Appendix E - National Coverage Determinations Manual / ULTRAFILTRATION,_HEMOPERFUSION_AND_HEMOFILTRATION

Why This Topic Matters

Coverage determinations for procedures used around dialysis and toxin removal can affect payment, medical necessity review, and documentation expectations. This article helps readers understand the policy framework for these services under Medicare.

Article Sections

1. Ultrafiltration

   Overview of the procedure and the Medicare coverage context, including its relationship to dialysis and typical clinical settings discussed in the policy.

2. Predialysis Ultrafiltration

   Discussion of staffing, physician involvement, and billing context for ultrafiltration when performed around a dialysis session.

3. Hemoperfusion

   Coverage guidance for hemoperfusion, including the broad treatment scenarios and service circumstances addressed by the policy.

4. Hemofiltration

   Description of hemofiltration, its Medicare coverage status, and the general clinical context in which the procedure is discussed.