Fusion360 can wrap 2D CAM strategies around the 4th axis.
Fusion360 can CAM meshes.
However you need to have a selectable chain to create a 4th axis toolpath.
Meshes don't have any selectable chains.
Doing a simple 2D-parallel strategy in X+A+Z is still not possible in Fusion360.
(This is different from 4 axis milling as only 3 axes move.)