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Distance Education · Health Sciences · Health Information - HITT

Ambulatory Coding

  • Fall 2020
  • Section N01 CRN-10349
  • 3 Credits
  • 08/24/2020 to 12/10/2020
  • Modified 09/07/2020

Meeting Times

  • Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, 12:00 AM to 11:59 PM

Course may be accessed at any day or time, as long as student has internet access.

Contact Information

Professor: Jamie Robinson

Mondays-Thursday 7:45a-Noon and 1:00p-3:15p

Fridays by appointment only

Virtual appointments by appointment only via Zoom


Fundamentals of ambulatory coding rules, conventions, and guidelines.


Prerequisites: HITT 1305 Medical Terminology,

HITT 1341 Coding and Classification Systems,

BIOL 2404 Anatomy & Physiology,

MDCA 1302 Human Disease/Pathophysiology

Co-requisites: MDCA 1302 Human Disease/Pathophysiology

A student must be college ready in reading according to TSI college-ready standards. 

All students with a major within the Health Information Technology Department must achieve a grade of 70% or better to complete the course.

Core Curriculum Statement

This course is not a core curriculum course.


1. Apply nomenclatures and classification systems.

2. Assign codes.


Pearson's Comprehensive Medical Coding

  • Author: Papazian-Boyce
  • Publisher: Pearson
  • Edition: 2nd
  • ISBN: 978-013-481-8801

Should have from HITT 1341

CPT 2020 Professional Edition Coding Book

  • Publisher: AMA Bookstore
  • Edition: 2020--Professional
  • ISBN: 978-162-202-8986

ICD-10-CM Coding Book

  • Author: Casto
  • Publisher: AHIMA
  • Edition: 2020
  • ISBN: 978-158-426-7324

(Should have from HITT 1341)

HCPCS Level II Coding Book

  • Publisher: AHIMA
  • Edition: 2020
  • ISBN: 978-158-426-7515

Full Computer (not a Chromebook, tablet or smartphone)

Broadband Internet Access


Webcam for test proctoring

AHIMA Vlab access (given by program director)

Access to a printer might be helpful

Computer Software is necessary to be successful in this course:  MS Office is free in your Buc email account to download or use in the cloud.   Install Office 365 or contact Academic Technology. 979-830-4357.

Course Requirements

  • Achievement of all learning outcomes
  • Completion of assignments
  • Completion of all major exams and final exam
  • Completion of project
  • Participation in classroom (online) discussion and activities



Point Distribution

900-1000   = A

800-899     = B

700-799     = C

600-699     = D

below 599   = F


Course must include a comprehensive final worth 20% of course grade, student participation grade of 10%, and minimum of 4 major grades.

  1. Major Exams:  Score determined by points earned on objective portion
  2. Minor Exams/Quizzes/Assignments: Points determined by accuracy, and correct answers
  3. Project: Points determined by accuracy, grammar, and other criteria stated on project instruction sheet
  4. Final Exam:  Points determined by accuracy, (problem portion) and correct answers (objective portion)


Discussions 6%

Major Exams 30%

Project 10%

Final Exam 20%

Homework 31%

Vlab assignments 3%

Blinn College Policies

All policies, guidelines, and procedures in the Blinn College CatalogBlinn College Board Policies, and the Blinn College Administrative Regulations are applicable to this course.

Specific information on civility, attendance, add/drop, scholastic integrity, students with disabilities, final grade appeal, alternative retailers, campus carry and proctoring arrangements and cost.

Notice of any action taken under these protocol and procedures, by Blinn College or its employees, may be delivered by hand, through the U.S. Postal Service, or electronically to the student’s Blinn Buc e-mail account. Notice shall be deemed received upon actual receipt, on deposit in the U.S. Mail, or upon entering the information processing system used by Blinn College for Blinn Buc e-mail accounts, whichever first occurs.

Information about the changes Blinn has made to the Fall semester: Back with Blinn.

Course Policies

Please read: Fall 2020 General Course Policies.

If a student is employed at a facility where they may come in contact with a COVID + case, as long as appropriate PPE is worn and the student is exhibiting no signs/symptoms of COVID, this may be reported as “No Symptoms” in the Campus Clear App.  If appropriate PPE is not worn or a breach in PPE occurs during contact, the student must report the contact and follow the next steps in the Campus Clear App.

Proctoring Exams


It is the responsibility of faculty to maintain scholastic integrity at the College District by refusing to tolerate any form of scholastic dishonesty. Adequate control of test materials, strict supervision during testing, and other preventative measures shall be utilized, as necessary, to prevent cheating or plagiarism. (Blinn College Policy: Section Student Complaints/Course Grade Complaints #239501)

Honorlock is used for proctoring. If you are unable to use Honorlock because of some extenuating circumstance, please contact the instructor asap so an alternate proctoring location can be arranged.

