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

ICD-10 A18.84

Billable / Specific CC

Tuberculosis of heart

A18
Block
4
Synonyms
483
LCDs
29
Payer Policies
115
Linked CPTs

About ICD-10-CM A18.84

ICD-10-CM code A18.84 represents Tuberculosis of heart. This is a billable/specific code in the Infectious and Parasitic Diseases chapter (block A18). The 2026 edition of ICD-10-CM A18.84 became effective on October 1, 2025.

Coding Tips for A18.84

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

Inpatient DRG impact: CC

A18.84 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 A18.84. Per CMS ICD-10-CM Tabular 2026.

  • Tuberculous cardiomyopathy
  • Tuberculous endocarditis
  • Tuberculous myocarditis
  • Tuberculous pericarditis

Inpatient DRG Impact, CC

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

Medicare LCD Coverage for A18.84

Local Coverage Determinations (LCDs) from CMS MACs that list A18.84 as a covered diagnosis.

483 LCDs

Showing top 10 of 483 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93313 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93312 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93318 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93317 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8927 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8925 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93314 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8926 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93316 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93315 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing A18.84.

29 policies

3 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523
Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Automatic External Defibrillators - Policy Article
Policy ID: ART-52458
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Bariatric Surgical Management of Morbid Obesity
Policy ID: ART-56422

CPT Codes Commonly Billed with A18.84

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

115 linkages
  • 93319 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93307 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93351 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93355 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J1250 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93304 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93352 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J0280 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93318 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93308 CMS LCD: Billing and Coding: Echocardiography CMS LCD

Convert A18.84 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
A18.84 01790 10000
A18.84 01790 10111
A18.84 4200 10112
A18.84 4220 10112
A18.84 42491 10112
A18.84 4258 10112

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

ICD-10 A18.84, Billing FAQ

Is ICD-10 code A18.84 billable? +

Yes, A18.84 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 A18.84? +

ICD-10 A18.84 includes: Tuberculous cardiomyopathy; Tuberculous endocarditis; Tuberculous myocarditis, and 1 more clinical synonyms.

Is A18.84 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 A18.84? +

Procedures frequently paired with A18.84 include: 93319, 93307, 93351, 93355, J1250.

What ICD-9 codes does A18.84 map to? +

Per CMS GEMs, A18.84 maps to ICD-9 codes: 01790, 01790, 4200, 4220, 42491. 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 July 16, 2026.

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