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Nuwellis Announces the First Successful Outpatient Application of the Aquadex Smartflow® System Under New CMS Code

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Nuwellis (Nasdaq: NUWE) has achieved a significant milestone with the first successful treatment of patients using its Aquadex SmartFlow® ultrafiltration therapy in a hospital-based outpatient setting. This advancement follows the recent CMS decision to increase outpatient reimbursement from $413 to $1,639 per treatment day.

The treatment, performed at a leading healthcare institution in the southeastern United States, demonstrates Nuwellis's progress in expanding access to fluid management therapy. The outpatient model allows for treatment using existing venous access and care teams without requiring hospitalization, potentially reducing hospital readmissions while maintaining the same trusted clinical protocols used in inpatient settings.

Nuwellis (Nasdaq: NUWE) ha raggiunto un importante traguardo con il primo trattamento riuscito di pazienti utilizzando la sua terapia di ultrafiltrazione Aquadex SmartFlow® in un contesto ambulatoriale ospedaliero. Questo progresso segue la recente decisione del CMS di aumentare il rimborso per i trattamenti ambulatoriali da 413 a 1.639 dollari per giorno di trattamento.

Il trattamento, eseguito in una struttura sanitaria di primo piano nel sud-est degli Stati Uniti, dimostra i progressi di Nuwellis nell'ampliare l'accesso alla terapia di gestione dei fluidi. Il modello ambulatoriale consente di effettuare il trattamento utilizzando l'accesso venoso esistente e il personale di cura senza necessità di ricovero, riducendo potenzialmente le riammissioni ospedaliere e mantenendo gli stessi protocolli clinici affidabili utilizzati nei reparti.

Nuwellis (Nasdaq: NUWE) ha alcanzado un hito significativo con el primer tratamiento exitoso de pacientes utilizando su terapia de ultrafiltración Aquadex SmartFlow® en un entorno ambulatorio hospitalario. Este avance sigue a la reciente decisión del CMS de aumentar el reembolso ambulatorio de $413 a $1,639 por día de tratamiento.

El tratamiento, realizado en una institución sanitaria líder en el sureste de Estados Unidos, demuestra el progreso de Nuwellis en ampliar el acceso a la terapia de manejo de líquidos. El modelo ambulatorio permite realizar el tratamiento utilizando el acceso venoso existente y los equipos de atención sin necesidad de hospitalización, lo que podría reducir las readmisiones hospitalarias manteniendo los mismos protocolos clínicos confiables usados en entornos hospitalarios.

Nuwellis (나스�: NUWE)� 병원 기반 외래 환경에서 Aquadex SmartFlow® 초여� 치료� 사용하여 환자� 성공적으� 치료� � 사례� 달성하는 중요� 이정표를 세웠습니�. � 발전은 최근 CMS가 외래 환자 치료 일당 환급금을 413달러에서 1,639달러� 인상� 결정� 따른 것입니다.

미국 남동부� 주요 의료기관에서 시행� � 치료� Nuwellis가 체액 관� 치료 접근성을 확대하는 � 있어 진전� 보였음을 입증합니�. 외래 모델은 기존� 정맥 접근법과 의료진을 활용하여 입원� 필요 없이 치료� 가능하� 하며, 입원 환자 치료� 사용되는 신뢰받는 임상 프로토콜� 유지하면� 병원 재입원을 줄일 � 있습니다.

Nuwellis (Nasdaq : NUWE) a franchi une étape importante avec le premier traitement réussi de patients utilisant sa thérapie d’ultrafiltration Aquadex SmartFlow® en milieu ambulatoire hospitalier. Cette avancée fait suite à la récente décision du CMS d’augmenter le remboursement ambulatoire de 413 à 1 639 dollars par jour de traitement.

Le traitement, réalisé dans un établissement de santé de premier plan dans le sud-est des États-Unis, témoigne des progrès de Nuwellis dans l’élargissement de l’accès à la thérapie de gestion des fluides. Le modèle ambulatoire permet de traiter les patients en utilisant l’accès veineux existant et les équipes soignantes, sans nécessiter d’hospitalisation, ce qui pourrait réduire les réadmissions hospitalières tout en maintenant les mêmes protocoles cliniques fiables utilisés en milieu hospitalier.

Nuwellis (Nasdaq: NUWE) hat einen bedeutenden Meilenstein erreicht: die erste erfolgreiche Behandlung von Patienten mit seiner Aquadex SmartFlow® Ultrafiltrationstherapie in einem ambulanten Krankenhausumfeld. Dieser Fortschritt folgt auf die kürzliche Entscheidung des CMS, die ambulante Vergütung von 413 auf 1.639 US-Dollar pro Behandlungstag zu erhöhen.

Die Behandlung, durchgeführt in einer führenden Gesundheitseinrichtung im Südosten der USA, zeigt den Fortschritt von Nuwellis bei der Erweiterung des Zugangs zur Flüssigkeitsmanagement-Therapie. Das ambulante Modell ermöglicht die Behandlung unter Verwendung des bestehenden venösen Zugangs und der Pflegeteams, ohne eine Krankenhausaufnahme zu benötigen, was potenziell Krankenhauswiederaufnahmen reduziert und gleichzeitig die bewährten klinischen Protokolle aus der stationären Versorgung beibehält.

