$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 02/25/16 at 10:59 ============================================================================= Run Date: MAR 30, 2016 Designation: LEX*2*105 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #96 Status: Released Compliance Date: APR 06, 2016 ============================================================================= Associated patches: (v)ICD*18*82 <<= must be installed BEFORE `LEX*2*105' (v)LEX*2*104 <<= must be installed BEFORE `LEX*2*105' Subject: Code Set FY16 3rd Qtr Update Category: - Enhancement (Mandatory) - Data Dictionary - Routine - Other Description: ============ This patch contains one change from FY04 1st Qtr (effective Oct 01, 2003), two changes from FY10 2nd Qtr (effective Jan 01, 2010), one change from FY11 2nd Qtr (effective Jan 01, 2011) and 2538 changes from FY16 2nd Qtr (effective Jan 01, 2016). This patch also exports 17426 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*85 ICPT*6.0*75 This patch writes to the following files: ICD OPERATION/PROCEDURE #80.1 ^ICD0( ICR 4486 CPT #81 ^ICPT( ICR 4489 CPT CATEGORY #81.1 ^DIC(81.1, ICR 4490 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY16 3rd Quarter Update HCPCS Procedure Additions ------------------------- Effective Jan 01, 2016 (7 Codes) G0477 G0478 G0479 G0480 G0481 G0482 G0483 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2016 (31 Codes) C9453 C9454 C9455 G6030 G6031 G6032 G6034 G6035 G6036 G6037 G6038 G6039 G6040 G6041 G6042 G6043 G6044 G6045 G6046 G6047 G6048 G6049 G6050 G6051 G6052 G6053 G6054 G6055 G6056 G6057 G6058 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2016 (1 Code) J3380 HCPCS Procedure Revisions (10 Codes) ------------------------- Effective Oct 01, 2003 (FY04 1st Qtr) (1 Code) G0298 Effective Jan 01, 2016 (FY16 2nd Qtr) (9 Codes) G8925 G9226 G9448 G9574 G9666 G9676 J0571 J7205 L1904 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Feb 17, 2016 * 4 -- -- -- 4 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/31/2016 3085 726 13 -- 3824 SNOMED Terms 12608 4805 13 -- 17426 ICD-10-PCS Procedures --------------------- This patch removes Major Diagnostic Categories and DRGs Groups from 107 ICD-10-PCS codes that are only used in clusters. These codes will inherit the Major Diagnostic Category and DRG groups from the cluster. 02H40JZ 02H40MZ 02H44JZ 02H44MZ 02H60JZ 02H60MZ 02H64JZ 02H64MZ 02H70JZ 02H70MZ 02H74JZ 02H74MZ 02HK0JZ 02HK0MZ 02HK3MZ 02HK4JZ 02HK4MZ 02HL0JZ 02HL0MZ 02HL3MZ 02HL4JZ 02HL4MZ 05H533Z 05H633Z 05HM33Z 05HN33Z 05HP33Z 05HQ33Z 06HM33Z 06HN33Z 0DQF0ZZ 0DQG0ZZ 0DQL0ZZ 0DQM0ZZ 0F757DZ 0F758DZ 0F767DZ 0F768DZ 0F787DZ 0F788DZ 0F797DZ 0F798DZ 0F7D8DZ 0FHB8DZ 0FPBXDZ 0FPDXDZ 0JH604Z 0JH605Z 0JH606Z 0JH634Z 0JH635Z 0JH636Z 0JH804Z 0JH805Z 0JH806Z 0JH834Z 0JH835Z 0JH836Z 0PS33ZZ 0PS43ZZ 0QS03ZZ 0QS13ZZ 0SP908Z 0SP948Z 0SPB08Z 0SPB48Z 0TTD0ZZ 4A02X4A B5130ZA B5131ZA B513YZA B513ZZA B5140ZA B5141ZA B514YZA B514ZZA B5150ZA B5151ZA B515YZA B515ZZA B5160ZA B5161ZA B516YZA B516ZZA B5170ZA B5171ZA B517YZA B517ZZA B51B0ZA B51B1ZA B51BYZA B51BZZA B51C0ZA B51C1ZA B51CYZA B51CZZA B51D0ZA B51D1ZA B51DYZA B51DZZA B543ZZA B544ZZA B546ZZA B547ZZA B54BZZA B54CZZA B54DZZA REQUEST/INCIDENTS: ================= I7247776FY16 - Add HCPCS J3380 as a Re-Used Code I7667771FY16 - HCPCS code J3380 missing (duplicate of I7247776FY16) I6713699FY16 - Add/Inactivated codes C9453, C9454 and C9455 I7033166FY16 - Add/Inactivate code C9453 (duplicate of I6713699FY16) R7172950FY16 - Modifiers 50/RT/LT with CPT code 69209 (ear irrigation) R7408407FY16 - NU and RR Modifiers with HCPCS code E2622 (wheelchair) R7073968FY16 - Convert RA (Re-Activate) codes to RU (Re-Use) HCPCS Codes E1012, G0296, G0297, G0299, G0300, J0695, J2860, J7188, J7340, J7503 and Q9950 OTHER CHANGES: ============= Convert CPT Short Descriptions to UPPERCASE (file 81 only) Fix 30 duplicate HCPCS Descriptions (Lexicon only) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_105.GBL (ASCII) The host file is 175 MB in size and could take up to 5 minutes to SFTP. The preferred method is to retrieve the file from: download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany domain.ext Hines domain.ext Salt Lake City domain.ext INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*105. It is recommended that this patch be installed during non-peak hours. This patch should take from 56 to 93 minutes to install depending on the system. Create a backup 50-80 minutes Load the Global 2- 4 minutes Kids Install 4- 9 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 5.12 MB of data. The import global ^LEXM is about 134 MB in size. Make sure there is sufficient space for the growth to the VistA globals and the import global before continuing. 3) Create a backup of the following global files before continuing: ICD Operation/Procedure #80.1 ^ICD0( CPT #81 ^ICPT( CPT Category #81.1 ^DIC(81.1, CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 2.11 gigabytes. Make sure space is available before proceeding. It should take from 50 to 80 minutes to create the backup files. When you are creating a backup of non-subscripted globals, you are saving the entire global. You should use the utility ^%GO for non-subscripted globals, and when prompted for a global, enter the global root (global name only, no open parenthesis, no file number and no commas, as shown below). Examples: Enter To create a Backup copy of: ------ -------------------------- ^ICD0 ICD Operation/Procedure ^ICPT CPT ^LEX Lexicon Files When you are creating a backup of a subscripted global, you are saving a partial global (a file within a global). You should use the utility ^%GOGEN, and when prompted for a global, enter the open global reference (as shown below). Examples: Enter To create a Backup copy of: ------ -------------------------- ^DIC(81.1, CPT Category ^DIC(81.3, CPT Modifier 4) Install the data from the global host file LEX_2_105.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 175 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 2 to 4 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_105.GBL Parameters? "RS" => Globals were saved on 25 Feb 2016 11:45 AM Cache with description: LEX*2.0*105 Data Input option: A ^LEXM 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*105. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Scheduled Options, Menu Options, and Protocols?" prompt. The KIDs install should take from 4 to 9 minutes 8) Cleanup a) The Environment Check routine LEX2105 and the Post-Install routine LEX2105P should be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. NOTE: The installation of this patch should trigger an update protocol and may spawn background tasks for the Clinical Reminders or Consult packages. You do not need to wait for these background jobs to complete to delete the Environment Check and Post-Install routines. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2105 Before: n/a After:B155420426 **105** Routine Name: LEX2105P Before: n/a After: B20996513 **105** ============================================================================= User Information: Entered By : Date Entered : DEC 09, 2015 Completed By: Date Completed: MAR 29, 2016 Released By : Date Released : MAR 30, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT