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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.311

S82.311

Billable

Torus fracture of lower end of right tibia

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

Code Description

ICD-10 S82.311 is a billable code used to indicate a diagnosis of torus fracture of lower 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 this case, the fracture occurs at the lower end of the right tibia, which is the larger bone in the lower leg. This type of fracture is characterized by a bulging or buckling of the bone cortex without a complete break. It often results from a fall or direct impact, leading to localized pain, swelling, and tenderness around the knee joint. Diagnosis is usually confirmed through X-ray imaging, which reveals the characteristic deformity of the bone. Treatment typically involves immobilization with a cast or splint, allowing the bone to heal naturally. While torus fractures generally have a good prognosis, they require careful monitoring to ensure proper healing and to prevent complications such as malunion or growth disturbances in pediatric patients.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly encountered in pediatric populations, making it familiar to coders.
  • Clear diagnostic criteria based on imaging findings.
  • Standard treatment protocols are well-established.
  • Minimal variations in documentation requirements.

Audit Risk Factors

  • Misidentification of fracture type (e.g., confusing torus with complete fractures).
  • Inadequate documentation of the mechanism of injury.
  • Failure to specify laterality (right vs. left).
  • Inconsistent coding of associated conditions or complications.

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.

Billing Considerations

Ensure accurate laterality and fracture type to avoid coding errors.

Orthopedic Surgery

Documentation Requirements

Surgical notes if intervention is performed, including pre-operative and post-operative assessments.

Common Clinical Scenarios

Management of fractures requiring surgical intervention or complex cases.

Billing Considerations

Document any complications or additional procedures performed.

Coding Guidelines

Inclusion Criteria

Use S82.311 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type, location, and laterality
  • Include any associated conditions or complications as necessary

Exclusion Criteria

Do NOT use S82.311 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 outpatient setting.

Documentation Requirements

Document the type of fracture, cast application details, and follow-up care.

Specialty Considerations

Pediatric specialists should ensure proper sizing and fit of the cast.

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 improves data accuracy and enhances the ability to track treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including torus fractures, which improves data accuracy and enhances the ability to track treatment outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including torus fractures, which improves data accuracy and enhances the ability to track treatment outcomes and resource utilization.

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 results from a fall or impact.