Nuwellis Receives Increased Reimbursement Rate for Aquadex SmartFlow® Therapy from the Centers for Medicare and Medicaid
04 November 2024 - 2:30PM
Nuwellis, Inc. (Nasdaq: NUWE), a commercial-stage medical device
company committed to transforming the lives of people with fluid
overload, is pleased to announce that the Centers for Medicare and
Medicaid Services (CMS) will reassign the Aquadex ultrafiltration
code to the outpatient reimbursement level most consistent with
administration of ultrafiltration therapy and cost of treatment.
Effective January 1, 2025, the payment rate will increase 397% from
$413 to $1,639 per day.
Nestor Jaramillo, President and CEO of Nuwellis, expressed his
excitement about the new payment rate, stating, "We are thrilled
with the CMS' decision to reassign the code for Aquadex SmartFlow
therapy, increasing the reimbursement rate for Aquadex SmartFlow
therapy. This change underscores the clinical importance and
cost-effectiveness of our ultrafiltration technology and will
expand patient access to this life-saving therapy. It is well
understood that providing care in an outpatient setting can be a
better means to manage disease and prevent costly emergency
hospitalizations. This policy update is a testament to our ongoing
commitment to improving patient outcomes and advancing the standard
of care in fluid management. We appreciate the support and guidance
provided by Maria DeVita, MD, Chief of the Nephrology Division and
the Training Program Director of the Nephrology Fellowship Program
at Lenox Hill Hospital, and Jennifer Cowger, MD, Section Head of
Heart Failure, Transplant and Mechanical Circulatory Support at
Henry Ford Hospital, throughout the process."
This increase in reimbursement corresponds with the reassignment
of therapeutic ultrafiltration CPT code 0692T from APC 5241 to APC
5242. The decision by CMS marks a significant milestone in the
recognition of the value and effectiveness of Aquadex SmartFlow
ultrafiltration therapy for treating fluid overload in heart
failure patients. The reassignment to APC 5242 will provide a
reimbursement pathway for ultrafiltration therapy delivered in an
outpatient setting, which will help expand the number of patients
who are able to receive the therapy as part of a sub-acute or
chronic disease management program.
About NuwellisNuwellis, Inc. (Nasdaq: NUWE) is
a medical device company dedicated to transforming the lives of
patients suffering from fluid overload through science,
collaboration, and innovation. The company is focused on
commercializing the Aquadex SmartFlow® system for ultrafiltration
therapy. Nuwellis is headquartered in Minneapolis, with a wholly
owned subsidiary in Ireland. For more information visit
www.nuwellis.com or visit us on LinkedIn or Twitter.
About the Aquadex SmartFlow®
SystemThe Aquadex SmartFlow system delivers
clinically proven therapy using a simple, flexible and smart method
of removing excess fluid from patients suffering from hypervolemia
(fluid overload). The Aquadex SmartFlow system is indicated for
temporary (up to 8 hours) or extended (longer than 8 hours in
patients who require hospitalization) use in adult and pediatric
patients weighing 20 kg or more whose fluid overload is
unresponsive to medical management, including diuretics. All
treatments must be administered by a health care provider, within
an outpatient or inpatient clinical setting, under physician
prescription, both having received training in extracorporeal
therapies.
Forward-Looking StatementsCertain statements in
this release may be considered forward-looking statements within
the meaning of the Private Securities Litigation Reform Act of
1995, including without limitation, statements regarding the new
market opportunities and anticipated growth in 2024 and beyond.
Forward-looking statements are predictions, projections and other
statements about future events that are based on current
expectations and assumptions and, as a result, are subject to risks
and uncertainties. Many factors could cause actual future events to
differ materially from the forward-looking statements in this
release, including, without limitation, those risks associated with
our ability to execute on our commercialization strategy, the
possibility that we may be unable to raise sufficient funds
necessary for our anticipated operations, our post-market clinical
data collection activities, benefits of our products to patients,
our expectations with respect to product development and
commercialization efforts, our ability to increase market and
physician acceptance of our products, potentially competitive
product offerings, intellectual property protection, our ability to
integrate acquired businesses, our expectations regarding
anticipated synergies with and benefits from acquired businesses,
and other risks and uncertainties described in our filings with the
SEC. Forward-looking statements speak only as of the date when
made. Nuwellis does not assume any obligation to publicly update or
revise any forward-looking statements, whether due to new
information, future events or otherwise.
CONTACTS
Investors:Vivian CervantesGilmartin
Groupir@nuwellis.com
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