DLEU Policy No. No Policy States Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Grafix Core Q4132 Covered with VA Referral – DFU/VLU/DLEU/Other Wounds Grafix PL/Prime Q4133 Covered with VA Referral – DFU/VLU/DLEU/Other Wounds
