Correct understanding and application of ICD-10-CM/PCS guidelines are essential to anyone concerned with accurate, complete, and defensible coding of diagnoses and inpatient procedures. Learn how to correctly apply ICD-10-CM and ICD-10-PCS guidelines with the Libman Education ICD-10-CM/PCS Guidelines Package.
ICD-10-CM: Selected Guidelines for Coding and Reporting
Libman Education’s ICD-10-CM: Selected Guidelines for Coding and Reporting provides detailed instruction on application of conventions and general guidelines as well as selected guidelines most often misunderstood.
Conventions of the Classification
Review of all 19 conventions
Including Excludes 1 and 2, the “with” convention and code assignment and clinical criteria
General Coding Guidelines
Review of all 19 guidelines
Including acute and chronic conditions – when to code both, laterality explanation,
documentation of complications of care
Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
Review of all guidelines in this section
Review of HIV, Zika virus and Sepsis
Explanation of the coding of postoperative wound infections and postoperative sepsis
Chapter 2: Neoplasms (C00-D49)
Review of all the guidelines in this section
When to code malignancy as primary
Anemia, dehydration, signs and symptoms
Neoplasm in a transplanted organ
Chapter 9: Diseases of the Circulatory System (I00-I99)
Review of all the guidelines in this section
Review of the “with” guideline as it pertains to hypertension with heart and kidney disease
– sequelae vs current deficit
– affected side: dominant vs non-dominant
– old vs. new
– subsequent MI coding
– types of MIs
Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A)
Review of all the guidelines in this section
Review of trimester character
Review of 7th character for fetus identification and “in childbirth” designation
Selection of the OB principal or first-listed diagnosis
Pre-existing conditions vs pregnancy related conditions
Diabetes: gestational vs condition prior to pregnancy
Substance use, abuse, dependence in pregnancy
Peripartum and Postpartum periods
Chapter 19: Injury, poisoning, and certain other consequences of
external causes (S00-T88)
Review of all the guidelines in this section
7th character application
Initial vs Subsequent encounters for fractures
Coding of Burns:
– same anatomical site
– rule of nines
Adverse effects, poisonings, underdosing and toxic effects
– adverse effect vs poisoning
– underdosing defined
ICD-10-PCS Guidelines: A Case Study Approach provides a comprehensive review of ICD-10-PCS Guidelines and demonstrates how to apply the guidelines in code assignment:
Case Study 1 – Shoulder Joint Aspiration and Percutaneous Drainage Tube Insertion
Case Study 2 – Layered closure of left lower leg laceration
Case Study 3 – Coil occlusion of left vertebral artery aneurysm
Case Study 4 – Closed reduction of right mandibular fracture and tooth extraction
Case Study 5 – Laparoscopic-assisted sigmoidectomy
Case Study 6 – Placement of REBOA and repair of abdominal aorta
Case Study 7 –Thrombectomy of coronary artery bypass graft
Case Study 8 – Vaginal delivery with episiotomy and laparoscopic tubal occlusion
Guidelines B3.1a – B3.18
Case Study 1 – Endoscopic control of gastric ulcer with endo-clips
Case Study 2 – Endoscopic examination of stomach and suture repair of stomach via laparoscopy
Case Study 3 – Right middle and lower lobectomy lung
Case Study 4 – Diagnostic lumbar puncture
Case Study 5 – Failed diagnostic lumbar puncture
Case Study 6 – Coronary artery bypass grafts x 3
Case Study 7 – Coronary atherectomy and angioplasty with stent placement
Case Study 8 – Open reduction and internal fixation of tibia shaft fracture
Case Study 9 – Decompression laminectomy C5-C7
Case Study 10 – Left mastectomy with DIEP flap reconstruction
Case Study 11 – Percutaneous allogeneic bone marrow transplant
Case Study 12 – Left below knee amputation
Guidelines B2.1a – B2.1b; B4.1a – B4.8; F Selection of Principal Procedure
Case Study 1 – Suture repair of finger tendons and layered laceration repair
Case Study 2 – Chest tube insertion and talc pleurodesis
Case Study 3 – Percutaneous thrombectomy right dorsalis pedis and posterior tibial arteries
Case Study 4 – Percutaneous exchange of jejunostomy tube
Case Study 5 – Kyphoplasty T12 and L1
Case Study 6 – Spinal fusion with interbody fusion device T12-L2
Case Study 7 – Destruction skin lesions bilateral thumbs
Case Study 8 – Open excision of greater curvature stomach tumor
Case Study 9 – Reconstruction nasal tip with forehead paramedian skin flap
Case Study 10 – Prostatectomy with insertion of brachytherapy element
Case Study 11 – Left heart catheterization with coronary angiograms and ventriculogram followed by coronary artery bypass
The level of effort to complete this course bundle, start to finish, is equivalent to 9 CEUs and should take you approximately 9-27 hours to complete. Remember: You have access to the course materials for the full 20-week enrollment period and we encourage you to re-review any materials that are helpful to you.