Positive
  • CMS reimbursement rate increased significantly from $413 to $1,639 per treatment day
  • Successful expansion into outpatient settings, broadening market opportunities
  • Potential reduction in hospital readmissions through outpatient treatment model
  • More efficient resource management for healthcare systems
Negative
  • None.

Insights

Nuwellis' outpatient Aquadex ultrafiltration marks strategic expansion with 4x higher reimbursement, potentially increasing adoption and revenue streams.

This announcement represents a significant strategic development for Nuwellis that could substantially expand their market opportunity. The company has successfully implemented their Aquadex ultrafiltration therapy in a hospital-based outpatient setting, marking a critical operational milestone backed by a recent CMS reimbursement code change.

The most compelling aspect is the dramatic increase in reimbursement rates—from approximately $413 to $1,639 per treatment day for outpatient procedures. This 297% increase transforms the economics of Aquadex therapy, potentially making it financially viable for many more healthcare systems to adopt.

This shift addresses several critical market dynamics simultaneously:

  • Allows treatment of fluid overload patients without requiring full hospitalization, reducing costs while maintaining revenue
  • Creates a new revenue stream for Nuwellis by expanding into the outpatient setting
  • Aligns with healthcare systems' goals to reduce readmissions and manage complex patients more cost-effectively
  • Maintains the clinical protocol continuity that physicians already trust

From a business perspective, this enables Nuwellis to penetrate the market more deeply by offering their technology across more care settings. The increased reimbursement substantially improves the value proposition for healthcare facilities, which historically has been a major adoption barrier for specialized medical technologies.

As hospitals face growing pressure to reduce inpatient stays while managing complex patients with conditions like heart failure, this outpatient application provides a pragmatic solution that works within existing clinical workflows while potentially improving the standard of care. The company appears well-positioned to support implementation through training and protocol development, which will be critical for widespread adoption.

Supported by the recent CMS decision to increase the reimbursement rate, which facilitates broader use of the therapy in outpatient settings

MINNEAPOLIS, Aug. 05, 2025 (GLOBE NEWSWIRE) -- Nuwellis, Inc. (Nasdaq: NUWE), a medical technology company dedicated to transforming fluid management, today announced that the first patients have been successfully treated with Aquadex® ultrafiltration therapy in a hospital-based outpatient setting. This milestone reflects a major advancement in the company’s mission to improve access to fluid management and support better care across the continuum.

The treatments were performed at a leading healthcare institution in the southeastern United States using the same Aquadex SmartFlow® system and clinical protocols trusted in inpatient environments. By enabling therapy in a hospital-based outpatient setting, Nuwellis is helping to reimagine how and where patients with fluid overload can be supported—offering a potential new model for earlier, more proactive care.

“For patients struggling with fluid overload, access to consistent, effective therapy can make a life-changing difference,� said John Erb, CEO of Nuwellis. “This milestone represents more than just a shift in setting—it reflects our vision for expanding how care is delivered and making fluid management more flexible, scalable, and patient-centered.�

In addition to the clinical benefits, hospitals may also realize significant economic advantages by transitioning appropriate therapies to outpatient care. With outpatient reimbursement increasing from approximately $413 to $1,639 per treatment day, this model offers a more sustainable path forward for health systems facing pressure to reduce readmissions while managing complex patients more effectively.

The hospital-based outpatient setting provides an opportunity to treat patients using existing venous access and care teams, without requiring hospitalization. This approach may offer significant advantages to patients who are repeatedly admitted due to volume challenges, while also helping healthcare systems manage resources more efficiently.

Nuwellis continues to work closely with providers to support hospital-based outpatient program development, including training, protocols, and workflow integration. The company sees this as a foundational step in building sustainable access to ultrafiltration therapy—and a key part of its long-term strategy to expand the impact of Aquadex.

For more information, please visit and to learn more about the Company’s reimbursement for outpatient, please visit the .

About Nuwellis Nuwellis, 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 X, formerly Twitter.

About the Aquadex SmartFlow® System The 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 Statements Certain 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 2025 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.

For further information, please contact:

Investor Relations:
Robert Scott
Chief Financial Officer

Media Contact:
Leah McMullen
Director of Communications


FAQ

What is the new CMS reimbursement rate for Nuwellis's (NUWE) Aquadex therapy in outpatient settings?

The CMS reimbursement rate for Aquadex therapy has increased from $413 to $1,639 per treatment day in outpatient settings.

Where was the first outpatient Aquadex SmartFlow treatment performed by Nuwellis (NUWE)?

The first outpatient treatment was performed at a leading healthcare institution in the southeastern United States.

What are the benefits of Nuwellis's (NUWE) outpatient Aquadex therapy for hospitals?

The outpatient model allows hospitals to treat patients without hospitalization, potentially reduce readmissions, manage resources more efficiently, and benefit from increased reimbursement rates.

How does Nuwellis (NUWE) support hospitals in implementing outpatient Aquadex programs?

Nuwellis provides comprehensive support including training, protocols, and workflow integration to help hospitals develop their outpatient programs.

What is the purpose of Nuwellis's (NUWE) Aquadex SmartFlow system?

The Aquadex SmartFlow system is an ultrafiltration therapy designed to treat patients with fluid overload, providing fluid management across the continuum of care.
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