The 21-year-old's injury-time penalty gave City a 3-2 win, but earlier he appeared to stamp on Scott Parker.
Following a dismissal earlier this season Balotelli faces a
four-match ban, but any unsuccessful appeal could result in a longer
suspension.
Joleon Lescott will not be punished after a clash with Younes Kaboul.
Lescott caught Kaboul in the face with his forearm in a separate incident at the Etihad Stadium.
Balotelli, who has until 1800 GMT on Wednesday to respond to the charge, came on as a 65th-minute substitute against Spurs.
He was booked for a foul on Benoit Assou-Ekotto, but after
escaping punishment from referee Howard Webb following his clash with
Parker, the striker was fouled by Ledley King in the final minute of
added time and converted the resulting penalty.
If he accepts his charge, Balotelli will miss Wednesday's Carling Cup semi-final second leg against Liverpool at Anfield.
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