States
Oasis Wound Matrix Q4102
Covered Based on Medical Necessity – DFU/VLU/DLEU; Other Wounds HOPD Only PA Required
Oasis Burn Matrix Q4103
Covered Based on Medical Necessity – DFU/VLU/DLEU; Other Wounds HOPD Only PA Required
Oasis Ultra Q4124
Covered Based on Medical Necessity – DFU/VLU/DLEU; Other Wounds HOPD Only PA Required