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

Lynn Kuehn is president of Kuehn Consulting, LLC, and a nationally recognized authority on ICD-10-PCS coding. Lynn was elected to the AHIMA Board of Directors, served as faculty for the original ICD-10 “Train-the-Trainers” program, and authored or co-authored several of AHIMA’s most popular books including ICD-10-PCS: An Applied Approach, recognized as the “go-to” resource for learning and mastering ICD-10-PCS. As a Subject Matter Expert with Libman Education, Lynn’s unique and engaging teaching methods as well as her leadership on the importance of accuracy and efficiency in coding is recognized by clients and students throughout the country.
28 07, 2022

ICD-10-PCS Coding of Cesarean and Other Extraction Deliveries

By |2022-07-28T11:44:13-04:00July 28th, 2022|Coders' Corner, LibmanLightbox|0 Comments

  ICD-10-PCS Coding of Cesarean and Other Extraction Deliveries This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discusses ICD-10-PCS coding of cesarean and other extraction deliveries.   Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it. eLearning Library: Inpatient Coding Offers the resources you need to address the increasing complexity of the ICD-10-CM and ICD-10-PCS coding systems. On-demand access to mastery-level specificity enhances job-specific, self-paced learning for one full year. Learn more.    

15 07, 2022

Coders’ Responsibility: The Power of Guideline A11

By |2022-07-15T21:09:58-04:00July 15th, 2022|Coders' Corner|0 Comments

By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA I think the most powerful guideline is A11. While it uses the example of distinguishing between ICD-10-PCS root operations Excision and Resection, it is far more than that. This is the guideline that gives us coders the power to think for ourselves as we read and interpret clinical documentation and translate it into codes. With this great power comes great responsibility. Never is our coding responsibility greater than when we prepare for the code set updates each year, when there are all kinds of things to learn. - Coders have a responsibility to

14 07, 2022

ICD-10-PCS: Hypoplastic Left Heart Syndrome

By |2022-07-14T11:52:42-04:00July 14th, 2022|Coders' Corner, LibmanLightbox|3 Comments

  ICD-10-PCS: Hypoplastic Left Heart Syndrome This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, focuses on coding the various surgeries that are performed on children with hypoplastic left heart syndrome.   Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   eLearning Library: Inpatient Coding Offers the resources you need to address the increasing complexity of the ICD-10-CM and ICD-10-PCS coding systems. On-demand access to mastery-level specificity enhances job-specific, self-paced learning for one full year. Learn more here.

4 07, 2022

Practical Coding Experience: Your Virtual Tutor

By |2022-07-04T11:01:22-04:00July 4th, 2022|Coders' Corner|Comments Off on Practical Coding Experience: Your Virtual Tutor

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Hands-on experience with real inpatient records means everything if your dream job is “Inpatient Coder.” Wouldn’t it be nice to have a tutor while you learn? See for yourself!  Join Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA for a demonstration of  this online virtual tutor here. I had been wanting to tackle the problem of how to teach real hands-on inpatient coding skills for a while. The disruption of the last few years made this a much more urgent challenge. Practical Coding Experience (PCE) on the Coding Workspace™ platform was “born” with the help of

30 06, 2022

Time to Think Strategically about Code Updates

By |2022-07-28T22:53:22-04:00June 30th, 2022|Coders' Corner|2 Comments

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Coding is important. It is how we track and quantify the health of individuals and our nation’s population as a whole. It is used to measure and improve the quality of the services our healthcare organizations provide. It becomes the data in the shared repository of health information to support research and advancements in medical science. Coding is essential to our efforts to improve the quality of health data and through that the quality of care and overall health of our country. It is also how healthcare organizations get paid. And because there

2 06, 2022

ICD-10-PCS: Coding Refusion of the Spine

By |2022-07-14T15:33:31-04:00June 2nd, 2022|Coders' Corner, LibmanLightbox|1 Comment

  ICD-10-PCS: Coding Refusion of the Spine Fusions don't always work. When a previous fusion did not get the job done, fusion needs to be redone to complete the objective.  This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, focuses on ICD-10-PCS coding refusion of the spine.   Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   Practical Coding Experience: Inpatient Spinal Procedures Hands-on coding practice coupled with detailed guidance on correct code assignment. Sharpen your coding skills on challenging real-world

