South Carolina Medicaid (FFS)

Submitted by Admin on
Oasis Wound Matrix Q4102

Physician Office Only and Based on Medical Necessity – DFU/VLU/DLEU/Other Wounds

Oasis Burn Matrix Q4103

Physician Office Only and Based on Medical Necessity – DFU/VLU/DLEU/Other Wounds

Oasis Ultra Q4124

Not Covered