2024 ICD-10-CM Diagnosis Code A18.84

Tuberculosis of heart

ICD-10-CM Code:
A18.84
ICD-10 Code for:
Tuberculosis of heart
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Certain infectious and parasitic diseases
    (A00–B99)
    • Tuberculosis
      (A15-A19)
      • Tuberculosis of other organs
        (A18)

A18.84 is a billable diagnosis code used to specify a medical diagnosis of tuberculosis of heart. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute bacterial pericarditis
  • Acute myocarditis - tuberculous
  • Acute tuberculous pericarditis
  • Constrictive pericarditis
  • Constrictive pericarditis due to bacteria
  • Constrictive pericarditis due to Mycobacterium tuberculosis complex
  • Infective constrictive pericarditis
  • Pericarditis with pericardial effusion due to Mycobacterium tuberculosis complex
  • Tuberculosis of endocardium
  • Tuberculosis of heart
  • Tuberculosis of mediastinum
  • Tuberculosis of mediastinum
  • Tuberculosis of mediastinum
  • Tuberculosis of mediastinum
  • Tuberculosis of mediastinum
  • Tuberculosis of mediastinum
  • Tuberculosis of mediastinum
  • Tuberculosis of myocardium
  • Tuberculosis of pericardium

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Endocarditis and endocardial diseaseCIR004N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
TuberculosisINF001Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Tuberculous cardiomyopathy
  • Tuberculous endocarditis
  • Tuberculous myocarditis
  • Tuberculous pericarditis

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert A18.84 to ICD-9-CM

  • ICD-9-CM Code: 017.90 - TB of organ NEC-unspec
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 017.90 - TB of organ NEC-unspec
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: 420.0 - Ac pericardit in oth dis
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: 422.0 - Ac myocardit in oth dis
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: 424.91 - Endocarditis in oth dis
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: 425.8 - Cardiomyopath in oth dis
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Patient Education


Heart Diseases

What is heart disease?

Heart disease is a general term that includes many types of heart problems. It's also called cardiovascular disease, which means heart and blood vessel disease.

Heart disease is the leading cause of death in the United States, but there are ways to prevent and manage many types of heart disease.

What are the types of heart disease?

There are many different types of heart disease. Some you may be born with, called congenital heart disease. Other types develop during your lifetime.

Coronary artery disease (also called coronary heart disease) is the most common type of heart disease. It happens slowly over time when a sticky substance called plaque builds up in the arteries that supply your heart muscle with blood. The plaque narrows or blocks blood flow to the heart muscle and can lead to other heart problems:

  • Angina - chest pain from lack of blood flow
  • Heart attacks - when part of the heart muscle dies from loss of blood flow
  • Heart failure - when your heart can't pump enough blood to meet your body's needs
  • Arrhythmia - a problem with the rate or rhythm of your heartbeat

Other types of heart diseases may affect your heart valves or heart muscle (cardiomyopathy).

What causes heart diseases?

The causes of heart disease depend on the type of disease. Some possible causes include lifestyle, genetics, infections, medicines, and other diseases.

Who is more likely to develop heart diseases?

There are many different factors that can make you more likely to develop heart disease. Some of these factors you can change, but others you cannot.

  • Age. Your risk of heart disease goes up as you get older.
  • Sex. Some factors may affect heart disease risk differently in women than in men.
  • Family history and genetics. A family history of early heart disease raises your risk of heart disease. And research has shown that some genes are linked to a higher risk of certain heart diseases.
  • Race/ethnicity. Certain groups have higher risks than others.
  • Lifestyle habits. Over time, unhealthy lifestyle habits can raise your risk heart disease:
    • Eating a diet high in saturated fats, refined carbohydrates, and salt.
    • Not getting enough physical activity.
    • Drinking too much alcohol.
    • Smoking and exposure to secondhand smoke.
    • Too much stress.
  • Having other medical conditions can raise your risk of heart diseases. These conditions include:
    • High blood pressure.
    • High cholesterol levels.
    • Diabetes.
    • Obesity.
    • Autoimmune and inflammatory diseases.
    • Chronic kidney disease.
    • Metabolic syndrome.

What are the symptoms of heart disease?

Your symptoms will depend on the type of heart disease you have. You may not have symptoms at first. In some cases, you may not know you have heart disease until you have a complication such as a heart attack.

How are heart diseases diagnosed?

To find out if you have heart disease, your health care provider will:

  • Ask about your medical history, including your symptoms
  • Ask about your family health history, including relatives who have had heart disease
  • Do a physical exam
  • Likely run heart tests and blood tests

In some cases, your provider may refer you to a cardiologist (a doctor who specializes in heart diseases) for tests, diagnosis, and care.

What are the treatments for heart disease?

