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

ICD-10 A18.31

Billable / Specific MCC

Tuberculous peritonitis

A18
Block
1
Synonyms
316
LCDs
15
Payer Policies
52
Linked CPTs

About ICD-10-CM A18.31

ICD-10-CM code A18.31 represents Tuberculous peritonitis. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A18). The 2026 edition of ICD-10-CM A18.31 became effective on October 1, 2025.

Coding Tips for A18.31

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

Inpatient DRG impact: MCC

A18.31 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC 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 A18.31. Per CMS ICD-10-CM Tabular 2026.

  • Tuberculous ascites

Inpatient DRG Impact, MCC

codes Tuberculous peritonitis. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.

Medicare LCD Coverage for A18.31

Local Coverage Determinations (LCDs) from CMS MACs that list A18.31 as a covered diagnosis.

316 LCDs

Showing top 10 of 316 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: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82652 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A18.31.

15 policies

1 Cigna

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

5 Medicare

Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Policy ID: ART-56394
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56456
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56632

CPT Codes Commonly Billed with A18.31

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

52 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 A18.31 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A18.31 01400 10000

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

ICD-10 A18.31, Billing FAQ

Is ICD-10 code A18.31 billable? +

Yes, A18.31 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 A18.31? +

ICD-10 A18.31 includes: Tuberculous ascites.

Is A18.31 a CC or MCC for inpatient DRG? +

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

What CPT codes are commonly billed with A18.31? +

Procedures frequently paired with A18.31 include: 82306, 0031U, 0173U, 0423U, 81407.

What ICD-9 codes does A18.31 map to? +

Per CMS GEMs, A18.31 maps to ICD-9 codes: 01400. 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 May 31, 2026.

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