19 05, 2022

From Outpatient to Inpatient Coder: Start With What is Most Important

By |2022-05-19T20:42:09-04:00May 19th, 2022|Coders' Corner|1 Comment

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA In the television series, The Crown, King George VI tells the Princess Elizabeth his approach to reviewing the documents received in the red box, that daily package of papers sent from the government to the sovereign. It could be an overwhelming task. His solution: he would flip the pile over and start at the bottom where more critical or even controversial information was sometimes tucked, in the hopes he might not see it. I have recently been working with coders who are transitioning from outpatient to inpatient coding. One theme that continues to

5 05, 2022

ICD-10-PCS: The Secret to Finding the Documentation You Need

By |2022-05-05T13:05:47-04:00May 5th, 2022|Coders' Corner|3 Comments

By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA One of the challenges of ICD-10-PCS coding is making sense of the documentation as it appears in the record in order to support accurate code assignment. When learning to code a procedure, wouldn’t it be nice if someone would just point out the important parts? It would be so much easier if you knew what to look for and which documentation gives the “secret” that unravels the mystery of the procedure. Sometimes, the answer is right there but we just can’t see it. I find this problem in students I am mentoring who

5 05, 2022

ICD-10-PCS: Epidermal Autografting

By |2022-05-05T00:00:04-04:00May 5th, 2022|Coders' Corner, LibmanLightbox|Comments Off on ICD-10-PCS: Epidermal Autografting

  ICD-10-PCS: Epidermal Autografting This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, focuses on ICD-10-PCS coding of epidermal autografting using various methods.     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   eLearning Library: Inpatient Coding Offers the resources you need to address the increasing complexity of the ICD-10-CM and ICD-10-PCS coding systems. On-demand access to mastery-level specificity enhances job-specific, self-paced learning for one full year. Learn more here.

15 04, 2022

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

By |2022-04-15T23:28:43-04:00April 15th, 2022|Coders' Corner|2 Comments

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 lesion example 1 is a lesion that starts in the left coronary artery (LCA) and extends into both branches of the LCA, called the circumflex artery and the left anterior descending artery. Bifurcated lesion example 2 is a lesion that starts in the right coronary

23 03, 2022

ICD-10-PCS: Aortic Valve Replacement Options

By |2022-03-28T11:51:36-04:00March 23rd, 2022|Coders' Corner, LibmanLightbox|3 Comments

  ICD-10-PCS: Aortic Valve Replacement Options What makes a valve replacement a rapid deployment technique valve replacement in the New Technology section of ICD-10-PCS? These days, there are multiple options. This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discusses ICD-10-PCS coding of aortic valve replacements.     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   eLearning Library: Inpatient Coding Offers the resources you need to address the increasing complexity of the ICD-10-CM and ICD-10-PCS coding systems. On-demand access to

10 03, 2022

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

By |2022-03-10T20:31:51-05:00March 10th, 2022|Coders' Corner|4 Comments

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 an inflatable balloon.  The guidewire is passed through the clot and the balloon is inflated on the other side of the clot from the entry site.  With the balloon still inflated, the balloon is pulled back toward the cut-down opening of the vessel and the

4 03, 2022

ICD-10-PCS Vascular Coding: HeRO Device for Dialysis Access

By |2022-03-04T23:27:47-05:00March 4th, 2022|Coders' Corner, Webinars|1 Comment

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Vascular Coding of the Hemoaccess Reliable Outflow (HeRO) Device for Dialysis Access in this free, brief presentation.   Practical Coding Experience: Inpatient Arteriovenous Procedures Hands-on coding practice coupled with detailed guidance on correct ICD-10-PCS code assignment. Using Libman Education’s proprietary Coding Workspace™ format, learners sharpen their coding skills on real-world operative reports varying in complexity from basic to advanced including the HeRO device and many more! Learn more here.

