam Dressing, 4" ..., Hydrofera Blue READY Antibacterial Foam Dressing, 4" x ..., Iodosorb Gel 10g, 4 tubes, Iodoflex Pads 5g (1 1/2" x 2 3/8"), 5 sachets, Hydrofera Blue READY Antibacterial Foam Dressing, 2.5" ..., Medihoney Gel Dressing 1.5 oz tube 1/box, 12 boxes/case, Medihoney Gel Dressing, 0.5 oz tube 10/box, 4 boxes/cas..., Hydrofera Blue Classic Antibacterial Foam Dressing, 2" ..., Iodosorb Gel 40g, 1 tube, Hydrofera Blue TRANSFER Antibacterial Dressings, 4” x ..., Hydrofera Blue TRANSFER Antibacterial Dressings, 2.5” ..., Aquacel Ag Adhesive, 8x8cm (3¼" x 3¼"), 10 per box, Aquacel Ag Adhesive, 10x10cm (4" x 4"), 10 per box, Medihoney Calcium Alginate Dressing, 4" x 5" 10/box, 5 ..., Mepilex Ag Silver Foam Dressing, 4˝ x 4˝ (10 x 10 cm), ..., Promogran Prisma Matrix, 19.1 sq.in 10 eaches/CT, ACTICOAT 7, 2" x 2", Box of 5, Hydrofera Blue Classic Antibacterial Foam Dressing, 6" ..., Medihoney Calcium Alginate Dressing, 2" x 2" 10/box, 10..., MEDIHONEY® HCS, Adhesive: 2.8" x 2.8", 10/box, ACTICOAT Flex 7, 2" x 2", Pack of 5, Algidex Ag® Paste, 10 cc Tube Paste, 10/box, 30/cs, Medihoney Hydrogel - Non-Adhesive, 2.4" x 2.4", Pack of..., Medihoney Paste Dressing, 0.5 oz tube 10/box, 4/case, Hydrofera Blue TRANSFER Antibacterial Dressings, 8” x ..., ACTICOAT, 4" x 4", Pack of 12, Endoform Antimicrobial Dermal Template 4" X 5" NON-FENE..., Iodoflex Pads 10g (2 1/8" x 3"), 3 sachets, ACTICOAT, 4" x 8", Pack of 12, MEDIHONEY® Honeycolloid Adhesive: 2" x 2" (3½" x 3½" wi..., Aquacel Ag Adhesive, 12.5x12.5cm (5" x 5"), 10 per box, ACTICOAT 7, 4" x 5", Box of 5, Endoform Antimicrobial Dermal Template 4" X 5" FENESTRA..., AQUACEL Ag SURGICAL Cover Dressing, Mepilex Transfer Ag, 4” x 5”, Box of 5, Mepilex Ag Silver Foam Dressing, 4˝ x 8˝ (10 x 20 cm), ..., AQUACEL Ag Hydrofiber Dressing, Square, 5x5cm, box of 1..., AQUACEL Ag Advantage Ribbon, .39 x 18 inch, box of 5, Medihoney Hydrogel - Non-Adhesive, 4.3" x 4.3" , Pack o..., Endoform Antimicrobial Dermal Template 2" X 2" FENESTRA..., MEDIHONEY® HCS, Adhesive: 4½" x 4½", 10/box, ACTICOAT, 2" x 2", Pack of 5, MEDIHONEY® Honeycolloid Adhesive: 4½" x 4½" (6" x 6" wi..., ACTISORB™ Silver 220 Dressing, 4.2” x 7.6”, box of 10, SILVERCEL Non-Adherent Dressing 2 x 2 inch (5 x 5cm), b..., Hydrofera Blue READY Antibacterial Foam Dressing, 8" x ..., ACTISORB™ Silver 220 Dressing, 2.6” x 3.8”, box of 10, Hydrofera Blue Classic Antibacterial Foam Dressing, 1.2..., Mepilex Ag Silver Foam Dressing, 6˝ x 6˝ (15 x 15 cm), ..., Medihoney Calcium Alginate Dressing, ¾" x 12" 5/box,

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Topic 2867 Version 1.0

Xeroform Petrolatum Dressing

Xeroform Petrolatum Dressing

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