A payer in my area says that assignment of a CPT Category III code status

A payer in my area says that assignment of a CPT Category III code status to a service indicates that the procedure or service is experimental/investigational and as such is not eligible for coverage. They broadly deny coverage for all CPT Category III codes on this basis. Is it correct to say that the assignment of a CPT Cate-gory III code to a procedure or service means that it is experimental/investigational and ineligible for coverage and payment or would it be more appropriate for the insurer to view all of the available evidence and make an inde-pendent assessment of whether the particular procedure or service should be covered and paid for?

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CPT Knowledgebase - Feb 3, 2012