Cardiac computed tomography (CCT) is a relatively new imaging modality which allows high quality imaging of the coronary vessels and various cardiac structures. Together with the advances in scanner technology and the more frequent use of the technology in clinical practice, there is a need to better define the appropriate indications for the use of CCT. This review summarizes the appropriateness criteria for the use of CCT as were defined by a joint committee of the Israeli Heart Society and the Israeli Society of Radiology.