Torus Fracture

Effective October 1, 2009, new codes have been created to identify torus fractures of other sites. Torus or buckle fractures are extremely common injuries seen in children and generally occur from axial loading on a long bone of an extremity, such as falling on an outstretched arm. Torus fractures are most common in the radius (a new code, 813.45, was added for torus fracture of radius in 2002); however, they can also involve either the ulna alone (813.46), or both the radius and ulna (813.47). Code 813.45 has been revised to indicate that the torus...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers changes and indexing guidance related to torus fractures, a common pediatric injury pattern, with emphasis on fracture coding updates for different anatomic sites. It is relevant for coders working with injury classification, fracture indexing, and annual code revisions. The article discusses how these fractures are represented across related fracture categories and includes update information tied to effective dates and revised entries.

Why This Topic Matters

Torus fractures are common in children, and accurate classification affects injury reporting and code selection. This article helps readers understand which fracture categories were updated and how the terminology is organized in the coding index.

Article Sections

  1. Coding updates for torus fractures

    Overview of the fracture type and the coding changes introduced for additional anatomic sites. The section also notes related indexing terminology and revision timing.

  2. Fracture classification entries and revisions

    A brief listing of the affected fracture categories and updated index references. The section focuses on the structure of the classification changes rather than detailed coding rules.

What You Will Learn

  • How torus fracture terminology is reflected in coding indexes
  • Which fracture categories were updated for torus fracture reporting
  • How the article frames these injury coding changes over time
  • What broad fracture locations are discussed in relation to torus fractures

Who Should Read This

  • Medical coders
  • Coding auditors
  • Health information management professionals
  • Clinical documentation staff

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 813 FRACTURE OF RADIUS AND ULNA
  • ICD-9-CM: 813.4 LOWER END, CLOSED

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