Certificates of Completion
Upon successful completion of each course in the bundle, student will be able to download a Libman Education Certificate of Completion. The combined Certificates of Completion for the entire bundle will total 9 CEUs.
AHIMA: 9 CEUs
This program 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.
AAPC: 9 CEUs
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.
Barry Libman, MS, RHIA, CCS
Barry is the founder of Libman Education, a leading provider of training for the health care workforce, as well as Barry Libman Inc., a company that provides coding, audit, and educational services to the HIM departments of healthcare institutions. Prior to forming these organizations, he held a number of positions in the health information management field, working for hospitals, insurers, consulting firms, and regulatory bodies.
Barry is recognized for his in-depth knowledge of coding and reimbursement issues for acute care hospitals. An area of particular interest and expertise is Long Term Acute Care Hospital (LTACH) coding. Barry is often called upon to provide education and training on code updates and coding issues.
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.
“I tell everyone about Libman. I find that you have a very wide variety of choices in education that is actually needed and not so many things that aren’t really needed and can be mind boggling just trying to sift through it. Your website is well organized and everything offered is so well laid out and very informative as far as what you are getting, what I need and a very thorough write-up on everything offered. I’m so thrilled to have found your site!” — Sharon T
“I truly thank you Libman Group for your wonderful courses that have contributed to my success.” — Leslie Jay Corn, CCS, CPC, CCA/ER Coding Analyst/Boston Medical Center OR LogixHealth
“Thank you! Your company provides outstanding service and we appreciate it!” — Jim Herren, RHIA, CCS, Parkland Health & Hospital System
“I’m pleasantly surprised at your response … really didn’t think I would receive anything at all, so, thank you! I believe that alone says a lot for Libman Education. I would recommend you to other coding professionals.” — Jennifer Jones, CPC
“LOVEEE Libman! Very happy with the classes I’ve taken.” — Linda C.
“I love the courses at Libman Education.” — Joanne S., CCS
“Libman has exceeded my expectations so far in every way, with the content of courses, but the hands on with the instructors is one of the best and most genius things to offer! All other companies I’ve seen in my 12 years in this field do not offer this invaluable service with their education. Answers to questions on education content is something that was desperately needed, but to my knowledge, it was/is not offered anywhere else and this is what sets Libman apart from the rest. Also, your high quality education and very knowledgeable instructors.” — coding student
“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”
“I greatly appreciate this support and outstanding customer service!” — former student
“I attended the webinar last Thursday. Thank you so much for your time. It was an excellent webinar and very informative.” — Michele Veilleux, RHIT, CCS, CPC, on Barry Libman’s ICD-10 Coding Clinic Update webinar on 9/24/2015 for Wolters Kluwer
“Perfect! Finally an explanation in terminology my non coding manager can understand. I am validated!” — on Barry’s Libman’s Coding Clinic presentation
“Thanks for sharing! This was very informative!” — Jessica M. on Barry Libman’s Coding Clinic presentation
“Lynn Kuehn is the best in the country with PCS coding.” — Roberta Walker, Inpatient Coding Educator at Hawaii Pacific Health
“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
“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.”
“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
- ICD-10-CM Code Book – 2022
- ICD-10-PCS Code Book – 2022 or students may elect to use electronic files
- ICD-10-PCS: An Applied Approach by Lynn Kuehn and Teri Jorwic is published by the American Health Information Management Association. While AHIMA is not publishing a 2022 edition, the 2021 edition has been supplemented with a “2022 Update Document” in the Student Resources (accessed using the information inside the front cover of the text). The book is available for purchase from AHIMA here and Amazon here. 2023 version coming this November.
- Medical dictionary
- Anatomy and physiology reference
- Merck Manual
This set of nine 5×7, laminated, double-sided ICD-10-PCS Root Operations Flash Cards, designed by nationally recognized ICD-10 expert Gail I. Smith, MA, RHIA, CCS-P, prepares you to select the appropriate root operation with confidence.
The ICD-10-PCS Approach Decision Tree, developed by nationally recognized ICD-10-PCS expert, Lynn Kuehn, is a two-sided, laminated flashcard providing both the approach decision tree plus definitions of the seven different approaches in a handy, easy-to-use format.
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