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ICD-10 Guide
ICD-10 CodesS82.162

S82.162

Billable

Torus fracture of upper end of left tibia

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

Code Description

ICD-10 S82.162 is a billable code used to indicate a diagnosis of torus fracture of upper end of left tibia.

Key Diagnostic Point:

A torus fracture, also known as a buckle fracture, is a common type of injury in children, characterized by a compression of the bone that results in a bulging or buckling of the cortex without a complete fracture. In the case of a torus fracture of the upper end of the left tibia, the injury typically occurs in the metaphyseal region, which is the area of the bone where growth occurs. This type of fracture is often the result of a fall or direct impact, and it is more prevalent in pediatric populations due to the softer, more pliable nature of their bones. Clinically, patients may present with localized pain, swelling, and tenderness around the knee joint, but they often retain a good range of motion. Diagnosis is usually confirmed through X-ray imaging, which will show the characteristic buckling of the bone. Treatment generally involves immobilization with a cast or splint, and in most cases, the prognosis is excellent, with full recovery expected. However, careful monitoring is essential to ensure proper healing and to prevent complications such as growth disturbances.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

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

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the injury, physical examination findings, and imaging results.

Common Clinical Scenarios

Children presenting with arm or leg pain after a fall.

Billing Considerations

Ensure accurate laterality and specify if the fracture is torus versus complete.

Orthopedics

Documentation Requirements

Comprehensive assessment of the fracture, treatment plan, and follow-up care.

Common Clinical Scenarios

Management of pediatric fractures, including casting and monitoring for complications.

Billing Considerations

Document any surgical interventions if applicable, even if not common for torus fractures.

Coding Guidelines

Inclusion Criteria

Use S82.162 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the type of fracture, laterality, and any associated injuries
  • Include details about the mechanism of injury and treatment plan

Exclusion Criteria

Do NOT use S82.162 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 diagnosed and requires immobilization.

Documentation Requirements

Document the type of fracture, the reason for casting, and any patient instructions.

Specialty Considerations

Orthopedic specialists should ensure proper casting technique and follow-up care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including torus fractures, which helps in better tracking of pediatric injuries and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including torus fractures, which helps in better tracking of pediatric injuries and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including torus fractures, which helps in better tracking of pediatric injuries and outcomes.

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 a type of bone fracture that occurs when one side of the bone buckles without breaking all the way through, commonly seen in children due to their softer bones.

How is a torus fracture treated?

Treatment typically involves immobilization with a cast or splint, and follow-up care to monitor healing. Most children recover fully without complications.