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ReimbursementHospital Buyer & Reimbursement
Category III CPT Code
Temporary CPT code for emerging technologies and services.
Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026
Definition
Category III CPT codes are temporary alphanumeric codes (ending in 'T') that track utilization of new or emerging procedures for which insufficient data exists for Category I designation. Codes sunset after five years if not converted or renewed.What this means in practice
Often the first formal CPT pathway for a novel device-enabled procedure. Payment is at payer discretion; many commercial payers deny Category III claims as investigational.Primary references
3 sourcesLink health: 1 bot-blocked 2 needs review· last checked 2026-05-09
AMA·1CMS·2
- 1
AMA Category III processBot-blockedAMAama-assn.org
- 2
CMS - CoverageNeeds reviewCMScms.gov
- 3
CMS - CodingNeeds reviewCMScms.gov
Inline markers like [1] jump to the matching reference above.