CPT Category III codes are reimbursable at what level of reimbursement?

CPT Category III codes are temporary codes used to report new and emerging technologies, services, and procedures. The significant aspect of these codes is that they are not associated with a standard reimbursement rate. Instead, reimbursement for Category III codes is determined by the payer, meaning each insurance company or payer may decide whether to reimburse and at what level based on their individual policies and agreements. This could result in varied reimbursement rates or even no reimbursement at all depending on the specific payer's guidelines.

Understanding this is crucial for coders as it helps them practice appropriate coding and billing strategies when dealing with innovative procedures or services that may not yet have established Category I codes.