Torus fx upper end of unsp humerus, subs for fx w nonunion

This code signifies a buckle or torus fracture affecting the upper portion of the humerus, where the bone has compressed but not completely broken through. The "subsequent encounter" indicates that the patient is receiving follow-up care for this previously diagnosed fracture, and "nonunion" specifies that the fracture has failed to heal properly.

Use this code for patients presenting for ongoing management of a torus fracture of the proximal humerus that has not united. This would include visits for evaluation of nonunion, discussions about treatment options for nonunion (e.g., surgery, bone stimulation), or monitoring the progress of nonunion treatment.

• Ensure documentation clearly states "torus fracture" and specifies the "upper end of humerus."
• Verify that the encounter is for follow-up care of the fracture and that nonunion is explicitly documented.
• Do not use this code for initial treatment or routine follow-up of a healing fracture; the nonunion status is key.