ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 A18.01

Billable / Specific CC

Tuberculosis of spine

A18
Block
4
Synonyms
572
LCDs
27
Payer Policies
159
Linked CPTs

About ICD-10-CM A18.01

ICD-10-CM code A18.01 represents Tuberculosis of spine. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A18). The 2026 edition of ICD-10-CM A18.01 became effective on October 1, 2025.

Coding Tips for A18.01

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

A18.01 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under A18.01. Per CMS ICD-10-CM Tabular 2026.

  • Pott's disease or curvature of spine
  • Tuberculous arthritis
  • Tuberculous osteomyelitis of spine
  • Tuberculous spondylitis

Inpatient DRG Impact, CC

code Tuberculosis of spine. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for A18.01

Local Coverage Determinations (LCDs) from CMS MACs that list A18.01 as a covered diagnosis.

572 LCDs

Showing top 10 of 572 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A18.01.

27 policies

1 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416

CPT Codes Commonly Billed with A18.01

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

159 linkages
  • 82306 CMS LCD: Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed CMS LCD
  • 0031U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0173U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0423U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 81407 CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0349U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 81408 CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0175U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 0032U CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD
  • 81220 CMS LCD: Billing and Coding: Pharmacogenomics Testing CMS LCD

Convert A18.01 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
A18.01 01500 10000
A18.01 01500 10111
A18.01 01500 10121
A18.01 01500 10131
A18.01 01500 10141
A18.01 01500 10151
A18.01 71148 10122
A18.01 72081 10142
A18.01 73088 10132
A18.01 73740 10112

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 A18.01, Billing FAQ

Is ICD-10 code A18.01 billable? +

Yes, A18.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to A18.01? +

ICD-10 A18.01 includes: Pott's disease or curvature of spine; Tuberculous arthritis; Tuberculous osteomyelitis of spine, and 1 more clinical synonyms.

Is A18.01 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with A18.01? +

Procedures frequently paired with A18.01 include: 82306, 0031U, 0173U, 0423U, 81407.

What ICD-9 codes does A18.01 map to? +

Per CMS GEMs, A18.01 maps to ICD-9 codes: 01500, 01500, 01500, 01500, 01500. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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