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2025 HCPCS code S9007

Ultrafiltration monitor.

Medical necessity for the ultrafiltration monitor is established by the underlying condition requiring dialysis or a similar procedure where precise fluid balance is critical for the patient's well-being.

This code is reported for the supply of the ultrafiltration monitor. The healthcare provider is responsible for ensuring the device is used correctly and the fluid balance is appropriately managed during dialysis.

In simple words: An ultrafiltration monitor is a device used during dialysis to make sure the right amount of fluid is being removed from your body. It measures the fluid going in and out during the treatment.

Supply of an ultrafiltration monitor for use during hemodialysis. This device monitors fluid balance by measuring the amount of dialysate entering and exiting the patient's bloodstream during treatment.

Example 1: A patient with end-stage renal disease (ESRD) receiving hemodialysis requires an ultrafiltration monitor to ensure precise fluid management during the treatment session. The provider reports S9007 for the provision of the monitor., A patient experiencing fluid overload due to heart failure is treated with ultrafiltration. While the primary procedure codes would address the ultrafiltration itself, S9007 could potentially be used if the specific monitor is separately billable and not included in the ultrafiltration procedure codes., A hospitalized patient undergoing therapeutic plasma exchange (TPE) requires precise fluid management. Similar to dialysis, ultrafiltration plays a crucial role, and S9007 might be applicable if the monitor is billed independently.

Documentation should support the medical necessity of the ultrafiltration monitor, such as the patient's diagnosis (e.g., ESRD), the type of dialysis or procedure being performed, and the need for precise fluid management.

** While this code is primarily associated with ESRD and hemodialysis, its use might extend to other clinical scenarios involving ultrafiltration where precise fluid monitoring is necessary. Always consult payer-specific guidelines to ensure proper reimbursement. As of today (10 December, 2024) this information might be subject to changes.

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