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CPT®
0180T

CPT® Code 0180T
Deleted

Code deleted. See 93799 or 9300-93010

Official Description

Electrocardiogram, 64 leads or greater, with graphic presentation and analysis; interpretation and report only

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0180T refers to an advanced electrocardiogram (ECG) procedure that utilizes 64 leads or more, providing a comprehensive graphic presentation and analysis of cardiac electrical activity. This procedure enhances the standard 12-lead ECG by incorporating additional leads, which are strategically placed to optimize the recording of ventricular activity. The increased number of leads allows for a more detailed and accurate representation of the heart's electrical signals, facilitating better diagnostic capabilities. Conditions such as myocardial infarction, ventricular tachycardia, and ventricular fibrillation, which carry a heightened risk of sudden cardiac death, can be diagnosed with greater precision. Furthermore, atrial arrhythmias can also be localized more effectively with this extensive lead placement. The physician's decision to perform a 64-lead or greater ECG is based on the findings from a separately reportable 12-lead ECG, which serves as a preliminary assessment to determine the necessity for a more detailed evaluation. The additional leads are placed on both the chest and back, either uniformly distributed or concentrated in specific areas, particularly over the heart, to capture the most relevant data. The resulting ECG tracing, along with a graphic torso body map, allows the physician to pinpoint the areas of concern accurately. This comprehensive approach ensures that any abnormalities detected in the ECG tracing are thoroughly characterized and documented in a written report, which is essential for effective patient management and treatment planning.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The 64-lead or greater electrocardiogram (ECG) procedure, represented by CPT® Code 0180T, is indicated for various cardiac conditions that require detailed analysis and localization of electrical activity within the heart. The following conditions may warrant the use of this advanced ECG technique:

  • Myocardial Infarction - This condition involves the interruption of blood supply to a part of the heart, leading to tissue damage. The extensive lead placement allows for better localization of the affected area.
  • Ventricular Tachycardia - A rapid heart rate originating from the ventricles can be more accurately diagnosed and monitored using the additional leads, which provide a clearer picture of the heart's electrical activity.
  • Ventricular Fibrillation - This life-threatening arrhythmia, characterized by disorganized electrical activity in the ventricles, can be assessed more effectively with a comprehensive lead setup.
  • Atrial Arrhythmias - Conditions affecting the atria, such as atrial fibrillation, can be localized with greater confidence through the detailed mapping provided by the 64-lead ECG.

2. Procedure

The procedure for conducting a 64-lead or greater electrocardiogram involves several critical steps to ensure accurate data collection and analysis. The following outlines the procedural steps:

  • Step 1: Preparation - The patient is prepared for the ECG by ensuring that the skin is clean and free of oils or lotions, which could interfere with electrode adhesion and signal quality. The patient may be positioned comfortably, typically in a supine position, to facilitate lead placement.
  • Step 2: Lead Placement - A total of 64 or more leads are strategically placed on the patient's chest and back. The placement is tailored based on the suspected cardiac condition, with leads either uniformly distributed or concentrated in specific areas over the heart to capture the most relevant electrical signals.
  • Step 3: Data Acquisition - The ECG machine records the electrical activity of the heart over several minutes. This data is stored for later processing, allowing for the generation of a graphic presentation in the form of a torso body map, which visually represents the electrical activity across the heart and surrounding areas.
  • Step 4: Analysis of Tracings - The physician reviews the ECG tracings, focusing on the leads that provide definitive data. Any abnormalities detected in these tracings are carefully noted and characterized, contributing to the overall assessment of the patient's cardiac health.
  • Step 5: Compilation of Results - The information gathered from the separately reportable 12-lead ECG, the 64-lead ECG, the graphic torso body map, and the stored data is compiled for interpretation. This comprehensive analysis is crucial for accurate diagnosis and treatment planning.
  • Step 6: Reporting - A written report is generated, summarizing the findings from the ECG analysis. This report includes the interpretation of the data and any recommendations for further action or treatment based on the results.

3. Post-Procedure

After the completion of the 64-lead or greater ECG procedure, the patient may be monitored for any immediate reactions to the test, although the procedure is generally non-invasive and well-tolerated. The physician will review the written report generated from the analysis, which includes the interpretation of the ECG data and any identified abnormalities. Based on the findings, the physician may discuss further diagnostic steps, treatment options, or referrals to specialists if necessary. Patients are typically advised to follow up with their healthcare provider to discuss the results and any implications for their cardiac health. Additionally, the data collected during the procedure is stored securely for future reference and may be used for ongoing monitoring of the patient's condition.
Short Descr 64 LEAD ECG W/I&R ONLY
Medium Descr 64 LEAD ECG W/INTERPRETATION & REPORT ONLY
Long Descr Electrocardiogram, 64 leads or greater, with graphic presentation and analysis; interpretation and report only
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 2 - Professional Component Only Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
Type of Service (TOS) 5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS) T2A - Other tests - electrocardiograms
MUE Not applicable/unspecified.
CCS Clinical Classification 202 - Electrocardiogram
Date
Action
Notes
2018-01-01 Deleted Code deleted. See 93799 or 9300-93010
2011-01-01 Changed Medium description changed. Short description changed.
2008-01-01 Added First appearance in code book in 2008.
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