============================================================================= Run Date: OCT 28, 2024 Designation: ICD*18*120 Package : ICD - DRG GROUPER Priority: EMERGENCY Version : 18 SEQ #111 Status: Released Compliance Date: NOV 04, 2024 ============================================================================= Associated patches: (v)ICD*18*118 <<= must be installed BEFORE `ICD*18*120' Subject: FY25 ANNUAL DRG GROUPER UPDATE Category: - Other - Routine Description: ============ Patch ICD*18.0*120 provides the annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper version 42. The purpose of this patch is to add code for the update that was posted in the Federal Register for fiscal year 2025. These changes were published on https://www.cms.gov and are part of the version 42 release, with an effective date of October 1, 2024. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: Be aware of the shortened compliance date. The changes included in this patch are posted in the Federal Register for Fiscal Year 2025 with an effective date of October 1, 2024. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- Blood Bank Team Coordination: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1) INC34503375 Annual update of VistA DRG Application The purpose of this patch is to add code for the update that was posted in the Federal Register for fiscal year 2025. These changes were published on https://www.cms.gov and are part of the version 42 release, with an effective status of October 1, 2024. Changes include: I. Added 16 DRGs II. Added 7 New MDC Categories III. Added 37 New Cases IV. Added 66 New DRG Cases V. Added 27 New Code Sets VI. Edited 5 MDC Category Names VII. Edited 3 DRG Case/Set Names VIII. Inactivated 3 Code Sets This is a summary of the additions. I. New DRGs DRG 131701 DRG 127602 DRG 142601 DRG 142602 DRG 142701 DRG 142801 DRG 140201 DRG 142901 DRG 143001 DRG 144701 DRG 144702 DRG 144801 DRG 145001 DRG 145002 DRG 145101 DRG 185001 II. New MDC Categories MDC 105043 MDC 108041 MDC 108042 MDC 108043 MDC 108044 MDC 108045 MDC 117011 III. New Cases Case 21075 Case 21076 Case 21077 Case 21078 Case 21079 Case 21080 Case 21081 Case 21082 Case 21083 Case 21084 Case 21085 Case 21086 Case 21087 Case 21088 Case 21089 Case 21090 Case 21091 Case 21092 Case 21093 Case 21094 Case 21095 Case 21096 Case 21097 Case 21098 Case 21099 Case 21100 Case 21101 Case 21102 Case 21103 Case 21104 Case 21105 Case 21106 Case 21107 Case 21108 Case 21109 Case 21110 Case 21111 IV. New DRG Cases DRG Case 131701-21075: DRG Case 127602-21076: DRG Case 142601-21077: DRG Case 142601-21078: DRG Case 142601-21079: DRG Case 142601-21080: DRG Case 142601-21081: DRG Case 142701-21077: DRG Case 142701-21078: DRG Case 142701-21079: DRG Case 142701-21080: DRG Case 142701-21081: DRG Case 142801-21077: DRG Case 142801-21078: DRG Case 142801-21079: DRG Case 142801-21080: DRG Case 142801-21081: DRG Case 142602-21082: DRG Case 142602-21083: DRG Case 142602-21084: DRG Case 142602-21085: DRG Case 142602-21086: DRG Case 142602-21087: DRG Case 142602-21088: DRG Case 142602-21089: DRG Case 142602-21090: DRG Case 142602-21091: DRG Case 140201-21092: DRG Case 142901-21093: DRG Case 143001-21093: DRG Case 144701-21094: DRG Case 144701-21095: DRG Case 144701-21096: DRG Case 144701-21097: DRG Case 144701-21098: DRG Case 144801-21094: DRG Case 144801-21095: DRG Case 144801-21096: DRG Case 144801-21097: DRG Case 144801-21098: DRG Case 144702-21099: DRG Case 144702-21100: DRG Case 144702-21101: DRG Case 145001-21102: DRG Case 145002-21103: DRG Case 145101-21102: DRG Case 167301-21104: DRG Case 167301-21105: DRG Case 167301-21106: DRG Case 167301-21107: DRG Case 167301-21108: DRG Case 167301-21109: DRG Case 167401-21104: DRG Case 167401-21105: DRG Case 167401-21106: DRG Case 167401-21107: DRG Case 167401-21108: DRG Case 167401-21109: DRG Case 167501-21104: DRG Case 167501-21105: DRG Case 167501-21106: DRG Case 167501-21107: DRG Case 167501-21108: DRG Case 167501-21109: DRG Case 185001-21110: DRG Case 185001-21111: V. New Code sets Set 31102 Set 31103 Set 31104 Set 31105 Set 31106 Set 31107 Set 31108 Set 31109 Set 31110 Set 31111 Set 31112 Set 31113 Set 31114 Set 31115 Set 31116 Set 31117 Set 31118 Set 31119 Set 31120 Set 31121 Set 31122 Set 31123 Set 31124 Set 31125 Set 31126 Set 31127 Set 31128 VI. Edited MDC Category Names MDC 05-CAT 39 CARDIAC DEFIBRILLATOR IMPLANT CARDIAC DEFIBRILLATOR IMPLANT OR CAROTID SINUS NEUROSTIMULATOR MDC 17-CAT 4 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES ACUTE LEUKEMIA VII. Edited DRG Case/Set Names 127501^CARDIAC