Registrants' Frequently Asked Questions

Important Notice:
Changes to CCI Continuing Education Submission Policy
Effective Immediately

Beginning with the December 31, 2016 triennial renewals, CCI no longer requires submission of continuing education activity documentation for all credential holders. There is no change to the required amount of continuing education units.* CCI now requires all registrants to attest to compliance to the continuing education policy, attest to the Code of Ethics policy, and pay renewal fees. The new attestation of continuing education compliance statement is included on the renewal invoice. Click here to read the notice before contacting CCI headquarters with questions.


General Questions:
1. What is the required renewal fee for CCI credentials? 

The required CCI renewal fee is $165.00 USD per triennial cycle, this averages out to $55.00 per year.  Registrants pay their triennial renewal cycle in one payment of $165.00 USD. Registrant renewal fees, application fees, dues, contributions or gifts to CCI are not deductible as a charitable contribution for federal income tax purposes. These payments may be deductible as ordinary and necessary business expenses under Section 162 of the Internal Revenue Code. CCI has been organized under Section 501(c)(6) of the IRS. The CCI tax identification number is 31-1261456. You may wish to consult your tax advisor for further assistance.

2. If I have a CCT credential that is inactive and I take a registry exam, does my CCT credential become active or just the new credential?

No, the CCT credential will stay inactive.  Once a credential is inactive the registrant must retake and pass the credentialing examination for that credential to become active.

3. Can I be active for one registry credential and not the other?

Yes, if a registrant fails to maintain the active status of a credential the only way to reactivate a credential's active status is by retaking and passing the credentialing examination.

4. How can I reactivate my credential?

Once your credential has gone inactive you have the following options to reactivate:


1. If a registrant fails to meet the renewal requirements of their credential(s) by their renewal date then they are given a 3 month grace period to submit the fees ($165.00 USD renewal fee + $50.00 USD late fee), signed Code of Ethics, and CEUs which MUST have been earned in their triennial cycle.


2. If the registrant cannot or fails to meet the above requirement in their 3 month grace period then they are put into a probationary period of an additional 3 months. To reactivate their credential the registrant must complete one of the following:


a. Retake and pass the credentialing examination(s) corresponding to their credential(s) and pay the full-price of each examination




b. Pay the standard renewal fee ($165.00 USD) plus a penalty fee of $200.00 (registry level) or $100.00 (certificate level), earn the required CEUs for their triennial period PLUS earn an additional 10 CEUs that are cardiovascular related by the end of the probationary period.


If the registrant chooses this option then their next triennial cycle will begin the day after their probationary period ends. An individual with both certificate level and registry level credentials will be required to submit registry level fees. CEUs earned during the probationary period will not be accepted in the registrant’s following triennial renewal periods.

If the registrant fails to reactivate within the 3 month grace period or additional 3 month probationary period, one will be required to re-apply for the CCI examination(s), pay full price and successfully pass. CCI reserves the right to request additional supporting documentation. 

5. Can I send my renewal fees and get my CEUs later?

No. Renewal fees, CEUs, and signed Code of Ethics must be submitted in order for the renewal of the credential. CEUs MUST be earned within the registrant's triennial cycle and before the active through date of the credential(s).

6. How long does it take to process my renewal and mail a new wallet ID card?

During peak renewal periods, CCI requires 2-3 weeks after receipt of all requirements to process renewals and mail new wallet cards.

7. If this is my first renewal, what do I need to do?

You will need to pay your renewal fee and submit a signed Code of Ethics. No CEUs are required for first renewal. Renewal fees are billed triennially at $165.00 USD.
8. Where do I get a certificate?

You can print a certificate off the CCI website by logging into your secure online account.


9. How do I submit an official name change to CCI?

If you have gotten married or divorced, please submit legal documentation of the name change (i.e. marriage certificate, divorce decree, etc.) via mail or fax to CCI headquarters. 


10. Can I perform procedure "X" in my hospital or laboratory? Or what is the scope of practice for my credential?

As a credentialing agency we cannot recommend, nor create any statements which concerns scope of practice or job descriptions. The final decision is always made by the hospital, laboratory or facility with recommendations being made by the specialty's professional society.

Websites to look for scope of practice:


CCT and CRAT individuals have no professional society and thus it is at the discretion of the employee's facility.

General Sonography Questions: Society of Diagnostic Medical Sonography (SDMS) 


11. What is the process for appeals?

CCI will receive (in writing) appeals to contest any adverse decisions affecting examination eligibility (for applicants), examination results (for candidates), or active status (for credential holders). The written appeal must include the stated appeal, the reason for the appeal, relevant supporting documentation, and contact information of the appellant.

