Complete ICD-10-PCS Training: From Beginner to Advanced



The Complete ICD-10-PCS Training package by nationally recognized coding expert Lynn Kuehn takes you from beginner to advanced in minimal time.

Bonus!  Purchase the Complete ICD-10-PCS Training and receive Libman Education’s ICD-10 Root Operations Flash Cards at no extra charge.

CEUs:     24 AHIMA      24 AAPC
Included in eLearning Library

The Complete ICD-10-PCS Training package by nationally recognized coding expert Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, takes you from beginner to advanced in minimal time.  Courses in this package include:

The Complete ICD-10-PCS Training package:

  • Provides you with in-depth and advanced ICD-10-PCS knowledge.
  • Provides additional examples, exercises, case studies and coding tips not found within the textbook.
  • Educates you with examples and coding practice using actual operative reports.
  • Covers difficult topics in an understandable manner.
  • Provides many examples with anatomical illustrations and audio/video content.
  • Is online and self-paced, saving you time and travel costs.

Sign up now, and

  • study the ICD-10 coding guidelines in detail and learn to apply them to support an accurate code assignment.
  • benefit from an advanced discussion of the root operations and learn to select the correct root operation(s) for a complete case.
  • learn with challenging and thought-provoking case studies carefully selected for each body system.
  • challenge yourself to code accurately and completely with real life examples and scenarios.
  • identify the body parts assigned by ICD-10-PCS to each of the body systems in the medical and surgical section to increase coding speed.
  • Multimedia and interactive online course offering independent self-study combined with instructor support. Students may contact or email course content questions to their instructor, or request a consultation with the instructor to facilitate course completion.
  • Online Flexibility! Materials available 24/7. Work at your own pace — save time and travel costs.
  • Earn 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. Enrollment period is 24 weeks.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Financing available through PayPal Credit.
  • Price listed is per person/per course. Group rates available upon request.

ICD-10-PCS, Part 1: The Med/Surg Section
The course consists of six lessons. Each lesson takes approximately 60 minutes to complete.

Lesson 1: System Structure and Design
Code format
System structure
Coding building process
Additional resources in the Index

Lesson 2: ICD-10-PCS Coding Guidelines
Content of the ICD-10-PCS Official Guidelines for Coding and Reporting

Examples to demonstrate the use of the Guidelines
Application of the Guidelines to coding scenarios

Lesson 3: Root Operations that Take Out All or Part of a Body Part or Solids/Fluids/Gases
Definitions of and code assignment with:
Excision, Resection, Detachment, Destruction, – 
Extraction, Drainage, Extirpation, Fragmentation

Lesson 4: Root Operations that Cut or Separate, Put In or Put Back or Move Body Parts
– Definitions of and code assignment with:
 Division, Release, Transplantation, Reattachment, Transfer, Reposition

Lesson 5: Root Operations that Alter the Diameter or Route or Involve a Device

– Definitions of and code assignment with:
 Restriction, Occlusion, Dilation, Bypass, Insertion, Replacement, Supplement, Change, Removal, Revision

Lesson 6: Root Operations that Involve Examination Only, Other Repairs or Other Objectives
Definitions of and code assignment with: 
Inspection, Map, Control, Repair, Fusion, Alteration, Creation

ICD-10-PCS, Part 2: The Med/Surg-Related and Ancillary Sections
The course consists of six lessons. Each lesson takes approximately 60 minutes to complete.
Lesson 1 introduces the structure and design of the Obstetrics section
Lesson 2 covers the Placement, Administration, Measurement and Monitoring sections of ICD-10-PCS
Lesson 3 helps you learn about the Extracorporeal Assistance, Performance and Therapies sections
Lesson 4 shows you the Osteopathic, Other Procedures and Chiropractic sections
Lesson 5 covers the Imaging, Nuclear Medicine and Radiation Oncology sections
Lesson 6 introduces you to the Physical Rehabilitation and Diagnostic Audiology, Mental Health, and Substance Abuse Treatment sections of ICD-10-PCS

ICD-10-PCS, Part 3: Advanced Coding by Body System
Each lesson is designed using the same format:
• Common root operations for the body system
• Unique devices
• Unique qualifiers
• Coding examples for the body system

Lesson 1: Anatomical Regions
Lesson 2: Nervous System
Lesson 3: Sense Organs
Lesson 4: Respiratory System
Lesson 5: Circulatory System
Lesson 6: Gastrointestinal and Hepatobiliary System
Lesson 7: Endocrine and Lymphatic Systems
Lesson 8: Integumentary System
Lesson 9: Muscular System: Muscles, Tendons, Bursae and Ligaments
Lesson 10: Skeletal System: Bones and Joints
Lesson 11: Urinary System
Lesson 12: Male and Female Reproductive System


Lynn Kuehn is president of Kuehn Consulting, LLC, in Waukesha, Wisconsin, 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 ServicesCCS-P Exam Preparation, and ICD-10-PCS: An Applied Approach.

Together with her co-Author Theresa Jorwic, Lynn received the Triumph Literary Legacy Award from AHIMA for ICD-10-PCS: An Applied Approach. This book has been named the “go-to” resource for learning and mastering ICD-10-PCS.  ICD-10-PCS: An Applied Approach provides step-by-step instructions and exercises at all levels, and is used throughout Kuehn’s ICD-10-PCS courses authored for Libman Education.

“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 met Lynn at ICD-10 training. She is a great trainer of ICD-10.” — Linda D., RHIT, CCS

“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.”

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

“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.


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ICD-10-PCS: An Applied Approach by Lynn Kuehn and Teri Jorwic, published by the American Health Information Management Association. The 2019 edition is available for purchase here (AHIMA).

ICD-10-PCS Code Book, current version (any vendor) or students may elect to use electronic files.



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    The key to ICD-10-PCS coding success is understanding and being able to identify the root operations.

    • Each root operation is defined and the key distinguishing feature called out.
    • Examples of each root operation are provided.
    • Similar root operations are grouped together so that the subtle differences are more easily understood.

    Each ICD-10-PCS Root Operation flash card presents a different group of root operations. The set includes:

    • Root operations that take out some or all of a body part
    • Root operations that take out solids/fluids/gases from a body part
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    • Root operations that alter the diameter/route of a tubular body part
    • Root operations that always involve a device
    • Root operations involving examination only
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    • Root operations that define other objectives

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