Revised February 2015
HCPCS Coding Information
3M Health Care Products
• Ostomy Products
• Professional Skin Care Products
• Dressings and Bandages
• Medical Tapes
• Rehabilitation Products
Disclaimer:
The reimbursement information provided by 3M Health Care and its representatives is intended to provide general information
relevant to coding for 3M products. Insurers’ reimbursement policies can vary, however, and the use of the codes discussed here
does not guarantee that an insurer will cover or pay at any particular level.
Ostomy Products
3M™ Cavilon™ No Sting Barrier Film
Catalog No.
3343
3344
3345
3346
HCPCS
Code
A4369
A5120
A4369
A4369
HCPCS Generic Category
Skin barrier, liquid
Skin barrier, wipes
Skin barrier, liquid
Skin barrier, liquid
Professional Skin Care Products
3M™ Cavilon™ 3-in-1 Incontinence Care Lotion
Catalog No.
HCPCS
Code
3383
A6250
HCPCS Generic Category
Skin sealants, protectants,
moisturizers, ointments
3M™ Cavilon™ Antifungal Cream
Catalog No.
HCPCS
Code
3389
A6250
3390
A6250
HCPCS Generic Category
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
3M™ Cavilon™ Durable Barrier Cream Fragrance Free
Catalog No.
HCPCS
Code
3353
A6250
3354
A6250
3355
A6250
HCPCS Generic Category
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
3M™ Cavilon™ Extra Dry Skin Cream
Catalog No.
HCPCS
Code
9205
A6250
9215
A6250
HCPCS Generic Category
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
NOTE: Please see Disclaimer information on page one.
1
Professional Skin Care Products (continued)
3M™ Cavilon™ Moisturizing Hand Lotion
Catalog No.
HCPCS
Code
9205
A6250
9215
A6250
HCPCS Generic Category
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
3M™ Cavilon™ No-Rinse Skin Cleanser
Catalog No.
3380
HCPCS
Code
A6260
HCPCS Generic Category
Wound cleansers, any type, any size
3M™ Cavilon™ No Sting Barrier Film
Catalog No.
HCPCS
Code
3343
A6250
3344
A6250
3345
A6250
3346
A6250
HCPCS Generic Category
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
Skin sealants, protectants,
moisturizers, ointments
NOTE: Please see Disclaimer information on page one.
2
Dressings and Bandages
3M™ Coban™ Self-Adherent Wrap*
Catalog No.
1581
HCPCS
Code
A6453
HCPCS Generic Category
Self-adherent bandage, elastic,
width less than three inches
1581B (Blue)
A6453
Self-adherent bandage, elastic,
width less than three inches
1582
A6453
Self-adherent bandage, elastic,
width less than three inches
1582B (Blue)
A6453
Self-adherent bandage, elastic,
width less than three inches
1583
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583A (Rainbow Pack)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583B (Blue)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583G (Green)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583N (Neon Pack)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583R (Red)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583S (Sterile)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583W (White)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1583Y (Yellow)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1584
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1584B (Blue)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1584L
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1584S (Sterile)
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
1586
A6455
Self-adherent bandage, elastic,
width greater than or equal to five
inches
1586S (Sterile)
A6455
Self-adherent bandage, elastic,
width greater than or equal to five
inches
*Caution: This Product Contains Natural Rubber Latex Which May Cause Allergic Reactions.
NOTE: Please see Disclaimer information on page one.
3
Dressings and Bandages (continued)
3M™ Nexcare™ Coban™ Self-Adherent Wrap*
Catalog No.
Retail Packages:
H1581
HCPCS
Code
HCPCS Generic Category
A6453
Self-adherent bandage, elastic,
width less than three inches
H1582
A6453
Self-adherent bandage, elastic,
width less than three inches
H1583
A6454
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
*Caution: This Product Contains Natural Rubber Latex Which May Cause Allergic Reactions.
3M™ Coban™ LF (Latex Free) Self-Adherent Wrap with Hand Tear
Catalog No.
