Torus fx upper end of unsp humerus, subs for fx w routn heal

This code signifies a buckle or torus fracture affecting the upper portion of the humerus, where the bone cortex has buckled but not completely broken. It specifically indicates that the patient is in a subsequent phase of care, and the fracture is healing as expected without complications.

Apply this code for follow-up visits after the initial treatment of a torus fracture of the proximal humerus. This includes scenarios where the patient is undergoing routine cast changes, physical therapy, or clinical assessments to monitor uncomplicated healing progress. It is appropriate when the fracture is stable and showing signs of routine recovery.

• Ensure documentation specifies "subsequent encounter" and "routine healing" for this specific fracture type.
• Confirm the fracture location is the upper end of the humerus; avoid using for shaft or distal fractures.
• Pair with external cause codes (e.g., W00-X58) if the cause of the injury is known and documented.