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Author Archives: Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

About Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

Lynn Kuehn is president of Kuehn Consulting, LLC, a consulting firm specializing in coding for all settings and physician practice management issues. Lynn is a nationally recognized trainer on ICD-10-PCS and other HIM-related topics. Lynn served on the AHIMA Board of Directors and authored several of AHIMA’s most popular books including Procedural Coding and Reimbursement for Physician Services, CCS-P Exam Preparation, and ICD-10-PCS: An Applied Approach.
ICD-10-PCS Coding of Bimalleolar and Trimalleolar Fractures

ICD-10-PCS Coding of Bimalleolar and Trimalleolar Fractures

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Coding of Bimalleolar and Trimalleolar Fractures in this free, brief presentation.   Now available! FY 2020 ICD-10 Code Updates by nationally recognized coding expert Lynn Kuehn “Anyone can read what the changes are, but truly understanding what the […]

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ICD-10-PCS Coding of Vascular Procedures Using Guideline B4.1c

ICD-10-PCS Coding of Vascular Procedures Using Guideline B4.1c

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Coding of Vascular Procedures Using Guideline B4.1c in this free, brief presentation.   Now available! FY 2020 ICD-10 Code Updates by nationally recognized coding expert Lynn Kuehn “Anyone can read what the changes are, but truly understanding what […]

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ICD-10-PCS Pediatric Coding: Balloon Atrial Septostomy

ICD-10-PCS Pediatric Coding: Balloon Atrial Septostomy

Until the implementation of the 2018 code set, this procedure cannot be accurately coded in ICD-10-PCS because the percutaneous approach is not available. From 2015 to 2017, the correct coding is repair of the atrial septum, which sounds incorrect. The septum needs to be …

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ICD-10-PCS Code Set for FY 2020: Coronary Artery Bifurcation

ICD-10-PCS Code Set for FY 2020: Coronary Artery Bifurcation

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Code Set for FY 2020: Coronary Artery Bifurcation in this free, brief presentation.   Now available! FY 2020 ICD-10 Code Updates by nationally recognized coding expert Lynn Kuehn “Anyone can read what the changes are, but truly understanding what […]

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ICD-10-PCS Code Set for FY 2020: Deletion of External Approach for Breast Tissue Procedures

ICD-10-PCS Code Set for FY 2020: Deletion of External Approach for Breast Tissue Procedures

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Code Set for FY 2020: Deletion of External Approach for Breast Tissue Procedures in this free, brief presentation.   Now available! FY 2020 ICD-10 Code Updates by nationally recognized coding expert Lynn Kuehn “Anyone can read what the […]

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ICD-10-PCS Code Set for FY 2020: Deletion of Arterial Transfusions

ICD-10-PCS Code Set for FY 2020: Deletion of Arterial Transfusions

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Code Set for FY 2020: Deletion of Arterial Transfusions in this free, brief presentation.   Now available! FY 2020 ICD-10 Code Updates by nationally recognized coding expert Lynn Kuehn “Anyone can read what the changes are, but truly […]

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ICD-10-PCS Code Set for FY 2020: Deletions of Upper and Lower Artery Bifurcations

ICD-10-PCS Code Set for FY 2020: Deletions of Upper and Lower Artery Bifurcations

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Code Set for FY 2020: Deletions of Upper and Lower Artery Bifurcations in this free, brief presentation.   Now available! FY 2020 ICD-10 Code Updates by nationally recognized coding expert Lynn Kuehn “Anyone can read what the changes are, […]

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ICD-10-PCS: Epidermal Autografting

ICD-10-PCS: Epidermal Autografting

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA ICD-10-PCS FY2020 brings us another different way to complete the process of epidermal autografting – a new method called cell suspension technique. Let’s compare this new technique to the other ways the epidermis, the outermost layer of skin, can be grafted from the patient’s own skin. The cell […]

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IPPS Final Rule Omits Several Proposed MCC and CC Deletions

