ICD-10-CM: Obstetrical Diagnosis Coding

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ICD-10-CM: Obstetrical Diagnosis Coding



Learn to code obstetrical diagnoses with the unique perspective and expertise offered by nationally recognized coding expert Lynn Kuehn!  ICD-10-CM:  Obstetrical Diagnosis Coding explains the clinical details of common complications of pregnancy, abortion, delivery, and the puerperium.

CEUs:  2    2 AHIMA    2 AAPC
Included in eLearning Library. Price per person. Group rates available.


ICD-10-CM:  Obstetrical Diagnosis Coding explains the clinical details of common complications of pregnancy, abortion, delivery, and the puerperium.

  • Coding gestational vs pre-existing maternal conditions, as well as abortion versus fetal death coding
  • Maternal infections including systemic infection, intrauterine infection, obstetrical wound infections and wound disruptions
  • Determining normal pregnancy and normal delivery for purposes of coding
  • A thorough discussion of the best indexing options for locating appropriate diagnosis codes
  • Appropriate for coders of physician office, outpatient, and inpatient services

Coding of obstetrical conditions requires coders to master unique terminology and concepts.  ICD-10-CM: Obstetrical Diagnosis Coding includes our proprietary Obstetrics Glossary which defines over 120 common terms obstetrical coders need to know.

Looking for more? Buy the bundle and save! Comprehensive Inpatient Obstetrical Coding provides an all-inclusive approach to coding inpatient obstetrical cases from initial pregnancy through the puerperium. Comprised of instruction in ICD-10-CM and ICD-10-PCS plus a real-world practice module, Coding Workspace™, the courses teach the coder how to evaluate the documentation and locate any obstetrical code.


Topics – Lesson 1
Guidelines I.C.15.a.1-6
Trimesters of Pregnancy
7th Character Assignment for Fetus Identification
Chapter 15 Code Also and Excludes Notes
Overview of Pregnancy Conditions Coded in Chapter 15
General Guidance for OB


Topics – Lesson 2
Pregnancy Testing
Products of Conception Anatomy
Normal Pregnancy
Weeks of Gestation Defined
Pregnancy Terminology (EDD) (Gravidity, Parity)
Classifying Multiple Gestations
Chorion vs Amnion
Category O30 – Coding Multiple Gestations
7th Character Assignment for Fetal Complications
Ectopic Pregnancies
Antenatal Screening
Complications of Pregnancy
Indexing Tips
Hyperemesis Gravidarum
Cervical Insufficiency
Abruptio Placentae
Circumvallate Placenta
Velamentous Placenta
Placenta Previa
Gestational Diabetes
Pre-existing Diabetes
Premature Rupture of Membranes
Malignant Neoplasm
Obesity and BMI
Rh Incompatibility
Fetal Conditions Affecting the Management of the Mother (Guideline I.C.15.e)
False Labor
Alcohol Use
Drug Use
Tobacco Use
High-Risk Pregnancy
Incidental Pregnancy
Spontaneous Abortion
Induced Abortion
Complications of Abortion
Failed Attempt of Abortion
Fetal Death
Selection of the Principal or Fist-Listed Diagnosis


Topics – Lesson 3
Stages of Labor and Delivery
Term, Pre-term and Post-term
Normal Delivery
Outcome of Delivery
“in childbirth” Character Designation
Labor Complications
Abnormal Lie
Abnormal Presentation (breech)
Obstructed Labor
Shoulder Dystocia
Preterm Labor
Delivery Complications
Prolapsed or Nuchal Cord
Vasa Previa
Cesarean Delivery
Obstetric Lacerations
Placenta Accreta
Multiple Gestations
Urinary Infections
O94 – Sequelae
O98 – Maternal infections
O99 – other maternal diseases
Selection of Principal or First-Listed Diagnosis
Puerperium vs. Peripartum
Puerperal Complications
Postpartum Hemorrhage
Complications of Anesthesia
Anemia of the Puerperium
Breast Conditions (mastitis, cracked nipple)
Puerperal Sepsis
Obstetrical Wound Infection
Obstetrical Wound Disruption
Postpartum Examinations


The level of effort to complete this course, start to finish, is equivalent to 2 CEUs and should take you approximately 2-6 hours to complete. Remember: You have access to the course materials for the full 16-week enrollment period and we encourage you to re-review any materials that are helpful to you.

Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 2 CEUs.

This course has been approved for continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • WebinarPlus™ multimedia and interactive online course promotes engagement with challenging materials while offering independent self-study.
  • Teaching methods including audio and video files, diagrams, and animations to accommodate different learning styles. Where appropriate, the Merck Manual Professional Version supplements course materials with in-depth descriptions of diagnoses and/or procedures.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Price listed is per person/per course. Group rates available upon request.


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.

“Highly recommend these coding workspace cases, expertly created by Lynn Kuehn. They contain lots of references and pictures and are very intuitive. If you struggle with OB coding, whether you’re a beginner or experienced, this case learning method is for you! The methods that she teaches will help increase your production as well.” — Lori Drodge, RHIT, CCS, DRG Coordinator

“These cases are well written, thorough and an excellent review of obstetrics coding. I found the cases included to be typical of what is found in coding the obstetrical patients in most busy OB departments in hospitals. Excellent program.” — Lou Ann Schraffenberger, MBA, RHIA, CCS, CCSP, CPC, FAHIMA

“I’m done with the OB course and it was fantastic. I learned a lot and I know it will help me. I love how you give details and examples. I would recommend this program to anyone wanting to learn OB coding.” — Anonymous

“The Comprehensive Obstetrics course was excellent. I have learned so much from the OB course. The examples and explanations were very helpful to me.” — Jill D.

“I have known Lynn a long time and I’ve been working with coders and those external auditors who audit coding for over 40 years. Lynn is not only the best at PCS coding but also with the Anatomy and Physiology that are involved to better understand what goes on in complex operations.” — Roberta Walker, Inpatient Coding Educator at Hawaii Pacific Health

“Lynn Kuehn, in my mind, is the Queen of Coding Education. She has the ability to take a difficult, confusing subject and make it very easily understood.” — Charlotte Bumgarner

“Per usual with Libman and Lynn Kuehn, these are excellent programs.” — Lou Ann Schraffenberger, MBA, RHIA, CCS, CCSP, CPC, FAHIMA

“Lynn is an inspirational teacher. She ignites a passion for coding within you!” — Kristen T

“Lynn, your explanations are clear, concise and to the point. Recommend it to any and all. It is a confidence booster!” — Leslie C

“I consistently learn from Lynn Kuehn. Thank you!”

“Lynn: I look for everything you have on the internet. You have a wonderful concise way of presenting material that is so easy to understand. All of us learn differently and your slides help us ‘Visual learners.’ keep up the great work. I will be ordering your flash cards! Many thanks.”

“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”

“I just wanted to let you know that the articles written by Lynn are a great help. I read them all the time and learn something new each time. Please let her know what a fine job she does.” — Kira G., RHIT, IP Coder III

“Lynn always has a way of getting the information across in a simple, understandable way!” — Janice N.

“Just heard Gail and Lynne’s PCS workshop – fantastic information and terrific speakers!!” — Jacqueline F., RHIT, CCS, DRG Validation Specialist


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