JustCoding's Clinical Scenario: 2018 ICD-10-PCS Online Edition

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JustCoding's Clinical Scenario: 2018 ICD-10-PCS Online Edition

Product Code: XJCCSICD10PC

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Available in both print & online.
Click here for the print edition. 

JustCoding’s Clinical Scenario: 2018 ICD-10-PCS Online Edition

Real-world coding simulation to sharpen your coding skills

JustCoding’s Clinical Scenario: 2018 ICD-10-PCS Online Edition provides online training for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Coders will determine the correct ICD-10-CM and ICD-10-PCS codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for MS-DRG capture.

This online learning course also includes labeled illustrations for select cases to help coders by highlighting important anatomic details.  These 52 case scenarios let coders practice real-world coding without risking actual revenue.

When applicable, cases will also include references to guidance from the 2018 Official Guidelines for Coding and Reporting, Coding Clinic, and the ICD-10-CM and ICD-10-PCS manuals.

This course will help coders by:

  • Simulating real-world coding by actively reporting ICD-10-CM and CPT codes for each case scenario
  • Providing answers for every case with rationales from experts who explain why certain codes should or should not be reported
  • Giving a refresher on certain standards, bundling policies, and coding guidelines necessary for compliance

What makes our online training course different?

  • Adjustable difficulty — Each case is available in beginner and advanced levels, allowing users to set the amount of challenge they are comfortable with. The beginner level provides additional details such as the code descriptions while the advanced level provides only the scenario, leaving code selection completely up to the user.
  • Easier distribution — This course allows managers to delegate cases to be done and you can track your team’s progress as they work through the cases.
  • Instant feedback — Instead of referring to an answer key, our interface allows you to easily see whether your answer is correct upon submission.

Click here to  view a demo of the online training course. 

About the Authors


  • Stacie Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow, President & Senior Consultant at RadRx in Stuart, Florida
  • Laura Legg, RHIT, CCS, CDIP, director of HIM optimization at Healthcare Resource Group in Spokane Valley, Washington 
  • Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM and coding at HCPro, an H3.Group division of Simplify Compliance LLC, in Middleton, Massachusetts
  • Lori-Lynne Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, coding, compliance, data charge entry, and HIPAA privacy specialist in Melba Idaho
  • Julie Boomershine, RHIA, CCS, CTR, AHIMA-approved ICD-10 trainer, manager of coding operations at HRS in Baltimore, Maryland
  • Jonathan M. LaFleur, BSN, RN, CCS, senior auditing and clinical specialist at HRS in Baltimore, Maryland
  • Ghazal Irfan, RHIA, coding compliance manager of hospital services for Cerner- RevWorks in North Kansas City, Missouri


  • Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, regulatory specialist for HCPro, an H3.Group division of Simplify Compliance, LLC, in Middleton, Massachusetts 
  • Peggy Blue, MPH, CCS, CPC, CCS-P, CEMC, regulatory specialist for HCPro 
  • Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM and coding at HCPro 
  • Yvette DeVay, MHA, CPMA, CPC, CIC, CPC-I, regulatory specialist for HCPro 

List of Case Scenarios

See below for a complete list of cases included in the online training course:

Section 1: Central Nervous System

  • Craniotomy
  • Evacuation of Subdural Hematoma

Section 2: Heart and Great Vessels

  • Coronary Angiography
  • Aortic Valve Replacement
  • CABG With Atriclip
  • TVAR
  • Multiple CABG
  • Cardiac Catheterization and Impeller Pump Insertion

Section 3: Upper Arteries

  • Carotid Endarterectomy
  • Subclavian Artery Stenting
  • Right Carotid Endarterectomy

Section 4: Lower Arteries

  • Aortic Aneurysm Repair
  •  Coil Embolization
  • Artery Bypass Graft
  • Coronary Angiogram
  • Stent Graft Placement

Section 5: The Eye

  • Lens Implantation
  • Eyelid Sutures

Section 6: Gastrointestinal System

  • Gastric Bypass
  • Gastrectomy
  • Lysis of Adhesions
  • EGD
  • Exploratory Laparotomy/Colectomy
  • Sigmoid Colectomy

Section 7: Hepatobiliary System and Pancreas

  • Fluoroscopic Exchange
  • Cholecystectomy

Section 8: Skin and Breast

  • Breast Reconstruction
  • Partial Mastectomy

Section 9: Upper Joints

  • Fusion
  • Shoulder Arthropathy
  • Spinal Fusion

Section 10: Lower Joints

  • Foreign Body Removal
  • Spinal Fusion
  • Knee Arthroplasty
  • Hip Arthroplasty
  • Hardware Removal

Section 11: Female Reproductive System

  • Laparoscopic Hysterectomy
  • Total Abdominal Hysterectomy
  • Endometrial Curetting
  • Hysterectomy with Suburethral Sling

Section 12: Male Reproductive System

  • Resection of Prostate
  • Scrotal Exploration

Section 13: Pregnancy

  • Dilation and Curettage
  • Cesarean Section
  • Vaginal Delivery

Section 14: Miscellaneous

  • Rotator Cuff Avulsion
  • Femur Reposition
  • Incision and Drainage of Abscess
  • Abscess Removal
  • Amputation of Thumb
  • Transurethral Resection
  • Debridement and Adjacent Tissue Transfer