Oasis Wound Matrix Q4102
Commercial – Covered - DFU/VSU
Medicare Advantage – Follows Active LCD
Retired LCD – Follows Commercial
Oasis Burn Matrix Q4103
Commercial – Not Covered
Medicare Advantage – Follows Active LCD
Retired LCD – Follows Commercial
Oasis Ultra Q4124
Commercial – Covered - DFU/VSU
Medicare Advantage – Follows Active LCD
Retired LCD – Follows Commercial