Missouri Medicaid (FFS)

Submitted by Admin on
States
Oasis Wound Matrix Q4102

Based on Medical Necessity – DFU/VLU/DLEU

Oasis Burn Matrix Q4103

HOPD only -Covered Based on Medical Necessity – DFU/VLU/DLEU/Other Wounds

Oasis Ultra Q4124

Based on Medical Necessity – DFU/VLU/DLEU