AMA CPT® Assistant - 2001 Issue 2 (February)

Category III Codes (February 2001)

February 2001 page 6 CPT-5 Project Category III Codes Question: If a Category III code is assigned because of lack of FDA approval or unproven clinical efficacy, when will a decision be made regarding efficacy and by whom? Answer: Category III codes will be archived after 5 years if the code has not been accepted for placement in the Category I section of CPT, unless demonstrated that a Category III code is still needed. If a request for a Category I code for the procedure/service is not received within 5 years, then the archive policy will take effect. It...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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