Ultrafiltration in decompensated heart failure
Defines medical necessity criteria for inpatient ultrafiltration (aquapheresis) for patients with decompensated heart failure and volume overload, lists applicable diagnosis and procedure codes, notes product/benefit variations and evidence summary.
Policy statement updated to state ultrafiltration may be considered medically necessary in the inpatient setting when specific criteria are met.
12/02/2021 code 0692T added to coding list.
11/12/2021 policy statement changed from 'investigation' to 'not medically necessary'.
11/13/2024 Retirement Review noted (consensus review prior to that with no change).
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.