CATHETERIZATION^CDI--CC^^ 127601^^CDI^^ 127701^^CDI^^ VIII. Inactivated Code Sets 30199 ANTERIOR SPINAL FUSION 30200 POSTERIOR SPINAL FUSION 30205 Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SNOW Change Order #: -------------------- VISN 02 (Buffalo, NY) - CHG0535239 Montana HCS (Fort Harrison, MT) - CHG0534573 North Florida HCS (Gainesville, FL) - CHG0535205 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/ICD_18_120.KID or by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE File Title File Name Format ------------------------------------------------------------------- ICD_18_120.KID ICD_18_120.KID ASCII Documentation describing the new functionality is not included in this release. Documentation Title File Name --------------------------------------------------------- N/A Patch Installation: ------------------- Pre-Post Installation Overview: N/A Pre-Installation Instructions: ------------------------------ It is recommended that this patch be installed during non-peak hours to minimize potential disruption to users. Additionally, installing during peak hours may lead to an unusually long install time. Do not interrupt the installation. Do not Queue this installation. If it is queued, it may hang and not finish installing. Installation can take 40 mins to one (1) hour. Create a backup of the following global file before continuing. 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: ------ -------------------------- ^ICDD entire ICDD global ^ICD entire ICD global Installation Instructions: ========================== 1. Use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the Host file. When prompted to "Enter a Host File: (Ex. /srv/vista/patches/SOFTWARE/ICD_18_120.KID) 2. From the Kernel Installation & Distribution System menu, select the Installation menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. ICD*18.0*120) B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. However, it is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. i. At the Installation option menu, select Backup a Transport Global. ii. At the Select INSTALL NAME prompt, enter your build ICD*18.0*120. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. vii. Repeat step ii for each build in the host file. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. (NOTE: Compare could take up to 2 hours.) D. Select the Install Package(s) option and choose the patch to install. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following options: Menu Text Option Name --------- ----------- DRG Grouper [ICD DRG GROUPER] DRG Calculation [DG DRG CALCULATION] Load/Edit PTF Data [DG PTF SCREEN] Claims Tracking Edit [IBT EDIT TRACKING ENTRY] Enter/Edit Billing Information [IB EDIT BILLING INFO] DRG Information Report [DG PTF DRG INFORMATION OUTPUT] b. When prompted, 'Enter protocols you wish to mark as 'Out of Order':', enter: Post-Installation Instructions: ------------------------------- N/A Back-Out/Roll Back Plan: ------------------------ Back-out will be done only with the concurrence and participation of the development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between the development team, VA site/region personnel and other appropriate VA personnel. Due to the complexity of this patch, it is not recommended for back-out. In the event that an installer decides to back out this patch, the patch installer should contact the Enterprise Service Desk (ESD) to submit a help desk ticket. The sustainment team will need to issue a follow-on patch in order to comprehensively back-out this patch and restore the system to a functioning state. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;October 20, 2000;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD120A Before: n/a After: B66005120 **120** Routine Name: ICD120F Before: n/a After: B72222376 **120** Routine Name: ICD120G Before: n/a After: B82568157 **120** Routine Name: ICD120H Before: n/a After: B80116145 **120** Routine Name: ICD120I Before: n/a After: B79280269 **120** Routine Name: ICD120J Before: n/a After: B76859588 **120** Routine Name: ICD120K Before: n/a After: B81618648 **120** Routine Name: ICD120O Before: n/a After: B5084119 **120** Routine Name: ICD120P Before: n/a After: B3531483 **120** ============================================================================= User Information: Entered By : III Date Entered : AUG 13, 2024 Completed By: Date Completed: OCT 25, 2024 Released By : Date Released : OCT 28, 2024 ============================================================================= Packman Mail Message: ===================== No routines included