Category III CPT® Codes for Assistive Algorithmic Electrocardiogram for Cardiac Dysfunction
Diagnosis, Therapeutics & Enhanced Pathways
Category III CPT codes support the adoption and potential reimbursement of emerging technologies. Effective January 1, 2025, codes +0764T and 0765T are included in the Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems - marking a key step forward for ECG-AI in clinical care.
CPT: +0764T
Description: Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction, pulmonary hypertension, hypertrophic cardiomyopathy); related to concurrently performed electrocardiogram
CPT: 0765T
Description: Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction, pulmonary hypertension, hypertrophic cardiomyopathy); related to previously performed electrocardiogram
+Signifies an add-on code
This information is provided for informational purposes only and is not intended to be legal, medical, or financial advice. The determination of coverage, coding, and reimbursement for procedures and services is the responsibility of the healthcare provider. Providers should consult with their legal counsel, coding specialists, and specific payer policies (e.g., Medicare, Medicaid, private insurers) to ensure accurate coding and billing. Reimbursement is not guaranteed. CPT codes are owned and copyrighted by the American Medical Association (AMA).