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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.161

S82.161

Billable

Torus fracture of upper end of right tibia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S82.161 is a billable code used to indicate a diagnosis of torus fracture of upper end of right tibia.

Key Diagnostic Point:

A torus fracture, also known as a buckle fracture, is a common type of incomplete fracture typically seen in children due to the pliability of their bones. In the case of a torus fracture of the upper end of the right tibia, the fracture occurs at the proximal end of the tibia, which is the larger bone in the lower leg that connects to the knee joint. This type of fracture is characterized by a bulging or buckling of the bone cortex without a complete break, making it less severe than a complete fracture. The injury often results from a fall or direct impact, leading to localized pain, swelling, and tenderness around the knee area. Diagnosis is usually confirmed through X-ray imaging, which reveals the characteristic appearance of the torus fracture. Treatment typically involves immobilization with a cast or splint, and in most cases, the prognosis is excellent with proper care. However, monitoring for potential complications such as growth disturbances is essential, especially in pediatric patients. Understanding the implications of this fracture is crucial for orthopedic specialists, as it may influence decisions regarding rehabilitation and follow-up care.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly encountered in pediatric populations
  • Clear diagnostic criteria based on imaging
  • Standard treatment protocols
  • Minimal documentation requirements

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture type (torus vs. complete)
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed description of the fracture type, location, and treatment plan.

Common Clinical Scenarios

Pediatric patients presenting with knee pain after a fall.

Billing Considerations

Ensure accurate imaging reports are included in documentation.

Pediatrics

Documentation Requirements

History of injury, physical examination findings, and treatment plan.

Common Clinical Scenarios

Children with suspected fractures after sports injuries.

Billing Considerations

Consider growth plate involvement and potential long-term monitoring.

Coding Guidelines

Inclusion Criteria

Use S82.161 When
  • Follow ICD
  • CM guidelines for coding fractures, ensuring accurate documentation of the fracture type and location
  • Include laterality and specify if the fracture is closed or open

Exclusion Criteria

Do NOT use S82.161 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

29075CPT Code

Application of a cast

Clinical Scenario

Used when a torus fracture is treated conservatively.

Documentation Requirements

Document the type of fracture and the reason for casting.

Specialty Considerations

Orthopedic specialists should ensure proper follow-up care is documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.161 provides specificity that was lacking in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.161 provides specificity that was lacking in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. S82.161 provides specificity that was lacking in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is a torus fracture?

A torus fracture is an incomplete fracture often seen in children, characterized by a bulging of the bone cortex without a complete break.

How is a torus fracture treated?

Treatment typically involves immobilization with a cast or splint, and follow-up care to monitor healing.

What are the common causes of torus fractures?

Torus fractures commonly occur due to falls or direct impacts, especially in active children.