IPPS Final Rule Omits Several Proposed MCC and CC Deletions

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The Inpatient Prospective Payment System (IPPS) Proposed Rule for FY2020 contained an ominous collection of MCC and CC deletions. Thankfully, the Final Rule may let us breathe a little easier. A review of the draft version of the final rule reveals that almost 150 proposed MCC deletions and […]

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Hydrocephalus and Types of Shunts (Issues in Pediatric Procedure Coding)

Hydrocephalus and Types of Shunts (Issues in Pediatric Procedure Coding)

(Running time: 3:21) Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Hydrocephalus and Types of Shunts (Issues in Pediatric Procedure Coding) in this free, brief presentation.

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Scoliosis (Issues in Pediatric Procedure Coding)

Scoliosis (Issues in Pediatric Procedure Coding)

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Scoliosis (Issues in Pediatric Procedure Coding) in this free, brief presentation. Need comprehensive and complete pediatrics coding guidance?  ICD-10-PCS for Pediatrics: Procedures in the Musculoskeletal Systems provides detailed instruction on coding of procedures performed in the Musculoskeletal Systems. Complete package […]

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Why is Pediatric ICD-10-PCS Coding Different from Adult?

Why is Pediatric ICD-10-PCS Coding Different from Adult?

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA If you are a coder in a pediatric setting, you know that pediatrics is just different from adult medicine. This is especially true in surgical procedures. Adult surgery frequently deals with fixing degeneration or trauma; things that happen to a person. Pediatric surgery often deals with complex reconstructions […]

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ICD-10-PCS: Orbital vs. Rotational Atherectomy

ICD-10-PCS: Orbital vs. Rotational Atherectomy

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Is an orbital atherectomy the same as a rotational atherectomy? This question came to me earlier this week and has required some research. And, the answer is: They are not the same. Let’s look at the orbital atherectomy first. Orbital atherectomy is performed on calcified plaque lesions using […]

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ICD-10-PCS: Coding of the EXIT Procedure

ICD-10-PCS: Coding of the EXIT Procedure

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The goal of the Ex Utero Intrapartum Treatment (EXIT) procedure is to gain access to a compromised neonatal airway before complete delivery takes place. The EXIT procedure involves both patients, Mom and Neonate, and uses a team of professionals managing each patient, with the teams being totally synchronized […]

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ICD-10-PCS: Let’s Solve the Coronary Artery Bifurcation Issue

ICD-10-PCS: Let’s Solve the Coronary Artery Bifurcation Issue

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA First things first. A bifurcation is like a fork in the road. Webster says that a bifurcation is “the point or area at which something divides into two branches or parts or the point at which bifurcating occurs.” Here are two examples as shown in the drawings. Bifurcated […]

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Evaluation and Management (E/M) Coding: Will a Software Tool Help Me Code?

Evaluation and Management (E/M) Coding: Will a Software Tool Help Me Code?

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Evaluation and Management (E/M) coding is somewhat like driving a car. You need to know some important theory before taking to the road. E/M calculators or E/M coding and productivity tools help speed documentation review but they don’t make choices for the coder. It is the coder’s responsibility to […]

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ICD-10-PCS: Tunneled Central Venous Catheters – One Code or Two?

ICD-10-PCS: Tunneled Central Venous Catheters – One Code or Two?

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Tunneled and non-tunneled central venous catheters are different. A non-tunneled catheter is inserted directly into a central vein but the tunneled variety uses an extender piece that is placed into the subcutaneous tissue, in addition to the central catheter. The tunneled extender piece determines the difference in coding for […]

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Coding of Amputations in ICD-10-PCS: Detachment Documentation

Coding of Amputations in ICD-10-PCS: Detachment Documentation

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Coding the root operation of Detachment when the surgeon doesn’t document the ICD-10-PCS terminology of high, mid, or low amputations can be a challenge. Physicians don’t need to document these words, but they do need to give the coder enough documentation to know where the amputation took place. […]

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