CommercialCoverageMedium impact
Ultrafiltration in Decompensated Heart Failure
Blue Cross & Blue Shield of Mississippi·Cardiology, Nephrology, Critical Care·Medical Policy
We identified it
Jun 20, 2026
Summary
This Blue Cross Blue Shield policy update maintains that ultrafiltration for decompensated heart failure is considered investigational and therefore not covered. The policy includes specific CPT and ICD-10 codes for this procedure and clarifies that it does not apply to renal failure patients on dialysis.
Action Required
Billing team should verify that CPT code 0692T (Therapeutic ultrafiltration) for heart failure patients is flagged as investigational/non-covered in billing system for BCBS plans. Ensure claims are not submitted without prior authorization or expect denials. This does not affect ultrafiltration billing for renal failure/dialysis patients.