ICD-10-PCS, Part 1: The Med/Surg Section


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Introduction to the structure and design of the ICD-10-PCS system and coding guidelines by nationally-recognized coding expert Lynn Kuehn. Course provides education on assigning codes within the medical and surgical section of ICD-10-PCS, with complete education on the 31 root operations used in the coding process.

CEUs:     6 AHIMA      6 AAPC
Included in eLearning Library. Price per person. Group rates available.

Introduction to the structure and design of the ICD-10-PCS system and coding guidelines. Course provides education on assigning codes within the medical and surgical section of ICD-10-PCS, with complete education on the 31 root operations used in the coding process.

Students who complete this course will be able to:

  • Identify the code format, system structure, and design of ICD-10-PCS.
  • Demonstrate the code building process through the use of the index and tables.
  • Apply Official Guidelines for Coding and Reporting of ICD-10-PCS codes.
  • Given a case scenario, select the necessary statements to code and apply Official Guidelines for Coding and Reporting to support an accurate code assignment.

Developed by one of the textbook authors, this course guides the learner through the first six chapters of the accompanying textbook and includes additional examples, exercises, case studies and coding tips not found within the textbook.

Purchase separately or as part of the Complete ICD-10-PCS Training Package!

  • WebinarPlus™ multimedia and interactive online course offering independent self-study.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available 24/7. 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.
  • 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


Lynn Kuehn is president of Kuehn Consulting, LLC, in Waukesha, Wisconsin, a consulting firm specializing in ICD-10-PCS coding for the inpatient setting. 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 ICD-10-PCS: An Applied Approach and Procedural Coding and Reimbursement for Physician Services.

Together with her co-Author Theresa Jorwic, Lynn received the Triumph Literary Legacy Award from AHIMA for ICD-10-PCS: An Applied Approach. Called 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.

“I wanted to let you know that I passed my AAPC ‘Certified Inpatient Coder’ certification exam on the first try! I feel certain that Libman’s ICD-10-PCS online course helped me achieve that goal!” — Lisa M., COC, CPC, CIC, CPB, CANPC, COSC, CEMA, CEMA-O

“I just finished the first section of ICD-10-PCS. Very well done. Definitely will help me in learning this system.” — Nannette B

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

“I love the ICD-10-PCS An Applied Approach text. It delves into complex material.” — Carole G., RHIT, CCS, Coding Consultant

“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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ICD-10-PCS: An Applied Approach by Lynn Kuehn and Teri Jorwic, published by the American Health Information Management Association. The 2020 edition is available for purchase from AHIMA here and Amazon here.

ICD-10-PCS Code Book – 2020 or students may elect to use electronic files

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    • Root operations that take out some or all of a body part
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    • Root operations that put in/put back or move some/all of a body part
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  • eLearning LibraryICD-10-PCS

    Complete ICD-10-PCS Training Package


    The Complete ICD-10-PCS Training Package by nationally recognized coding expert Lynn Kuehn provides complete training on the structure and use of the ICD-10-PCS classification system and how to apply it accurately for over 500 procedures performed in the inpatient setting. Courses in this package include:

    The Complete ICD-10-PCS Training Package:

    • Provides you with in-depth 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

    • review the ICD-10 coding guidelines and learn to apply them to support 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.

    Unlimited course access during a 24 week enrollment period.