Repair of the Anulus Fibrosus

A patient with herniated nucleus pulposus at L4-L5 was admitted for discectomy at L4-L5 with decompression of the L5 nerve root and placement of a polyethylene mesh implant through the defect to reinforce the annulus fibrosis. What are the code assignments? ...

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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 an ICD-9-CM procedure coding update effective October 1, 2008, focused on repair of the annulus fibrosus following surgical discectomy. It outlines the newly created procedure codes, the types of repair approaches discussed, and the related procedure and diagnosis coding context used in an example spine surgery scenario. The content is relevant to coders working with orthopedic, spine, and inpatient procedure coding.

Why This Topic Matters

The article explains a procedural coding change that affects how certain spine surgeries are reported and helps coders recognize when the newer repair codes apply in the broader context of disc surgery.

Article Sections

  1. Effective date and coding update overview

    Introduces the coding update, its timing, and the general clinical context in which annulus fibrosus repair is discussed.

  2. New code 80.53

    Summarizes one of the newly created procedure code entries and the broad categories of repair methods associated with it.

  3. New code 80.54

    Summarizes the other newly created procedure code entry and the broad categories of repair methods associated with it.

  4. Clinical example and code assignments

    Presents a spine surgery example and the associated diagnosis and procedure coding context discussed in the article.

What You Will Learn

  • The general purpose of the annulus fibrosus repair coding update
  • Which broad repair approaches are discussed in relation to the new procedure codes
  • How the article frames the related discectomy and diagnosis coding context
  • What kind of spine surgery scenario the update is intended to support

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing professionals
  • Health information management staff
  • Spine and orthopedic documentation teams

Codes Discussed


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