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V.A.C. TherapyInsuranceAuthorizationForm v.4 PleasefaxthisformtoKCIat18882452295 KCICustomerService: 18002754524 1 PatientInformation(Important:Pleasesubmitdemographicand/orinsurancesheet) PatientName(print)Last:.

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A KCI Wound Vac is a device that helps to heal wounds by using negative pressure to remove excess fluid and promote the growth of new tissue. It is often used in cases where traditional methods, such as bandages, have not been effective.

*KCI. Number of Wounds. V.A.C. ® Therapy creates an environment that promotes wound healing by delivering negative pressure (a vacuum) at the wound site through a proprietary foam dressing, drawing the wound edges together, removing infectious materials, reducing edema, and promoting granulation tissue formation.

Codes 97605 and 97606 are used for placement of a non-disposable wound vac device, while codes 97607 and 97608 are used if the wound vac is disposable. The codes are further differentiated by the wound size, either greater than 50 sq cm, or less than or equal to 50 sq cm.

For a non-infected wound: KCI recommends the V.A.C. ® Dressings be changed every 48 to 72 hours, but no less than 3 times per week. For infected wounds: These wounds must be monitored often and very closely. Infected wounds dressing changes may need to be changed more often than 48 to 72 hours.

4:02 5:29 3Mâ„¢ ActiV.A.C.â„¢ Therapy System Clinician Instructional Video YouTube Start of suggested clip End of suggested clip Finally press the on off button to start therapy the therapy start screen will appear. DuringMoreFinally press the on off button to start therapy the therapy start screen will appear. During therapy you can view the seal check feature to detect leaks.

Indications of VAC includes diabetic foot ulcers, bed sores, skin graft fixation, flap salvage, burns, crush injuries, sternal/abdominal wound dehiscence, fasciotomy wounds, extravasation wounds and animal bites/frostbite.

It can gently pull fluid from the wound over time. This can reduce swelling, and may help clean the wound and remove bacteria. A wound VAC also helps pull the edges of the wound together. And it may stimulate the growth of new tissue that helps the wound close.

To order new supplies, call KCI at 1-800-275-4524. Please allow at least 3-5 business days for delivery. Please notify KCI if you are admitted to a hospital or inpatient facility. Call KCI at 1-800-275-4524 to arrange for the return of your V.A.C.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232