Summary & Overview
CPT 0764T: AI‑Enhanced Cardiac Assessment Concurrent with ECG
CPT code 0764T captures the use of artificial intelligence–enhanced algorithms to assess a patient for cardiac issues when performed concurrently with a separately reportable electrocardiogram (ECG). This code recognizes adjunctive algorithmic interpretation that augments clinical assessment during the same encounter as an ECG, reflecting growing adoption of AI tools in cardiovascular diagnostics. Nationally, the code matters because it delineates billable activity for AI-driven analysis layered onto standard ECG practice and informs coverage and coding policies as payers evaluate clinical utility and cost implications.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for the code, typical sites of service, common modifiers, and implications for billing workflows. The publication outlines benchmarks and policy-relevant considerations such as payer coverage patterns, coding guidance for concurrent reporting with ECGs, and operational impacts on service lines that manage acute cardiac evaluations.
The report provides actionable reference material for billing managers, compliance officers, and clinical leaders seeking clarity on how CPT code 0764T fits into contemporary cardiac diagnostic services and payer interactions. Data not available in the input will be noted where applicable.
Billing Code Overview
CPT code 0764T describes use of artificial intelligence–enhanced algorithms to assess a patient for cardiac issues concurrently with a separately reportable electrocardiogram (ECG). The service involves algorithmic analysis applied in real time or during the same encounter as an ECG to identify or flag cardiac abnormalities.
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Service type: Algorithm-enhanced cardiac assessment concurrent with ECG
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Typical site of service: Acute care settings such as emergency departments, inpatient wards, and ambulatory cardiology or urgent care clinics where an ECG is performed
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A patient presents to an outpatient cardiology clinic or an emergency department with symptoms suggestive of acute or chronic cardiac issues such as chest pain, palpitations, syncope, shortness of breath, or an abnormal screening finding. The provider orders a standard 12‑lead electrocardiogram (ECG). Concurrent with performing the separately reportable ECG, the facility or clinician deploys an artificial intelligence (AI)–enhanced algorithm to analyze the ECG tracings for arrhythmia detection, ischemic changes, conduction abnormalities, or other automated risk stratification outputs.
Typical clinical workflow:
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Patient registration and brief history focused on cardiac symptoms and medications
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Placement of ECG leads and acquisition of a standard 12‑lead ECG by a technician or nurse
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Real‑time ECG interpretation by the performing clinician, with concurrent automated AI algorithm analysis running on the ECG data to generate adjunctive findings (for example, automated rhythm classification or ischemia alerts)
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The clinician reviews the AI outputs in context of the clinical exam and other diagnostics, documents the ECG interpretation, documents that an AI‑enhanced algorithm was used concurrently with the ECG (billing for
0764Twhen applicable), and determines next steps (observation, additional testing such as troponin measurement, imaging, referral, or discharge)
Typical site of service: outpatient cardiology clinic, hospital emergency department, or ambulatory diagnostic testing center. Typical patient scenario: an adult with new‑onset palpitations whose 12‑lead ECG is acquired and concurrently analyzed by an AI algorithm to assist in identification of atrial fibrillation and other rhythm disturbances; the clinician documents both the standard ECG and the AI adjunctive analysis.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing physician or other qualified professional interpretation separate from technical component provided by facility |
52 | Reduced services | Use when the AI analysis or ECG was performed but substantially reduced in scope |
53 | Discontinued procedure | Use if ECG acquisition or AI analysis was started but discontinued for clinical reasons |
62 | Two surgeons | Use when two surgeons share responsibility and both meet reporting criteria for a surgical encounter related to procedure context |
80 | Assistant surgeon | Use when an assistant surgeon participates in an associated surgical procedure in the same encounter |
82 | Assistant surgeon (when a qualified resident surgeon is not available) | Use when an assistant surgeon is necessary and a resident is not available |
AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | Use when an allied health practitioner assists in a related surgical procedure |
QK | Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals | Use in encounters involving anesthesia services when applicable during a related procedure |
QX | CRNA service: furnished with medical direction by a physician | Use for CRNA services in the same encounter when present |
QY | Medical direction of one certified registered nurse anesthetist (CRNA) by an anesthesiologist | Use when applicable to anesthesia involvement |
GA | Waiver of liability statement on file (patient) | Use when a public payer waiver has been obtained and documented |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
| 207RC0000X | Cardiology | Cardiologists interpret ECGs and oversee AI‑assisted ECG analysis |
| 208D00000X | Emergency Medicine | Emergency physicians frequently use ECG with concurrent AI analysis for acute presentations |
| 208000000X | Family Medicine | Primary care clinicians may use ECG and AI tools in outpatient evaluation |
| 207L00000X | Internal Medicine | Hospitalists and internists interpret ECGs and use AI adjuncts in inpatient/observation settings |
| 363LP0200X | Electrocardiography Technician | Trained ECG techs perform the acquisition; AI runs on the acquired tracing |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
I48.0 | Paroxysmal atrial fibrillation | AI ECG analysis commonly used to detect atrial fibrillation episodes on standard ECG |
I48.91 | Unspecified atrial fibrillation | Standard ECG with AI adjunct helps identify or confirm AF in symptomatic or monitoring contexts |
I49.0 | Ventricular fibrillation and flutter | AI may flag life‑threatening ventricular arrhythmias on ECG tracings for immediate clinician review |
I45.6 | Pre-excitation syndrome | AI algorithms can assist in identifying conduction abnormalities like Wolff‑Parkinson‑White pattern |
I20.9 | Angina pectoris, unspecified | AI detection of ischemic ST‑T changes can prompt further ischemic evaluation |
R00.0 | Tachycardia, unspecified | AI helps classify tachyarrhythmias (sinus vs. supraventricular vs. ventricular) on ECG |
R00.1 | Bradycardia, unspecified | AI may detect bradyarrhythmias or conduction delays requiring clinician assessment |
R55 | Syncope and collapse | ECG with AI analysis is often used in the evaluation of syncope to detect arrhythmic causes |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
93000 | Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report | Primary separately reportable ECG that is performed concurrently with the AI analysis billed with 0764T |
93010 | Electrocardiogram, interpretation and report only | Billed when only the professional interpretation of an ECG is provided; may be used when the facility bills technical component separately |
93005 | Electrocardiogram, tracing only, without interpretation and report | Technical component for ECG acquisition when facility bills separately and concurrent AI analysis may be billed by provider |
93288 | External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; analysis | Used for ambulatory rhythm monitoring services that may employ separate analytic algorithms; distinct from a single ECG with AI adjunct |
93306 | Echocardiography, transthoracic, real-time with image documentation (complete) | Commonly ordered adjunctive cardiac imaging following abnormal ECG/AI findings to assess structure and function |