$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 06/22/21 at 17:20 ============================================================================= Run Date: JUL 07, 2021 Designation: LEX*2*134 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #125 Status: Released Compliance Date: JUL 13, 2021 ============================================================================= Associated patches: (v)LEX*2*133 <<= must be installed BEFORE `LEX*2*134' Subject: CODE SET FY21 4TH QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY21 4th Quarter Code Set distribution with 28 changes effective Jul 01, 2021. This patch also contains 56 changes from FY01 2nd Qtr (effective Jan 01, 2001), one change from FY20 2nd Qtr (effective Mar 01, 2020), one change from FY21 1st Qtr (effective Oct 01, 2020), two changes from FY21 2nd Qtr (effective Jan 01, 2021), 36 changes from FY21 3rd Qtr (effective Apr 01, 2021), two changes from FY21 3rd Qtr (effective Apr 17, 2021), two changes from FY21 3rd Qtr (effective May 06, 2021), three changes from FY21 3rd Qtr (effective May 26, 2021) and one change from FY21 3rd Qtr (effective Jun 08, 2021). Additionally, this patch exports 586 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*100 This patch contains functionality in the post-install routine LEX2134P which removes data from the UNACCEPTABLE AS PRINCIPAL DX field #1.3 of the ICD DIAGNOSIS file #80 for all ICD Diagnosis codes in the ICD-10-CM International Classification of Diseases, Diagnosis, 10th Edition, code system. PATCH COMPONENTS: ================ Forms Associated: N/A Mail Groups Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A Options Associated: N/A Files Associated: CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( ICR N/A ADDITIONAL INFORMATION: ====================== New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A ENHANCEMENTS: ============ FY21 4th Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2021 (5 Codes) 90626 90627 90671 90677 90758 CPT Procedure Revisions (6 Codes) ----------------------- Effective Jan 01, 2021 (FY21 2nd Qtr) (2 Codes) 33745 33746 Effective Jul 01, 2021 (4 Codes) 0642T 0656T 0663T 0667T HCPCS Procedure Additions (42 Codes) ------------------------- Effective Apr 01, 2021 (FY21 3rd Qtr) (20 Codes) A9592 C9776 C9777 G2020 G2172 J1427 J1554 J7402 J9037 J9349 K1013 K1014 K1015 K1016 K1017 K1018 K1019 K1020 Q2053 S1091 Effective May 06, 2021 (FY21 3rd Qtr) (2 Codes) M0244 M0246 Effective May 26, 2021 (FY21 3rd Qtr) (3 Codes) M0247 M0248 Q0247 Effective Jun 08, 2021 (FY21 3rd Qtr) (1 Code) M0201 Effective Jul 01, 2021 (16 Codes) A9593 A9594 C1761 C9075 C9076 C9077 C9078 C9079 C9080 C9778 J0224 J1951 J7168 J9348 J9353 Q5123 HCPCS Procedure Inactivations (16 Codes) ----------------------------- Effective Apr 01, 2021 (FY21 3rd Qtr) (12 Codes) C9068 C9069 C9070 C9071 C9072 C9073 C9122 J7333 J7401 K1010 K1011 K1012 Effective Apr 17, 2021 (FY21 3rd Qtr) (2 Codes) M0239 Q0239 Effective Jul 01, 2021 (2 Codes) C9074 C9132 HCPCS Procedures Re-Used ------------------------ Effective Jul 01, 2021 (1 Code) G0327 HCPCS Procedure Revisions (5 Codes) ------------------------- Effective Oct 01, 2020 (FY21 1st Qtr) (1 Code) C9761 Effective Apr 01, 2021 (FY21 3rd Qtr) (4 Codes) G9868 G9869 G9870 J7321 CPT Modifier Additions ---------------------- Effective Jan 01, 2001 (4 Codes) DS IS JS RS CPT Modifiers Re-Used --------------------- Effective Jan 01, 2001 (51 Codes) DE DG DH DI DJ DN DP DR DX EG EH EI ES GI ID IE IG IH II IJ IN IP IR IX JH JI JJ JN JP JR JX ND NG NH NI NJ NS NX PG PH PJ PR PX RG RH RJ RN RX SI SR SX CPT Modifier Revisions (2 Codes) ---------------------- Effective Jan 01, 2001 (FY01 2nd Qtr) (1 Code) ER Effective Mar 01, 2020 (FY20 2nd Qtr) (1 Code) CS CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2001 * 58 -- -- 52 110 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2021 534 46 -- 6 586 SNOMED Terms Concepts -- -- -- -- -- Synonyms -- -- -- -- -- Fully Specified -- -- -- -- -- SNOMED Terms -- -- -- -- 0 ----- ----- ----- ------ ----- 534 46 -- 6 586 SNOMED CT Version ID: 20210301 CPT Copyright ============== CPT (CPT is a registered trademark of the American Medical Association) codes, descriptions and other data are copyright 1966, 1970, 1973, 1977, 1981, 1983-2021 American Medical Association. CPT is commercial technical data developed exclusively at private expense by Contractor/Manufacturer American Medical Association, AMA Plaza, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. The provisions of this Agreement between AMA and VA prevail, including prohibiting creating derivative works and providing CPT to any third parties outside of the Facilities. DEFECT TRACKING SYSTEM TICKETS(S) & OVERVIEW: ============================================= None TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LEX_2_134.GBL Patch Installation ================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*134. It is recommended that this patch be installed during non-peak hours. This patch should take from 30 to 90 minutes to install depending on the system. Create a backup 20-75 minutes Load the Global 1-5 minutes Kids Install 5-15 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon globals will result in a combined growth of about 25 MB of data. The import global ^LEXM is about 96 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: CPT #81 ^ICPT( CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 2.4 gigabytes. Make sure space is available before proceeding. It should take from 20 to 75 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: ------ -------------------------- ^ICPT CPT ^LEX Lexicon File 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(81.3, CPT Modifier INSTALLATION INSTRUCTIONS ========================= 1) Install the data from the global host file LEX_2_134.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 96 megabytes in size. Make sure there is sufficient space available to load this global on your system. The loading of the global should take from 1 to 5 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: /srv/vista/patches/SOFTWARE/LEX_2_134.GBL Parameter: "RS" => Globals were saved on 22 Jun 2021 2:55 PM IRIS with description: LEX*2.0*134/ICPT*6.0*100 Data Input option: A ^LEXM 2) Set up user and IO variables (D ^XUP) for programmer access. 3) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 4) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*134. 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 5-15 minutes Post-Installation Instructions: ============================== Cleanup a) The Environment Check routine LEX2134 and the Post-Install routine LEX2134P 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. Back-Out/Roll Back Plan: ======================== To back-out data from a production account could cause broken pointers, errors and hard MUMPS crashes. The back-out plan for data only patches is to report your findings and wait for a repair patch. Contact Help desk to log a ticket. Patch Verification: Kernel Installation & Distribution System-> Utilities-> Install File Print option can be used to check for any errors plus the status of the install being Completed. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2134 Before: n/a After: B93072455 **134** Routine Name: LEX2134P Before: n/a After: B23271412 **134** ============================================================================= User Information: Entered By : Date Entered : APR 29, 2021 Completed By: Date Completed: JUL 06, 2021 Released By : Date Released : JUL 07, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT