$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 09/10/24 at 19:46 ============================================================================= Run Date: SEP 19, 2024 Designation: LEX*2*151 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #142 Status: Released Compliance Date: SEP 30, 2024 ============================================================================= Associated patches: (v)LEX*2*150 <<= must be installed BEFORE `LEX*2*151' Subject: CODE SET FY25 1ST QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY25 1st Quarter Code Set distribution with 922 changes effective Oct 01, 2024. This patch also contains two changes from FY24 3rd Qtr (effective Apr 01, 2024), one change from FY24 3rd Qtr (effective Jun 17, 2024), two changes from FY24 4th Qtr (effective Jul 01, 2024), one change from FY24 4th Qtr (effective Jul 02, 2024), five changes from FY24 4th Qtr (effective Sep 15, 2024) and 21 projected changes for FY25 2nd Qtr (effective Jan 01, 2025). Additionally, this patch exports 47546 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*121 ICPT*6.0*117 Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #80 ICD DIAGNOSIS Modified #80.1 ICD OPERATION/PROCEDURE Modified #81 CPT Modified #757-757.41 LEXICON files Modified 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: ----------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SNOW Change Order #: -------------------- NFSG: CHG0521240 UNY: CHG0520921 FHM: CHG0520626 ENHANCEMENTS: ============ FY25 1st Quarter Update CPT Procedure Additions (47 Codes) ----------------------- Effective Jun 17, 2024 (FY24 3rd Qtr) (1 Code) 90684 Effective Oct 01, 2024 (46 Codes) 0476U 0477U 0478U 0479U 0480U 0481U 0482U 0483U 0484U 0485U 0486U 0487U 0488U 0489U 0490U 0491U 0492U 0493U 0494U 0495U 0496U 0497U 0498U 0499U 0500U 0501U 0502U 0503U 0504U 0505U 0506U 0507U 0508U 0509U 0510U 0511U 0512U 0513U 0514U 0515U 0516U 0517U 0518U 0519U 0520U 90624 CPT Procedure Inactivations (74 Codes) --------------------------- Effective Apr 01, 2024 (FY24 3rd Qtr) (2 Codes) 0204U 0353U Effective Oct 01, 2024 (72 Codes) 0001A 0002A 0003A 0004A 0011A 0012A 0013A 0013U 0014U 0021A 0022A 0031A 0034A 0041A 0042A 0044A 0051A 0052A 0053A 0054A 0056U 0064A 0071A 0072A 0073A 0074A 0078U 0081A 0082A 0083A 0091A 0092A 0093A 0094A 0104A 0111A 0112A 0113A 0121A 0124A 0134A 0139U 0141A 0142A 0144A 0151A 0154A 0164A 0167U 0168U 0171A 0172A 0173A 0174A 0396U 91300 91301 91302 91303 91305 91306 91307 91308 91309 91310 91311 91312 91313 91314 91315 91316 91317 CPT Procedure Revisions (5 Codes) ----------------------- Effective Jul 01, 2024 (FY24 4th Qtr) (1 Code) 0472U Effective Oct 01, 2024 (3 