MCMedicalCodingSoftware
S82.161S

S82.161S: Torus fracture of upper end of right tibia, sequela

Billable / specific codeICD-10-CMPOA exemptright

S82.161S is a billable, specific ICD-10-CM code for torus fracture of upper end of right tibia, sequela. It is valid for submission on a claim.

Check S82.161S with the rest of the claim: free scrubber

7th character "S": sequela

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 S82.161S

A category’s note binds every code beneath it.

Written on S82: Fracture of lower leg, including ankle

  • traumatic amputation of lower leg (S88.-)

Excludes2 inherited from the categories above S82.161S

Not part of this code, but both may be coded when both are present.

Written on S82.1: Fracture of upper end of tibia

  • fracture of shaft of tibia (S82.2-)
  • physeal fracture of upper end of tibia (S89.0-)

Written on S82: Fracture of lower leg, including ankle

  • fracture of foot, except ankle (S92.-)
  • periprosthetic fracture around internal prosthetic ankle joint (M97.2)
  • periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

Other codes that can never be billed with S82.161S

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • M84.3Stress fracture
  • M84.4Pathological fracture, not elsewhere classified
  • S81Open wound of knee and lower leg

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S82.161S is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52465Knee Orthoses - Policy Article
  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S82.161

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.