2081
HCPCS
Code
A6453
2081C (Brights)
A6453
20815
A6453
20815C (Brights)
A6453
2082
A6453
2082C (Brights)
A6453
2082S (Sterile)
A6453
2083
A6454
2083C (Brights)
A6454
2083S (Sterile)
A6454
2084
A6454
2084C (Brights)
A6454
2084L
A6454
2084S (Sterile)
A6454
2086
A6455
2086S (Sterile)
A6455
HCPCS Generic Category
Self-adherent bandage, elastic,
width less than three inches
Self-adherent bandage, elastic,
width less than three inches
Self-adherent bandage, elastic
width less than three inches
Self-adherent bandage, elastic,
width less than three inches
Self-adherent bandage, elastic,
width less than three inches
Self-adherent bandage, elastic,
width less than three inches
Self-adherent bandage, elastic,
width less than three inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to three
inches and less than five inches
Self-adherent bandage, elastic,
width greater than or equal to five
inches
Self-adherent bandage, elastic,
width greater than or equal to five
inches
NOTE: Please see Disclaimer information on page one.
4
Dressings and Bandages (continued)
3M™ Coban™ 2 Layer Compression System
Catalog No.
2094
HCPCS
Code
Roll #1 A6441
Roll #2 A6452
HCPCS Generic Category
Padding bandage, width greater than or equal to
three inches and less than five inches
High compression bandage, width greater than or
equal to three inches and less than five inches
3M™ Coban™ 2 Layer Lite Compression System
Catalog No.
2794
HCPCS
Code
Roll #1 A6441
Roll #2 A6452
HCPCS Generic Category
Padding bandage, width greater than or equal to
three inches and less than five inches
High compression bandage, width greater than or
equal to three inches and less than five inches
3M™ Medipore™ +Pad Soft Cloth Adhesive Wound Dressing
Catalog
3562
3564
3566
3568
3569
3570
3571
3573
HCPCS
No. Code
A6219
A6219
A6219
A6219
A6219
A6219
A6219
A6220
HCPCS Generic Category
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
Gauze, nonimpregnated, with border
3M™ Tegaderm™ Absorbent Clear Acrylic Dressing
Catalog No.
Ovals:
90800
90801
90803
Sacral:
90807
Squares:
90802
90805
HCPCS
Code
HCPCS Generic Category
A6203
A6203
A6203
Composite dressing
Composite dressing
Composite dressing
A6204
Composite dressing
A6203
A6204
Composite dressing
Composite dressing
3M™ Tegaderm™ Ag Mesh Dressing with Silver
Catalog No.
90500
90501
90502
90503
HCPCS
Code
A6402
A6403
A6403
A6404
HCPCS Generic Category
Gauze, nonimpregnated, without border
Gauze, nonimpregnated, without border
Gauze, nonimpregnated, without border
Gauze, nonimpregnated, without border
NOTE: Please see Disclaimer information on page one.
5
Dressings and Bandages (continued)
3M™ Tegaderm™ Alginate Ag Silver Dressing
Catalog No.
90301
90303
90305
90307
HCPCS
Code
A6196
A6197
A6198
A6199
HCPCS Generic Category
Alginate dressing, wound cover
Alginate dressing, wound cover
Alginate dressing, wound cover
Alginate dressing, wound filler
3M™ Tegaderm™ CHG Chlorhexidine Gluconate I.V. Port Dressing
Catalog No.
1665
HCPCS
Code
A6258
HCPCS Generic Category
Transparent film
3M™ Tegaderm™ CHG Chlorhexidine Gluconate I.V. Securement Dressing
Catalog No.
1657
1658
1659
1660
HCPCS
Code
A6257
A6257
A6258
A6257
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
Transparent film
3M™ Tegaderm™ Diamond Pattern Film Dressing
Catalog No.
1679
1684
1686
HCPCS
Code
A6257
A6257
A6258
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
3M™ Tegaderm™ High Gelling Alginate Dressing
Catalog No.
90212
90220
HCPCS
Code
A6196
A6199
HCPCS Generic Category
Alginate dressing, wound cover
Alginate dressing, wound filler
3M™ Tegaderm™ High Integrity Alginate Dressing
Catalog No.
90112
90120
HCPCS
Code
A6196
A6199
HCPCS Generic Category
Alginate dressing, wound cover
Alginate dressing, wound filler
NOTE: Please see Disclaimer information on page one.
6
Dressings and Bandages (continued)
3M™ Tegaderm™ High Performance Foam Adhesive Dressing
Catalog No.
90610
90611
90612
90613
90614
90615
90616
Heel/elbow design:
90619
HCPCS
Code
A6212
A6212
A6212
A6212
A6212
A6212
A6213
HCPCS Generic Category
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
A6212
Foam dressing, wound cover_____
3M™ Tegaderm™ High Performance Foam Non-Adhesive Dressing
Catalog No.
