DFU, VLU, Burns
Policy No.
244
States
Grafix Core Q4132
Commercial - DFU/VLU/Burns/Full Thickness Wounds
Medicare Advantage - Follows Active LCD
Retired MAC - Follows Commercial Policy
Managed Medicaid - Follows Fee-for-Service Medicaid
Grafix PL/Prime Q4133
Commercial - DFU/VLU/Burns/Full Thickness Wounds
Medicare Advantage - Follows Active LCD
Retired MAC - Follows Commercial Policy
Managed Medicaid - Follows Fee-for-Service Medicaid