Appeals must be emailed to or mailed to CCI headquarters at 1500 Sunday Drive, Suite 102, Raleigh, NC 27607.


All appeals will be responded to within 10 business days regarding status or further steps and actions required by CCI’s Appeals Committee. 


Questions and Answers On Continuing Education Units (CEU)

1. How many continuing education units are required each triennial cycle?

The total number of CEUs required in a triennial cycle for Registry Level Registrants (ACS, RCES, RCIS, RCS, RCCS, RPhS, & RVS) is thirty- six (36) CEUs. Thirty (30) of these CEUS must be cardiovascular related.

The total number of CEUs required in a triennial cycle for Certificate Level Registrants (CCT and CRAT) is sixteen (16) CEUs.

2. What will happen if I cannot meet the CEU requirements in a triennial cycle?

If a registrant is unable to accrue and submit the required quantity of CEUs by the end of their triennial cycle, the registrant's credential will be placed on Inactive status.

3. What is Inactive Status?

Inactive status means that a registrant has either not paid their triennial renewal fees, signed and submitted their Code of Ethics, or has not submitted their required CEUs.

Currently, there are three status designations:

  • ACTIVE: Registrants up-to-date in annual renewal fees and meeting continuing education requirements.
  • INACTIVE: Registrants who have not paid their annual renewal fees. CEU requirements may or may not be met. Code of Ethics requirements may or may not be met.
  • RETIRED: Annual renewal fees are up-to-date. CEU requirements are waived. (see number 10 below for more information)


4. Can I transfer CEU credits from one triennial cycle to the next?

No. CEU credits cannot be transferred from one triennial cycle to the next. All CEUs must be accrued during your current triennial cycle.

5. How can I submit CEUs to CCI?
Registrants WILL NOT be notified upon receipt of CEU Documentation. You will not receive a confirmation of faxes received nor an email of CEU status. It is the registrant's responsibility to verify your CEUs were received and to check your CEU Tracker. CCI does not notify you of unacceptable CEUs which are submitted.


CEUs may be submitted three different ways:


1. Mail – Please mail copies of CEU certificates, signed Code of Ethics policy and renewal payment to: Attn: CCI Registrant Services 1500 Sunday Drive, Suite 102 Raleigh, NC 27607. You will not receive confirmation of CEU submissions. It is your responsbility to log into your CCI Online Account and check your CEU Tracker.


2. Fax - CEU Dedicated Fax Line: (919) 882-8787. Use this CEU Fax Cover Sheet for all submissions. When sending multiple pages, please send as as one fax. Please allow up to ten (10) business days for CEUs to be received and added to CEU Tracker. CEUs should be submitted to CCI through the above CEU Fax Line. CEUs submitted to any other fax line WILL NOT BE ACCEPTED. You will not receive confirmation of CEU submissions. It is your responsibility to log into your CCI Online Account and check your CEU Tracker.


3. Email - Scan and email to Please allow up to ten (10) business days for CEUs to be received and added to CEU Tracker. You will not receive confirmation of CEU submissions. It is your responsibility to log into your CCI Online Account and check your CEU Tracker.


6. How can I verify what CEU providers are approved by CCI?

Click here to view a list of approved providers. CCI does not notify you of unacceptable CEUs which are submitted.


7. How do I get credit for the programs I attend?

It is the registrant's responsibility to maintain personal records and inquire about what type of CEUs a course or seminar may provide. Do not assume CEUs are available and request a certificate identifying the credit units earned.

8. How do I determine how many CEUs I am receiving?

CCI accepts the number of CEUs listed on the certificates awarded by the program you attend. If the CEU certificate does not designate the number of credits earned then CCI will not accept the CEU certificate. 

Please note that some ACLS courses DO NOT give a certificate with the number of CEUs designated.  CCI WILL NOT accept these CEU certificates.

9. If I hold registry in two or three specialties, how many credits should I get in a triennial cycle?

Registrants who hold credentials in multiple specialties must still accrue thirty-six (36) CEUS every triennial cycle, thirty (30) of which must be cardiovascular related.

If a registrant holds a CCT or CRAT credential and also a registry level credential (ACS, RCCS, RCES, RCIS, RCS, RPhS, or RVS), then the registrant is required to accrue CEUs based solely on their registry level credential, i.e. thirty-six (36).


10. How do I change my credential to RETIRED status?

A Registrant may submit a written request to CCI headquarters requesting a “Retired” status. The Registrant must state that he/she no longer plans to provide patient care in the field of Cardiovascular Technology. A Registrant with a “Retired” status credential is not required to accrue or submit CEUs to CCI headquarters. An administrative fee will be assessed to cover minor operational expenses. (The current administrative fee for “Retired” Registrants is $30.00 USD per triennial cycle)



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