90600
90601
90602
90603
90604
90605
HCPCS
Code
A6209
A6209
A6210
A6211
A6209
A6211
HCPCS Generic Category
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
3M™ Tegaderm™ HP Transparent Film Dressing Frame Style
Catalog No.
9519HP
9534HP
9536HP
9543HP
9545HP (oval)
9546HP (oval)
9548HP (oval)
HCPCS
Code
A6257
A6257
A6258
A6258
A6257
A6257
A6258
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
3M™ Tegaderm™ Hydrocolloid Dressing
Catalog No.
Ovals:
90001
90003
90004
Sacral:
90007
Squares:
90002
90005
HCPCS
Code
HCPCS Generic Category
A6237
A6237
A6238
Hydrocolloid dressing
Hydrocolloid dressing
Hydrocolloid dressing
A6238
Hydrocolloid dressing
A6234
A6235
Hydrocolloid dressing
Hydrocolloid dressing
NOTE: Please see Disclaimer information on page one.
7
Dressings and Bandages (continued)
3M™ Tegaderm™ Hydrocolloid Thin Dressing
Catalog No.
Ovals:
90021
90023
90024
Squares:
90022
HCPCS
Code
HCPCS Generic Category
A6237
A6237
A6238
Hydrocolloid dressing
Hydrocolloid dressing
Hydrocolloid dressing
A6234
Hydrocolloid dressing
3M™ Tegaderm™ Hydrogel Wound Filler
Catalog No.
91110
91111
HCPCS
Code
A6248
A6248
HCPCS Generic Category
Hydrogel dressing, wound filler
Hydrogel dressing, wound filler
3M™ Tegaderm™ I.V. Advanced Securement Dressing
Catalog No.
1680
1682
1683
1685
1688
1689
HCPCS
Code
A6257
A6257
A6257
A6257
A6258
A6258
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
3M™ Tegaderm™ I.V. Securement Dressing
Catalog No.
9525HP
HCPCS
Code
A6257
HCPCS Generic Category
Transparent film
3M™ Tegaderm™ I.V. Transparent Film Dressing with Adhesive-Free Window
Catalog No.
1668
HCPCS
Code
A6258
HCPCS Generic Category
Transparent film
3M™ Tegaderm™ I.V. Transparent Film Dressing with Border
Catalog No.
1610
1633
1635
1650
1655
HCPCS
Code
A6257
A6257
A6257
A6258
A6257
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
NOTE: Please see Disclaimer information on page one.
8
Dressings and Bandages (continued)
3M™ Tegaderm™ Non-Adherent Contact Layer
Catalog No.
5642
5643
5644
HCPCS
Code
A6206
A6207
A6208
HCPCS Generic Category
Contact layer
Contact layer
Contact layer
3M™ Tegaderm™ +Pad Film Dressing with Non-Adherent Pad
Catalog No.
3582
3584
3586
3587 (oval)
3588
3589
3590
3591
3593
HCPCS
Code
A6203
A6203
A6203
A6203
A6203
A6203
A6203
A6203
A6204
HCPCS Generic Category
Composite dressing
Composite dressing
Composite dressing
Composite dressing
Composite dressing
Composite dressing
Composite dressing
Composite dressing
Composite dressing
3M™ Tegaderm™ Silicone Foam Border Dressing
Catalog No.
90640
90641
90642
HCPCS
Code
A6212
A6212
A6213
HCPCS Generic Category
Foam dressing, wound cover
Foam dressing, wound cover
Foam dressing, wound cover
3M™ Tegaderm™ Superabsorber Dressing
Catalog No.
90701
90702
90703
90704
HCPCS
Code
A6196
A6197
A6197
A6198
HCPCS Generic Category
Alginate dressing, wound cover
Alginate dressing, wound cover
Alginate dressing, wound cover
Alginate dressing, wound cover
NOTE: Please see Disclaimer information on page one.
9
Dressings and Bandages (continued)
3M™ Tegaderm™ Transparent Film Dressing
Catalog No.
1614
1616
1620
1621
1622W
1624W
1626
1626W
1627
1628
1629
1630
1634
Small Quantity Packages:
9505W
9506W
Retail Packages
H1624
H1626
HCPCS
Code
A6257
A6258
A6257
A6258
A6257
A6257
A6258
A6258
A6258
A6258
A6259
A6258
A6257
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
Transparent film
A6257
A6258
Transparent film
Transparent film
A6257
A6258
Transparent film
Transparent film
3M™ Tegaderm™ Transparent Film Roll
Catalog No.
