DFU
Policy No.
1G-2
States
Grafix Core Q4132
Primary Position- DFU
When Secondary to Medicare-DFU/VLU/DLEU; Other Wounds Based on Medical Necessity
Grafix PL/Prime Q4133
Primary Position- DFU
When Secondary to Medicare-DFU/VLU/DLEU; Other Wounds Based on Medical Necessity