S82.161A: Torus fracture of upper end of right tibia, initial encounter for closed fracture
S82.161A is a billable, specific ICD-10-CM code for torus fracture of upper end of right tibia, initial encounter for closed fracture. It is valid for submission on a claim.
Check S82.161A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
The appropriate 7th character is to be added to all codes in subcategory S82.16
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Excludes1 inherited from the categories above S82.161A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S82.161A
Not part of this code, but both may be coded when both are present.
Written on S82.1: Fracture of upper end of tibia
Other codes that can never be billed with S82.161A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S82.161A is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A56777Billing and Coding: Total Joint Arthroplasty
- A57311Billing and Coding: Physical Therapy - Home Health
- A57685Billing and Coding: Total Knee Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S82.161
- S82.161DTorus fracture of upper end of right tibia, subsequent encounter for fracture with routine healing
- S82.161GTorus fracture of upper end of right tibia, subsequent encounter for fracture with delayed healing
- S82.161KTorus fracture of upper end of right tibia, subsequent encounter for fracture with nonunion
- S82.161PTorus fracture of upper end of right tibia, subsequent encounter for fracture with malunion
- S82.161STorus fracture of upper end of right tibia, sequela