16002
16004
16006
HCPCS
Code
A6257-A6259
A6257-A6259
A6257-A6259
HCPCS Generic Category
Transparent film
Transparent film
Transparent film
HCPCS
Code
A6260
HCPCS Generic Category
Wound cleansers, any type, any size
3M™ Wound Cleanser
Catalog No.
91101
NOTE: Please see Disclaimer information on page one.
10
Medical Tapes
3M™ Blenderm™ Tape
Catalog No.
1525-0
1525-1
1525-2
HCPCS
Code
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
HCPCS
Code
A4450
A4450
A4450
A4450
HCPCS Generic Category
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
HCPCS
Code
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
A4452
A4452
Tape, waterproof
Tape, waterproof
3M™ Cloth Adhesive Tape
Catalog No.
2950-0
2950-1
2950-2
2950-3
3M™ Durapore™ Tape
Catalog No.
1538-0
1538-1
1538-2
1538-3
Single Use:
1538S-1
1538S-2
3M™ Kind Removal Silicone Tape
Catalog No.
2770-1
2770-2
2775-0
2775-1
2775-2
Short Rolls:
2770S-1
2770S-2
HCPCS
Code
A4452
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
A4452
A4452
Tape, waterproof
Tape, waterproof
3M™ Medipore™ Dress-It Pre-Cut Dressing Covers
Catalog No.
2954
2955
2956
2957
2958
HCPCS
Code
A4452
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
NOTE: Please see Disclaimer information on page one.
11
Medical Tapes (continued)
3M™ Medipore™ H Soft Cloth Tape
Catalog No.
2861
2862
2863
2864
2866
2868
Short Rolls:
2862S
2864S
2866S
HCPCS
Code
A4452
A4452
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
A4452
A4452
A4452
Tape, waterproof
Tape, waterproof
Tape, waterproof
3M™ Medipore™ Soft Cloth Tape
Catalog No.
2961
2962
2963
2964
2966
2968
Short Rolls:
2962S
2964S
2966S
HCPCS
Code
A4452
A4452
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
A4452
A4452
A4452
Tape, waterproof
Tape, waterproof
Tape, waterproof
HCPCS
Code
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
3M™ Microfoam™ Tape
Catalog No.
1528-1
1528-2
1528-3
1528-4
NOTE: Please see Disclaimer information on page one.
12
Medical Tapes (continued)
3M™ Micropore™ Tape
Catalog No.
Standard:
1530-0
1530-1
1530-2
1530-3
Single Use
1530S-1
1530S-2
Tan:
1533-0
1533-1
1533-2
Dispenser Pack:
1535-0
1535-1
1535-2
1535-3
HCPCS
Code
HCPCS Generic Category
A4450
A4450
A4450
A4450
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
A4450
A4450
Tape, non-waterproof
Tape, non-waterproof
A4450
A4450
A4450
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
A4450
A4450
A4450
A4450
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
Tape, non-waterproof
HCPCS
Code
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
A4452
A4452
Tape, waterproof
Tape, waterproof
3M™ Transpore™ Tape
Catalog No.
1527-0
1527-1
1527-2
1527-3
Single Use:
1527S-1
1527S-2
3M™ Transpore™ White Tape
Catalog No.
1534-0
1534-1
1534-2
1534-3
1527S-2
Single Use
1534S-1
1534S-2
HCPCS
Code
A4452
A4452
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
Tape, waterproof
A4452
A4452
Tape, waterproof
Tape, waterproof
3M™ Universal Cloth Adhesive Tape
Catalog No.
881-1
881-2
881-3
HCPCS
Code
A4452
A4452
A4452
HCPCS Generic Category
Tape, waterproof
Tape, waterproof
Tape, waterproof
See page 15 for Medical Tapes—Conversion to 18 Square Inch Units.
NOTE: Please see Disclaimer information on page one.
13
Rehabilitation Products
3M™ Reston™ Self-Adhering Foam Pad
Catalog No.
Medium Support:
1560M
High Support:
1561H
HCPCS
Code
HCPCS Generic Category
E1399
DME, miscellaneous
E1399
DME, miscellaneous
3M™ Reston™ Self-Adhering Foam Roll
Catalog No.
Light Support:
1563L
HCPCS
Code
HCPCS Generic Category
E1399
DME, miscellaneous
NOTE: Please see Disclaimer information on page one.
14
Medical Tapes—Conversion to 18 Square Inch Units
3M™ Medical Tapes
Catalog No.
Size
3M™ Blenderm™ Tape
1525-0
1525-1
1525-2
½ in. x 5 yd.
1 in. x 5 yd.
2 in. x 5 yd.
5
10
20
3M™ Cloth Adhesive Tape
2950-0
2950-1
2950-2
2950-3
½ in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
10
20
40
60
3M™ Durapore™ Tape
1538-0
1538-1
1538-2
1538-3
1538S-1
1538S-2
½ in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
1 in. x 1-1/2 yd.
2 in. x 1-1/2 yd.
10
20
40
60
3
6
2770-1
2770-2
2775-0
2775-1
2775-2
2770S-1
2770S-2
1 in. x 5.5 yd.
2 in. x 5.5 yd.
.75 in. x 5.5 yd.
1 in. x 5.5 yd.
2 in. x 5.5 yd.
1 in. x 1.5 yd.
2 in. x 1.5 yd.
11
22
22
8
22
3
6
2861
2862
2863
2864
2866
2868
2862S
2864S
2866S
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
4 in. x 10 yd.
6 in. x 10 yd.
8 in. x 10 yd.
2 in. x 2 yd.
4 in. x 2 yd.
6 in. x 2 yd.
20
40
60
80
120
160
8
16
24
2961
2962
2963
2964
2966
2968
2962S
2964S
2966S
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
4 in. x 10 yd.
6 in. x 10 yd.
8 in. x 10 yd.
2 in. x 2 yd.
4 in. x 2 yd.
6 in. x 2 yd.
20
40
60
80
120
160
8
16
24
1528-1
1528-2
1528-3
1528-4
1 in. x 5-1/2 yd.
2 in. x 5-1/2 yd.
3 in. x 5-1/2 yd.
4 in. x 5-1/2 yd.
11
22
33
44
Single Use Rolls:
3M™ Kind Removal Silicone Tape
Single Use Rolls:
3M™ Medipore™ H Soft Cloth Tape
Two Yard Rolls:
3M™ Medipore™ Soft Cloth Tape
Two Yard Rolls:
3M™ Microfoam™ Tape
NOTE: Please see Disclaimer information on page one.
No. of 18 Sq. Inch Units
15
Medical Tapes —Conversion to 18 Square Inch Units (continued)
3M™ Micropore™ Tape
Standard:
Single Use Rolls:
Tan:
Dispenser Pack:
3M™ Transpore™ Tape
Single Use Rolls:
3M™ Transpore™ White Tape
Single Use Rolls:
3M™ Universal Cloth Adhesive Tape
1530-0
1530-1
1530-2
1530-3
1530S-1
1530S-2
1533-0
1533-1
1533-2
1535-0
1535-1
1535-2
1535-3
½ in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
1 in. x 1-1/2 yd.
2 in. x 1-1/2 yd.
½ in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
1/2 in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
10
20
40
60
3
6
10
20
40
10
20
40
60
1527-0
1527-1
1527-2
1527-3
1527S-1
1527S-2
½ in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
1 in. x 1-1/2 yd.
2 in. x 1-1/2 yd.
10
20
40
60
3
6
1534-0
1534-1
1534-2
1534-3
1534S-1
1534S-2
1/2 in. x 10 yd.
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
1 in. x 1-1/2 yd.
2 in. x 1-1/2 yd.
10
20
40
60
3
6
881-1
881-2
881-3
1 in. x 10 yd.
2 in. x 10 yd.
3 in. x 10 yd.
20
40
60
Note:
This chart does not recommend how or how much of a particular medical tape should be billed to Medicare or other
health care insurers. All billing of products to the patient’s health insurance program should accurately reflect the
actual product and amount that was clinically necessary to treat the patient’s condition and the amount actually
provided to the patient.
NOTE: Please see Disclaimer information on page one.
16
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Critical & Chronic Care Solutions Division
3M Health Care
2510 Conway Avenue
St. Paul, MN 55144-1000
USA
1-800-228-3957
www.3M.com/healthcare
3M, Blenderm, Cavilon, Coban, Durapore,
Medipore, Microfoam, Micropore, Nexcare,
Reston, Tegaderm and Transpore are
trademarks of 3M Company.
Please recycle. Printed in USA.
© 3M 2004, 2015. All rights reserved.
70-2009-6368-7