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ICD-10 Guide
ICD-10 CodesS52.111

S52.111

Billable

Torus fracture of upper end of right radius

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S52.111 is a billable code used to indicate a diagnosis of torus fracture of upper end of right radius.

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 'buckle' on one side without a complete break. In the case of the upper end of the right radius, this injury typically occurs due to a fall onto an outstretched hand, leading to localized pain and swelling around the wrist and forearm. The upper end of the radius is particularly susceptible to such injuries due to its anatomical position and the forces exerted during falls. Diagnosis is usually confirmed through X-ray imaging, which reveals the characteristic deformity of the bone. Treatment often involves immobilization with a splint or cast, allowing the bone to heal naturally. While torus fractures generally have a good prognosis, it is essential to monitor for potential complications such as compartment syndrome, which can arise from swelling and increased pressure within the muscle compartments of the forearm. Proper orthopedic evaluation and follow-up care are crucial to ensure optimal recovery and function.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly encountered in pediatric populations
  • Clear diagnostic criteria based on imaging
  • Standard treatment protocols (casting/splinting)
  • Low risk of complications compared to other fracture types

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 on healing progress

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

Children presenting with wrist pain after a fall, often with swelling and tenderness.

Billing Considerations

Consideration of growth plate involvement and potential for future complications.

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation of any surgical interventions if complications arise.

Coding Guidelines

Inclusion Criteria

Use S52.111 When
  • According to ICD
  • 10 coding guidelines, S52
  • 111 should be used when a torus fracture of the upper end of the right radius is confirmed through imaging
  • It is important to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S52.111 When
  • Exclusion criteria include complete fractures or fractures involving other bones

Related ICD-10 Codes

Related CPT Codes

25600CPT Code

Application of a cast

Clinical Scenario

Used when a torus fracture is diagnosed and requires immobilization.

Documentation Requirements

Document the type of fracture, treatment plan, and follow-up care.

Specialty Considerations

Orthopedic specialists should ensure proper casting techniques are followed.

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 patient records and treatment plans. This specificity aids in better tracking of outcomes and resource allocation.

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 patient records and treatment plans. This specificity aids in better tracking of outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid denials.

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 the other side. It is most common in children due to the flexibility of their bones.

How is a torus fracture treated?

Treatment typically involves immobilization with a cast or splint to allow the bone to heal. Follow-up appointments are necessary to monitor healing.