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A18.6

A18.6: Tuberculosis of (inner) (middle) ear

Billable / specific codeICD-10-CM

A18.6 is a billable, specific ICD-10-CM code for tuberculosis of (inner) (middle) ear. It is valid for submission on a claim.

Check A18.6 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • tuberculosis of external ear (A18.4)
  • tuberculous mastoiditis (A18.03)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Tuberculous otitis media

Other codes that can never be billed with A18.6

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • H66.3Other chronic suppurative otitis media
  • H67Otitis media in diseases classified elsewhere

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

A18.6 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function
  • A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
  • A56841Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

  • Tuberculosis, tubercular, tuberculous›ear(inner) (middle)
  • Tuberculosis, tubercular, tuberculous›eustachian tube
  • Tuberculosis, tubercular, tuberculous›otitis media
  • Otitis›media›tuberculous
  • Otitis›media›in›tuberculosis

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under A18

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.