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ICD-10 Guide
ICD-10 CodesS82.31

S82.31

Billable

Torus fracture of lower end of tibia

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

Code Description

ICD-10 S82.31 is a billable code used to indicate a diagnosis of torus fracture of lower end of 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 pliable nature of their bones. The lower end of the tibia, located just above the ankle joint, is a frequent site for such injuries, often resulting from falls or direct trauma. In a torus fracture, the bone bends and bulges outward without breaking completely, which can lead to localized swelling and tenderness. Clinically, patients may present with pain, limited range of motion, and difficulty bearing weight on the affected limb. Diagnosis is usually confirmed through radiographic imaging, which reveals the characteristic buckling of the bone cortex. Treatment typically involves immobilization with a cast or splint to allow for healing, with follow-up care to monitor recovery. Understanding the nature of torus fractures is essential for appropriate management and coding, as they differ significantly from complete fractures and require specific documentation to ensure accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from complete fractures
  • Documentation of injury mechanism
  • Age-related considerations in pediatric patients
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality (left/right)
  • Misclassification as a complete fracture
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

Children presenting with arm or leg pain after a fall, often with swelling and tenderness.

Billing Considerations

Consideration of growth plate involvement and the need for follow-up imaging.

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Patients with torus fractures requiring casting or splinting, and monitoring for complications.

Billing Considerations

Documentation of any surgical interventions or complications that may arise.

Coding Guidelines

Inclusion Criteria

Use S82.31 When
  • According to ICD
  • 10 coding guidelines, S82
  • 31 should be used for torus fractures specifically located at the lower end of the tibia
  • Coders must ensure that the documentation supports the diagnosis and that the fracture is not classified as a complete fracture
  • Additionally, coders should be aware of any associated injuries that may require co
  • coding

Exclusion Criteria

Do NOT use S82.31 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

29075CPT Code

Application of a short arm cast

Clinical Scenario

Used for immobilization of a torus fracture in the lower leg.

Documentation Requirements

Document the type of fracture, the reason for casting, and follow-up care plans.

Specialty Considerations

Orthopedic specialists should ensure that the cast application is documented in detail.

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 enhances the accuracy of medical records and reimbursement processes. This specificity helps in tracking outcomes and improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including torus fractures, which enhances the accuracy of medical records and reimbursement processes. This specificity helps in tracking outcomes and improving patient care.

Reimbursement & Billing Impact

reimbursement processes. This specificity helps in tracking outcomes and improving patient care.

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 commonly seen in children, characterized by a bulging of the bone cortex without a complete break. It typically occurs in response to bending forces.