Codes) 0248U 0403U 27279 Effective Jan 01, 2025 (projected FY25 2nd Qtr) (1 Code) 90661 HCPCS Procedure Additions (68 Codes) ------------------------- Effective Jul 02, 2024 (FY24 4th Qtr) (1 Code) J0175 Effective Sep 15, 2024 (FY24 4th Qtr) (2 Codes) Q0519 Q0520 Effective Oct 01, 2024 (55 Codes) A2027 A2028 A2029 A4543 A4544 A4545 A7021 A9610 C8000 C9169 C9170 C9171 C9172 E0469 E0683 E0715 E0716 E0721 E0737 E0743 E0767 E2513 E3200 J0138 J1171 J1749 J2002 J2003 J2004 J2252 J2253 J2601 J8522 J8541 J9329 L1006 L1653 L1821 L8720 L8721 P9027 Q4334 Q4335 Q4336 Q4337 Q4338 Q4339 Q4340 Q4341 Q4342 Q4343 Q4344 Q4345 Q5135 Q5136 Effective Jan 01, 2025 (projected FY25 2nd Qtr) (10 Codes) D2956 D6180 D6193 D7252 D7259 D8091 D8671 D9913 D9914 D9959 HCPCS Procedure Inactivations (8 Codes) ----------------------------- Effective Oct 01, 2024 (6 Codes) C9150 J1170 J2001 J8520 J8521 J9258 Effective Jan 01, 2025 (projected FY25 2nd Qtr) (2 Codes) D2941 D6095 HCPCS Procedure Revisions (19 Codes) ------------------------- Effective Jul 01, 2024 (FY24 4th Qtr) (1 Code) A9506 Effective Sep 15, 2024 (FY24 4th Qtr) (3 Codes) Q0516 Q0517 Q0518 Effective Oct 01, 2024 (7 Codes) A2024 A4271 E0739 J2251 J9172 L1652 L1820 Effective Jan 01, 2025 (projected FY25 2nd Qtr) (8 Codes) D2940 D5520 D5640 D5650 D6051 D6080 D6081 D6090 ICD-10 Diagnosis Additions -------------------------- Effective Oct 01, 2024 (252 Codes) C81.0A C81.1A C81.2A C81.3A C81.4A C81.7A C81.9A C82.0A C82.1A C82.2A C82.3A C82.4A C82.5A C82.6A C82.8A C82.9A C83.0A C83.1A C83.390 C83.398 C83.3A C83.5A C83.7A C83.8A C83.9A C84.0A C84.1A C84.4A C84.6A C84.7B C84.9A C84.AA C84.ZA C85.1A C85.2A C85.8A C85.9A C86.00 C86.01 C86.10 C86.11 C86.20 C86.21 C86.30 C86.31 C86.40 C86.41 C86.50 C86.51 C86.60 C86.61 C88.00 C88.01 C88.20 C88.21 C88.30 C88.31 C88.40 C88.41 C88.80 C88.81 C88.90 C88.91 D61.03 E10.A0 E10.A1 E10.A2 E16.A1 E16.A2 E16.A3 E34.00 E34.01 E34.09 E66.811 E66.812 E66.813 E66.89 E74.820 E74.829 E88.82 F50.010 F50.011 F50.012 F50.013 F50.014 F50.019 F50.020 F50.021 F50.022 F50.023 F50.024 F50.029 F50.20 F50.21 F50.22 F50.23 F50.24 F50.25 F50.810 F50.811 F50.812 F50.813 F50.814 F50.819 F50.83 F50.84 G40.841 G40.842 G40.843 G40.844 G90.81 G90.89 G93.45 I26.03 I26.04 I26.95 I26.96 J34.8200 J34.8201 J34.8202 J34.8210 J34.8211 J34.8212 J34.829 K60.30 K60.311 K60.312 K60.313 K60.319 K60.321 K60.322 K60.323 K60.329 K60.40 K60.411 K60.412 K60.413 K60.419 K60.421 K60.422 K60.423 K60.429 K60.50 K60.511 K60.512 K60.513 K60.519 K60.521 K60.522 K60.523 K60.529 L29.81 L29.89 L66.10 L66.11 L66.12 L66.19 L66.81 L66.89 M51.360 M51.361 M51.362 M51.369 M51.370 M51.371 M51.372 M51.379 M62.85 M65.90 M65.911 M65.912 