CCT: ECG, Holter Monitoring, and Stress Testing Certification Examination

The Certified Cardiographic Technician (CCT) examination is for professionals working in the areas of ECG, Holter monitoring, and stress testing. This computer based exam is administered at Pearson Professional Centers year-round based on availability at the test centers. To locate a test center click here.

The application fee for the CCT examination is $175 USD. All exam fees include a $100 non-refundable examination filing fee for the staff resources required to review and process applications. {CLICK HERE for Refund and Cancellation Policy}


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Maintaining Credentials

A credential is active for 9-12 months after passing a CCI exam. As a new registrant (credential holder) there are two types of renewal with CCI: your first renewal and your second renewal/first triennial.

First Renewal
New registrants are required to pay their first renewal before the first day of the same quarter (when the credential was earned) the following year. For example, if the credential is earned between the dates of April 1st and June 30th, then your first renewal would be due on or before March 31st of the following year. After completing the first renewal, credentials are renewed every three years. There are no CEU requirements for the first renewal; only a renewal fee, currently $165.00 USD, and a signature of compliance to the Code of Ethics must be submitted. This date will be noted on your initial wallet card.

Second Renewal/First Triennial Renewal
Maintenance of an “active status” for CCI credential holders requires the submission of triennial renewal fees (currently $165.00 USD), signature of compliance to the CCI Code of Ethics, and the completion of Continuing Education Units (CEUs)* every three years. These three steps are required, and until all three are fulfilled, your credential will not be renewed.

*The total number of CEUs required in a triennial cycle for Certificate-Level Registrants (CCT and CRAT) is sixteen (16) CEUs, for Advanced-Level Registrants (ACS) and Registry-Level Registrants (CES, RCIS, RCS, RCCS, RPhS, and RVS) is thirty-six (36) CEUs. Thirty (30) of these CEUs must be cardiovascular-related.The remaining 6 or less CEUs can be on any topic as long as it is from one of the approved providers. 

Registrant wallet cards are provided to successful exam candidates and expire on the date of first renewal. Triennial wallet cards are provided upon renewal of credentials.

When Credential is Earned* First Renewal End Date** Second Renewal Cycle (when CEUs are due)

January 1 to March 31, current year

December 31, current year

December 31, three years after first renewal

April 1 to June 30, current year

March 31, following year

March 31, three years after first renewal

July 1 to September 30, current year

June 30, following year

June 30, three years after first renewal

October 1 to December 31, current year

September 30, following year

September 30, three years after first renewal

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