Gradient Compression Wrap Below Knee 30-50mmHg

1. When it is used as a primary or secondary dressing over wounds that meet the statutory requirements for a qualifying wound (surgically created or modified, or debrided).
A qualifying wound is defined as either of the following:
    1. A wound caused by, or treated by, a surgical procedure; or,
    2. After debridement of the wound, regardless of the debridement technique.
Only covered when it is used in the treatment of an open venous stasis ulcer that meets the qualifying wound requirements described above