Torus fracture of upper end of right tibia, sequela

This code signifies a torus (buckle) fracture affecting the proximal epiphysis or metaphysis of the right tibia. It indicates that the fracture is no longer in the acute phase of treatment but rather represents a sequela, meaning a condition resulting from a previous injury. This type of fracture is common in children due to the pliability of their bones.

Use this code when documenting a patient presenting with ongoing issues, complications, or long-term effects directly attributable to a previously sustained torus fracture of the upper right tibia. This could include cases of malunion, nonunion, chronic pain, or functional limitations that are being addressed after the initial acute treatment has concluded. It is appropriate for follow-up visits where the focus is on the residual effects of the healed or healing fracture.

• Always use in conjunction with an external cause code if the original injury is still relevant for reporting.
• Ensure documentation clearly supports the "sequela" status, indicating the fracture is not acute.
• Verify laterality (right tibia) and the specific location (upper end) are accurately reflected in the medical record.