Treatment plans for heart disease depend on the type of heart disease you have, how serious your symptoms are, and what other health conditions you have. Possible treatments may include:

  • Heart-healthy lifestyle changes
  • Medicines
  • Procedures or surgeries
  • Cardiac rehabilitation

Can heart diseases be prevented?

You may be able to lower your risk of certain heart diseases by making heart-healthy lifestyle changes and managing any other medical conditions you have.

NIH: National Heart, Lung, and Blood Institute


[Learn More in MedlinePlus]

Tuberculosis

What is tuberculosis (TB)?

Tuberculosis (TB) is a bacterial disease that usually attacks the lungs. But it can also attack other parts of the body, including the kidneys, spine, and brain.

Not everyone infected with TB bacteria (germs) becomes sick. So, there are two types of TB conditions:

  • Latent TB infection, where the TB germs live in your body but don't make you sick.
  • TB disease (active TB) where you get sick from the TB germs. TB disease can almost always be cured with antibiotics. But if it's not treated properly, it can be fatal.

TB is found in the U.S., but it is more common in certain other countries.

What causes tuberculosis (TB)?

TB is caused by bacteria (germs) called Mycobacterium tuberculosis. The germs spread from person to person through the air. People who have TB disease in their throat or lungs spread the germs in the air when they cough, sneeze, talk, or sing. If you breathe in the air that has the germs, you can get TB. TB is not spread by touching, kissing, or sharing food or dishes.

You're more likely to catch TB from people you live or work with than from people you see for shorter amounts of time.

Who is more likely to get infected with tuberculosis (TB) germs?

Anyone who is near a person with TB disease can get infected with the germs. You are more likely to be near someone with TB disease if you:

  • Were born in or often travel to countries where TB disease is common
  • Are a health care worker
  • Work or live in a place where TB is more common, such as shelters for people without homes, jails, and nursing homes

Who is more likely to develop TB disease?

Certain people are more likely to get sick with TB disease after they get infected. They include people who:

  • Have HIV
  • Became infected with TB in the last 2 years
  • Have other diseases, such as diabetes, that make it hard for your body to fight TB germs
  • Have alcohol use disorder or inject illegal drugs
  • Were not treated correctly for TB in the past
  • Are under age 5
  • Are an older adult

What are the symptoms of tuberculosis (TB)?

Most people who have TB germs in their bodies don't get sick with TB disease. Instead, they have latent TB infection. With a latent TB infection, you:

  • Don't have symptoms
  • Can't spread TB to others
  • Could get sick with active TB disease in the future if your immune system becomes weak for another reason
  • Need to take medicine to prevent getting sick with active TB disease in the future

If you have TB disease, the TB germs are active, meaning that they are growing (multiplying) inside your body and making you sick. If the TB is growing in your lungs or throat, you can spread the TB germs to other people. You can get sick with TB disease weeks to years after you're infected with TB germs.

With TB disease, your symptoms will depend on where the TB is growing in your body:

  • General symptoms may include:
    • Chills and fever
    • Night sweats (heavy sweating during sleep)
    • Losing weight without trying
    • Loss of appetite
    • Weakness or fatigue
  • Symptoms from TB disease in your lungs may include:
    • A cough that lasts longer than 3 weeks
    • Coughing up blood or sputum (a thick mucus from the lungs)
    • Chest pain

How is tuberculosis (TB) diagnosed?

Your health care provider or your local health department can test you to find out if you have TB germs in your body. They will give you either a TB skin or blood test.

If your test shows that you have TB germs, you'll need to have other tests to see if the germs are actively growing:

  • Tests for TB disease in the lungs usually include testing samples of your sputum and having chest x-rays.
  • Tests for TB disease in other parts of your body may include tests of urine and tissue samples.

You may need a TB test if you have symptoms of TB disease or if you are at high risk because you are more likely to be near someone with TB disease.

What is the treatment for tuberculosis (TB)?

The treatment for both latent TB infection and TB disease is antibiotics. To make sure you get rid of all the TB germs in your body, it's very important to follow the directions for taking your medicine.

If you don't follow the directions, the TB germs in your body could change and become antibiotic resistant. That means the medicine may stop working and your TB may become hard to cure.

  • For latent TB infections, you usually take medicines for 3 to 9 months. Treatment helps make sure you don't get TB disease in the future.
  • For active TB disease, you usually need to take medicines for 6 to 12 months. Treatment will almost always cure you if you take your pills the right way.
  • For TB disease in your lungs or throat, you'll need to stay home for a few weeks, so you don't spread disease to other people. You can protect the people you live with by:
    • Covering your nose and mouth.
    • Opening windows when possible.
    • Not getting too close to them.

By following medical advice for TB testing and treatment, you can keep yourself healthy and help stop the spread of TB.

Centers for Disease Control and Prevention


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.