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The CPT® Code 0764T refers to an assistive algorithmic electrocardiogram (ECG) risk-based assessment specifically designed to evaluate cardiac dysfunction. This assessment utilizes advanced artificial intelligence (AI) software to analyze ECG data for potential heart conditions, such as low ejection fraction, pulmonary hypertension, and hypertrophic cardiomyopathy. The procedure is performed in conjunction with a standard 12-lead ECG, which is a common diagnostic tool used to monitor the heart's electrical activity. The AI software can either be applied in real-time during the ECG tracing or on previously recorded and digitally archived ECG waveforms. Once the analysis is complete, the software generates a comprehensive report detailing any identified risks or abnormalities, all without the need for direct input from a physician or qualified healthcare provider. This innovative approach enhances the efficiency of cardiac assessments and aids in the early detection of significant heart issues, ultimately contributing to improved patient outcomes.
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The assistive algorithmic electrocardiogram risk-based assessment is indicated for the evaluation of various cardiac dysfunctions. The specific conditions for which this procedure is performed include:
The procedure for the assistive algorithmic electrocardiogram risk-based assessment involves several key steps that ensure accurate evaluation of cardiac function. First, a standard 12-lead ECG is performed, which captures the electrical activity of the heart from multiple angles. This ECG can be conducted in real-time or can utilize previously recorded ECG data that has been digitally archived. Once the ECG is obtained, the AI software is activated to analyze the waveform data. The software employs sophisticated algorithms to detect any abnormalities or risk factors associated with cardiac dysfunction. After the analysis is complete, the software automatically generates a detailed report outlining the findings, including any identified risks related to low ejection fraction, pulmonary hypertension, or hypertrophic cardiomyopathy. This report is produced without requiring any manual input from a physician or qualified healthcare provider, streamlining the assessment process and allowing for timely clinical decision-making.
Post-procedure care following the assistive algorithmic electrocardiogram risk-based assessment typically involves reviewing the generated report with the patient. Healthcare providers may discuss the findings and any necessary follow-up actions based on the identified risks. Depending on the results, further diagnostic testing or treatment options may be recommended to address any detected cardiac dysfunction. It is essential for healthcare professionals to ensure that patients understand the implications of the assessment and the importance of ongoing monitoring and management of their cardiac health.
| Short Descr | ASSTV ALG ECG RSK ASMT CNCRT | Medium Descr | ASSTV ALG ECG RSK-BASED ASSMT RELATED CNCRT ECG | Long Descr | Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction, pulmonary hypertension, hypertrophic cardiomyopathy); related to concurrently performed electrocardiogram (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 3 - Technical 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 | Procedure or Service, Not Discounted when Multiple | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 93000 | MPFS Status: Active Code APC M PUB 100 CPT Assistant Article Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report | 93010 | MPFS Status: Active Code APC M PUB 100 CPT Assistant Article Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
| GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GA | Waiver of liability statement issued as required by payer policy, individual case | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | GC | This service has been performed in part by a resident under the direction of a teaching physician | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition |
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| 2023-01-01 | Added | Code added. |
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