Please see the Proctoring Information module in eCampus for more information.

Attendance Policy (Drop policy)

If the student misses 1 week's worth of assignments, the student will be given 1 absence. When the student misses 2 week's worth of assignments, the student will be given 2 absences and dropped from the course. 

The 4 excused absences include: 

  1. Observance of religious holy days - Students should notify their instructor(s) no later than the 15th day of the semester concerning the specific date(s) for absences for any religious holy day(s);
  2. Representing the College District at an official institutional function;
  3. Dual credit students representing the high school or independent school district at an official institutional function; and
  4. Military service.

Loss of electricity, failed technology, work schedule, personal circumstances, moving, and sickness are not excused absences. If an extenuating circumstance arises, contact your instructor immediately.

Late Work Policy

Late Work: Assignments, Exams, Project, Quizzes, etc. are due according to the schedule.  Late assignments will be deducted as follows 10% for 1-2 days late, 20% for 3-5 days late, 30% for 6-7 days late, after that a grade of zero will be assigned.   Assignments are due by 11:30 pm  central standard time on Tuesdays. 

Orientation Assignments: No late work will be accepted. 

Discussions: No late work will be accepted. First post by Friday prior to exam due date, Second (reply) post by exam due date. 

Final Exams: No late work will be accepted. 

Project: No late work will be accepted. 

A 'broken’ computer or Internet connection is not an acceptable excuse for missing or late assignments. It is the student's responsibility to have a backup location to use if the student's Internet connection or computer fails.

If Blinn and/or Connect have technology issues, then I will extend the due date, but I must get an e-mail from Blinn and/or Connect in order for this to apply. 

Academic Integrity (Cheating Policy)

Dishonesty of any kind will not be tolerated.  This includes copying work from another student or computer and turning it in as your own.  Depending on the severity of the dishonesty, one may receive either a zero for the assignment or fail the course.  All persons involved in the copying or granting permission for copying will be penalized.

Minor assignments may be discussed together as a group, but submissions must be individualized. No group work on major exams or projects, unless otherwise instructed. 

Answers from Quizlet, answer keys, internet searches, etc. will not be accepted.  Cite your sources when applicable.


Communication is very important in distance education classes.  I will communicate within the course room by announcements, discussion boards, and e-mail.  Your Blinn e-mail will also be used at times for communication from other Blinn departments.  You are responsible for all e-mail going to your Blinn e-mail address.  The best scenario is to check that e-mail daily!  Your e-mail address is your first and last name with a period in between and the last 2 digits of your student ID @   To find out more information about your Blinn e-mail account and to set up your account, go to the Student e-mail accounts page.

2014 CAHIIM Competencies

The Commission on Accreditation for Health Informatics and Information Management Education CAHIIM has approved competency tasks for entry-level health information technicians. The objectives of this course relate specifically to those tasks listed below.

Domain I. Data Content, Structure & Standards

Subdomain I.A. Classification Systems

  1. Apply diagnosis/procedure codes according to current guidelines.
  2. Evaluate the accuracy of diagnostic and procedural coding. 
  3. Apply diagnostic/procedural groupings
  4. Evaluate the accuracy of diagnostic/procedural groupings. 

Criminal Background Checks

Per Texas HB 1508, effective 9/1/2017:

"For students in this course, who may have a criminal background, please be advised that the background could keep you from being licensed by the State of Texas.  If you have a question about your background and licensure, please speak with your faculty member or the department chair. You also have the right to request a criminal history evaluation letter from the applicable licensing agency.”


Blinn College District      
HITT 1342 -N01, 10349      
Ambulatory Coding      
Tentative Schedule      
Fall 2020      
Week Day Assignment Details Possible Points Due Date Weekly
Weekly Lab Hours      
1 M 08/24/20 Become familiar w/ eCampus (Read/Watch eCampus Orientation and complete Orientation Assignments   Tues. Sept. 1st 3 1      
08/25/20 Chap 25: Introduction to CPT Coding (Read chap/listen to lecture),                 pg 2-13        
W 08/26/20 Ch 25 Coding Pratice/Coding Summary 10      
Ch 25 Keep on Coding/Coding Challenge 10      
R 08/27/20 Ch 26: Introduction to HCPCS Coding (A0000-V5999) (Read chap/listen to lecture),        
F 08/28/20 Ch 26 Coding Pratice/Coding Summary 10      
Ch 26 Keep on Coding/Coding Challenge 10      
Sa 08/29/20          
Su 08/30/20          
2 M 08/31/20 Ch 27 CPT Modifiers (Read chap/listen to lectures)   Tues. Sept. 8th 3 1      
T 09/01/20 Ch 27 Coding Pratice/Coding Summary 10      
Ch 27 Keep on Coding/Coding Challenge 10      
W 09/02/20 Chap 28 Evaluation and Management Services (99201-99499)           (Read chap/listen to lecture)             
R 09/03/20 Ch 28 Coding Pratice/Coding Summary 10      
F 09/04/20 Ch 28 Keep on Coding/Coding Challenge 10      
Sa 09/05/20          
Su 09/06/20          
3 M 09/07/20 HOLIDAY   Tues. Sept. 15th 3 1      
T 09/08/20 Ch 29 Medicine Procedures (90281-99199, 99500-99607)                     (Read chap/listen to lecture),         
Ch 29 Coding Pratice/Coding Summary 10      
Ch 29 Keep on Coding/Coding Challenge 10      
W 09/09/20 Exam 1: Ch 25-29 (Proctored, Not Timed)  65      
Discussion 1 Initial post  5      
R 09/10/20 Ch 30 Overview of Surgery Coding (10004-10021) (Read chap/listen to lecture),        
F 09/11/20 Ch 30 Coding Practice/Coding Summary 10      
Ch 30 Keep on Coding/Coding Challenge 10      
Sa 09/12/20          
Su 09/13/20          
4 M 09/14/20 Ch 31 Anesthesia Procedues (00100-01999) (Read chap/listen to lecture)   Tues. Sept. 22nd 3 1      
Ch 31 Coding Pratice/Coding Summary 10      
T 09/15/20 Ch 31 Keep on Coding/Coding Challenge 10      
W 09/16/20 Ch 32 Digestive Systems Procedures ( 40490-49999) (Read chap/listen to lecture),          
Ch 32 Coding Pratice/Coding Summary 10      
R 09/17/20 Ch 32 Keep on Coding/Coding Challenge 10      
F 09/18/20 Ch 33 Endocrine Sysytem Procedures (40490-49999) (Read chap/listen to lecture)        
Ch 33 Coding Pratice/Coding Summary 10      
Sa 09/19/20          
Su 09/19/20          
5 M 09/21/20 Ch 33 Keep on Coding/Coding Challenge 10      
Ch 34 Integumentary System Procedures (10030-19499) (read chap/listen to lecture)   Tues. Sept. 29th 3 1      
T 09/22/20 Ch 34 Coding Pratice/Coding Summary 10      
Ch 34 Keep on Coding/Coding Challenge 10      
W 09/23/20 Exam 2: Ch 30-34 (Proctored, Not Timed) 65      
Exam 2  Discussion post 5      
R 09/24/20 Ch 35 "Musculoskeletal System Procedures (20100-29999)"                        Read Ch 35/Watch Lecture        
Ch 35 Coding Practice/Coding Summary 10      
F 09/25/20 Ch 35 Keep on Coding/Coding Challenge 10      
Sa 09/26/20          
Su 09/27/20          
6 M 09/28/20 Ch 36 "Cardiovascular System Procedures (33010-37799)"                        Read Ch 36/Watch Lecture                                                     Tues. Oct. 6th 3 1      
T 09/29/20 Ch 36 Coding Practice/Coding Summary                                                       10      
W 09/30/20 Ch 36 Keep on Coding/Coding Challenge 10      
R 10/01/20 Ch 37 "Hemic and Lymphatic Systems (38100-38999)/Mediastinum and Diaphragm Procedures Diaphragm Procedures (39000-39599) Read Ch 37/Watch Lecture        
Ch 37 Coding Pratice/Coding Summary 10      
F 10/02/20 Ch 37 Keep on Coding/Coding Challenge 10      
Ch 38 "Respiratory System Procedures (30000-32999) Read Ch 38/Watch Lecture        
Sa 10/03/20          
Su 10/04/20          
7 M 10/05/20 Ch 38 Coding Pratice/Coding Summary 10 Tues. Oct. 13th 3 1      
