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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: 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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ICD-10-PCS: Fogarty Catheters Require a Different Approach

ICD-10-PCS: Fogarty Catheters Require a Different Approach

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Fogarty catheters are different than other thrombectomy catheters, such as stent retrievers or aspiration catheters. Because of the differences, the approach which must be assigned to code accurately in ICD-10-PCS is also different. A Fogarty catheter enters the vessel through a cut-down because it contains a guidewire and […]

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Pediatric Neurosurgical Coding: Uncommon Pediatric Neurosurgery Procedures

Pediatric Neurosurgical Coding: Uncommon Pediatric Neurosurgery Procedures

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Pediatric Neurosurgical Coding: Uncommon Pediatric Neurosurgery Procedures in this free, brief presentation.   Need comprehensive and complete pediatrics coding guidance? Then consider Libman Education’s Pediatrics Coding Suite — authored by nationally recognized coding experts Lynn Kuehn and Gail I. […]

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Pediatric Neurosurgical Coding: Treating Spasticity in Pediatric Neurology Patients

Pediatric Neurosurgical Coding: Treating Spasticity in Pediatric Neurology Patients

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Pediatric Neurosurgical Coding: Treating Spasticity in Pediatric Neurology Patients in this free, brief presentation.   Need comprehensive and complete pediatrics coding guidance? Then consider Libman Education’s Pediatrics Coding Suite — authored by nationally recognized coding experts Lynn Kuehn and Gail […]

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Pediatric Neurosurgical Coding: Meningeal Repair

Pediatric Neurosurgical Coding: Meningeal Repair

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Pediatric Neurosurgical Coding: Meningeal Repair in this free, brief presentation.   Need comprehensive and complete pediatrics coding guidance? Then consider Libman Education’s Pediatrics Coding Suite — authored by nationally recognized coding experts Lynn Kuehn and Gail I. Smith! Learn more […]

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ICD-10-PCS: Guideline B4.1c — Where is the Furthest Site?

ICD-10-PCS: Guideline B4.1c — Where is the Furthest Site?

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA I never thought much about the “furthest anatomical site” until ICD-10-PCS Guideline B4.1c was added for 2018. This guideline says that when a procedure is performed on a continuous section of a tubular body part, we assign the body part that corresponds to the furthest anatomical site from […]

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Pediatric Neurosurgical Coding: Approaches to the Brain

Pediatric Neurosurgical Coding: Approaches to the Brain

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Pediatric Neurosurgical Coding: Approaches to the Brain in this free, brief presentation.   Need comprehensive and complete pediatrics coding guidance? Then consider Libman Education’s Pediatrics Coding Suite — authored by nationally recognized coding experts Lynn Kuehn and Gail […]

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Pediatric Neurosurgical Coding: Differentiating Between Cranial and Spinal Dura and Spaces

Pediatric Neurosurgical Coding: Differentiating Between Cranial and Spinal Dura and Spaces

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Pediatric Neurosurgical Coding: Differentiating Between Cranial and Spinal Dura and Spaces in this free, brief presentation. Need comprehensive and complete pediatrics coding guidance? Then consider Libman Education’s Pediatrics Coding Suite — authored by nationally recognized coding experts Lynn […]

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ICD-10-PCS Vascular Coding: Thrombectomy of Lower Extremity

ICD-10-PCS Vascular Coding: Thrombectomy of Lower Extremity

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Vascular Coding: Thrombectomy of Lower Extremity as updated for FY 2018 in this free, brief presentation. Learn more from Lynn! Master the FY 2019 ICD-10 code changes with the NEW ICD-10 Code Updates. Learn more here.

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ICD-10-PCS: Bronchoalveolar Lavage – Problem Solved!

ICD-10-PCS: Bronchoalveolar Lavage – Problem Solved!

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The controversy regarding Bronchoalveolar Lavage, or BAL, will finally be resolved in October. The BAL procedure is drainage of the cells of the alveoli using an endoscope and specific procedural steps, but the correct body part assignment has been challenging and troublesome. When coded correctly, the DRG seemed inappropriate. […]

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ICD-10-PCS Vascular Coding: Arteriovenous Fistula

ICD-10-PCS Vascular Coding: Arteriovenous Fistula

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Coding of Arteriovenous Fistula as updated for FY 2018 in this free, brief presentation. Learn from Lynn LIVE! ICD-10-PCS Coding of Vascular Procedures (Sept. 13 in Columbia, MD) Acquire the confidence necessary for vascular coding! Demystify the challenges […]

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