24 02, 2022

ICD-10-CM: Social Determinants of Health

By |2022-02-24T17:09:31-05:00February 24th, 2022|Coders' Corner, LibmanLightbox|Comments Off on ICD-10-CM: Social Determinants of Health

  ICD-10-CM: Social Determinants of Health   This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discusses ICD-10-CM and social determinants of health (SDOH) in categories Z55 to Z65.   Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it. Practical Coding Experience: Inpatient Real-world, Hands-on Coding Experience Practical Coding Experience: Inpatient provides hands-on coding practice coupled with detailed guidance on correct ICD-10-CM and ICD-10-PCS code assignment. Using Libman Education’s proprietary Coding Workspace™ format, learners sharpen their coding skills on real-world inpatient cases.

18 02, 2022

ICD-10-PCS Vascular Coding: Two-Part Bypass Devices

By |2022-02-24T17:21:18-05:00February 18th, 2022|Coders' Corner, Webinars|Comments Off on ICD-10-PCS Vascular Coding: Two-Part Bypass Devices

 Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Vascular Coding: Two-Part Bypass Devices in this free, brief presentation.   Comprehensive Inpatient Vascular Coding Provides an all-inclusive approach to coding vascular and arteriovenous operative reports. Learn to code these complex inpatient procedures with the unique perspective of nationally recognized ICD-10-PCS coding expert Lynn Kuehn. Learn more here.

9 02, 2022

Don’t be Tricked by Tricky Documentation

By |2022-02-09T22:59:08-05:00February 9th, 2022|Coders' Corner|3 Comments

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA It is probably not news to any of you that medical documentation can be tricky. A question came to me recently that asked “Trying to code the percutaneous thrombectomy of SFA with insertion of stent.” Just like in documentation, sometimes you do not get all the information you would like to have so I had to guess what the coder’s real issue was. Here is my answer to the question: In PCS, the thrombectomy (extirpation) and the dilation with the stent are both coded. Stents are placed during a dilation procedure, not inserted,

6 02, 2022

This Just In! – More New Codes Related to COVID-19 for April 1, 2022

By |2022-02-06T07:27:43-05:00February 6th, 2022|Coders' Corner, LibmanLightbox|3 Comments

This Just In! More New Codes Related to COVID-19 for April 1, 2022   This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, focuses three new ICD-10-CM codes and seven new ICD-10-PCS codes related to COVID-19 will be issued in an April 1, 2022 code set update.  Details are a little scarce, but here is what we know now.   Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   eLearning Library The eLearning Library subscription provides unlimited access to over 60

26 01, 2022

ICD-10-PCS: 13 Words That Completely Change Vascular Procedure Coding

By |2022-01-26T15:25:43-05:00January 26th, 2022|Coders' Corner|7 Comments

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The FY 2022 changes to Guideline B4.1c make me extremely concerned about data collection for coding of vascular procedures. Since its addition to the Guidelines for FY 2018, Guideline B4.1c has read “If a procedure is performed on a continuous section of a tubular body part, code the body part value corresponding to the furthest anatomical site from the point of entry.” For FY 2022, the guideline is radically changed. Guideline B4.1c will read “If a procedure is performed on a continuous section of a tubular body part, code the body part value

13 01, 2022

ICD-10-PCS: Transplantation of Zooplastic Heart

By |2022-02-03T17:51:25-05:00January 13th, 2022|Coders' Corner|Comments Off on ICD-10-PCS: Transplantation of Zooplastic Heart

By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA For years, people have wondered why the zooplastic option was available in the Transplantation tables and now we know why. A Maryland hospital transplanted a pig heart into a human for the first time on January 7th. A lucky coder at that hospital will be the first to use the Zooplastic qualifier for heart transplantation when coding this case as 02YA0Z2, Transplantation of Heart, Zooplastic, Open Approach. The ICD-10-PCS code set is robust, with options for coding things that seem like they will never be done in current surgical practice. This tells us

30 12, 2021

Practical Coding Experience in the Virtual World

By |2022-01-11T16:27:07-05:00December 30th, 2021|Coders' Corner|Comments Off on Practical Coding Experience in the Virtual World

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Learning to code from books is vital but hands-on experience with real inpatient records means everything if your dream job is “Inpatient Coder.” Wouldn’t it be nice to have a tutor while you learn? That’s how it was done years ago and even right up until COVID-19 turned our world upside down. In Spring of 2020, students were being displaced from in-person professional practice experiences (PPEs), and I became a virtual tutor overnight. I had been wanting to tackle the problem of how to teach real hands-on inpatient coding skills for a while.

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