T 10/06/20 Ch 38 Keep on Coding/Coding Challenge 10      
W 10/07/20 Ch 39 Nervous System Procedures (61000-64999) (Read chap/listen to lecture)        
R 10/08/20 Ch 39 Coding Pratice/Coding Summary 10      
F 10/09/20 Ch 39 Keep on Coding/Coding Challenge 10      
Sa 10/10/20          
Su 10/11/20          
8 M 10/12/20 Exam 3: Chap 35-39 (Proctored, Not Timed) 65 Tues. Oct. 20th 3 1      
Exam 3 Discussion (Proctored, Not Timed) 5      
T 10/13/20 Ch 40 Eye and Ocular Adnexa Procedures (65091-68899)(Read chap/listen to lecture),        
W 10/14/20 Read Chap/listen to lecture          
R 10/15/20 Ch 40 Coding Pratice/Coding Summary 10      
F 10/16/20 Ch 40 Keep on Coding/Coding Challenge 10      
Sa 10/17/20          
Su 10/18/20          
9 M 10/19/20 Ch 41 Auditory System (69000-69979) and Operating Miscroscope Procedures (69990) (Read chap/listen to lecture)   Tues. Oct. 27th 3 1      
T 10/20/20 Read Chap/listen to lecture        
W 10/21/20 Ch 41 Coding Pratice/Coding Summary 10      
R 10/22/20 Ch 41 Keep on Coding/Coding Challenge 10      
F 10/23/20          
Sa 10/24/20          
Su 10/25/20          
10 M 10/26/20 Ch 42 Urinary (50010-53899), Male Genital System Procedures (54000-55899) Procedures    Tues. Nov. 3rd 3 1      
T 10/27/20 Read Chap/listen to lecture        
W 10/28/20 Ch 42 Coding Pratice/Coding Summary 10      
R 10/29/20 Ch 42 Keep on Coding/Coding Challenge 10      
F 10/30/20          
Sa 10/31/20          
Su 11/01/20          
11 M 11/02/20 Ch 43 Female Genital System (56405-58999)/Maternity Care and Delivery Procedures (59000-59899) (Read chap/listen to lecture)   Tues. Nov. 10th 3 1      
T 11/03/20 Read Chap/listen to lecture        
W 11/04/20          
R 11/05/20 Ch 43 Coding Pratice/Coding Summary 10      
F 11/06/20 Ch 43 Keep on Coding/Coding Challenge 10      
Sa 11/07/20          
Su 11/08/20          
12 M 11/09/20 Ch 44 Radiology Services (70010-79999)    Tues. Nov. 17th 3 1      
T 11/10/20 Read Chap/listen to lecture        
W 11/11/20 Ch 44 Coding Pratice/Coding Summary 10      
R 11/12/20          
F 11/13/20 Ch 44 Keep on Coding/Coding Challenge 10      
Sa 11/14/20          
Su 11/15/20          
13 M 11/16/20 Ch 45 Pathology and Laboratory Services (80047-89398, 001U and higher)   Tues. Nov. 24th 3 1      
T 11/17/20 Read Chap/listen to lecture        
W 11/18/20          
R 11/19/20 Ch 45 Coding Pratice/Coding Summary 10      
F 11/20/20 Ch 45 Keep on Coding/Coding Challenge 10      
Sa 11/21/20          
Su 11/22/20          
14 M 11/23/20 Exam 4: Chap 40-45  (Proctored, Not Timed) 65 Tues. Dec. 1st 3 1      
T 11/24/20 Discussion 4 5      
W 11/25/20 HOLIDAY        
R 11/26/20 HOLIDAY        
F 11/27/20 HOLIDAY        
Sa 11/28/20          
Su 11/29/20          
15 M 11/30/20 Last Day to Drop with a Q - 11/30/20   Tues. Dec. 8th 3 1      
T 12/01/20 Project 100      
W 12/02/20 Project      
R 12/03/20 Project      
F 12/04/20 Project       
Sa 12/05/20          
Su 12/06/20          
16 M 12/07/20 FINALS - open at 7:00 am, covers all chapters  Part 1: 30 questions, not timed, Proctored     Part 2: 70 questions, not timed, Proctored   Wed. Dec. 9th by 11:30 pm 3 1      
T 12/08/20 FINALS        
W 12/09/20 FINALS-due by 11:30 pm 200      
        Total Points 1000            
        Total Contact Hours     64      
      **Discussion Questions: 1st post must be submitted by the Friday before the due date.
      Reply (2nd post) must be submitted by the exam due date.  Discussion due dates are not extended
      You can always submit assignments ahead of time.  See late work policy
      Assignments are due on Tuesdays by 11:30 pm Central Standard Time
      Finals will be the exception, based on Blinn's final exam schedule
Course calendar and related activities
When Topic Notes
WECM table
CIP Rubric Number Course Title Status Semester Credit Hrs Min Cont Hrs Max Cont Hrs
51.0713 HITT 1342 Ambulatory Coding Active 3 64 96