M65.919 M65.921 M65.922 M65.929 M65.931 M65.932 M65.939 M65.941 M65.942 M65.949 M65.951 M65.952 M65.959 M65.961 M65.962 M65.969 M65.971 M65.972 M65.979 M65.98 M65.99 Q23.81 Q23.82 Q23.88 Q87.86 R41.85 T45.AX1A T45.AX1D T45.AX1S T45.AX2A T45.AX2D T45.AX2S T45.AX3A T45.AX3D T45.AX3S T45.AX4A T45.AX4D T45.AX4S T45.AX5A T45.AX5D T45.AX5S T45.AX6A T45.AX6D T45.AX6S T81.320A T81.320D T81.320S T81.321A T81.321D T81.321S T81.328A T81.328D T81.328S T81.329A T81.329D T81.329S Z15.1 Z15.2 Z17.21 Z17.22 Z17.31 Z17.32 Z17.410 Z17.411 Z17.420 Z17.421 Z51.A Z59.71 Z59.72 Z67.A1 Z67.A2 Z67.A3 Z67.A4 Z68.55 Z68.56 Z83.72 Z86.0100 Z86.0101 Z86.0102 Z86.0109 Z92.26 ICD-10 Diagnosis Inactivations ------------------------------ Effective Oct 01, 2024 (36 Codes) C83.39 C86.0 C86.1 C86.2 C86.3 C86.4 C86.5 C86.6 C88.0 C88.2 C88.3 C88.4 C88.8 C88.9 E34.0 E66.8 F50.01 F50.02 F50.2 F50.81 G90.8 K60.3 K60.4 K60.5 L29.8 L66.1 L66.8 M51.36 M51.37 M65.9 Q23.8 T81.32XA T81.32XD T81.32XS Z59.7 Z86.010 ICD-10 Diagnosis Revisions -------------------------- Effective Oct 01, 2024 (13 Codes) A77.41 F98.21 G93.42 H44.2A3 H44.2B3 H44.2C3 H44.2D3 H44.2E3 I26.93 I26.94 K58.9 Q13.81 Z68.54 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2024 (371 Codes) 00503Z4 00K0XZ1 041309R 04130AR 04130JR 04130KR 04130ZR 041349R 04134AR 04134JR 04134KR 04134ZR 041409R 04140AR 04140JR 04140KR 04140ZR 041449R 04144AR 04144JR 04144KR 04144ZR 047K342 047K352 047K362 047K372 047L342 047L352 047L362 047L372 047M342 047M352 047M362 047M372 047N342 047N352 047N362 047N372 047P342 047P352 047P362 047P372 047Q342 047Q352 047Q362 047Q372 047R342 047R352 047R362 047R372 047S342 047S352 047S362 047S372 047T342 047T352 047T362 047T372 047U342 047U352 047U362 047U372 07100Z3 07100Z4 07100Z7 07100ZK 07100ZL 07104Z3 07104Z4 07104Z7 07104ZK 07104ZL 07110Z3 07110Z4 07110Z7 07110ZK 07110ZL 07114Z3 07114Z4 07114Z7 07114ZK 07114ZL 07120Z3 07120Z4 07120Z7 07120ZK 07120ZL 07124Z3 07124Z4 07124Z7 07124ZK 07124ZL 07130Z3 07130Z4 07130Z7 07130ZK 07130ZL 07134Z3 07134Z4 07134Z7 07134ZK 07134ZL 07140Z3 07140Z4 07140Z7 07140ZK 07140ZL 07144Z3 07144Z4 07144Z7 07144ZK 07144ZL 07150Z3 07150Z4 07150Z7 07150ZK 07150ZL 07154Z3 07154Z4 07154Z7 07154ZK 07154ZL 07160Z3 07160Z4 07160Z7 07160ZK 07160ZL 07164Z3 07164Z4 07164Z7 07164ZK 07164ZL 07170Z3 07170Z4 07170Z7 07170ZK 07170ZL 07174Z3 07174Z4 07174Z7 07174ZK 07174ZL 07180Z3 07180Z4 07180Z7 07180ZK 07180ZL 07184Z3 07184Z4 07184Z7 07184ZK 07184ZL 07190Z3 07190Z4 07190Z7 07190ZK 07190ZL 07194Z3 07194Z4 07194Z7 07194ZK 07194ZL 071B0Z3 071B0Z4 071B0Z7 071B0ZK 071B0ZL 071B4Z3 071B4Z4 071B4Z7 071B4ZK 071B4ZL 071C0Z3 071C0Z4 071C0Z7 071C0ZK 071C0ZL 071C4Z3 071C4Z4 071C4Z7 071C4ZK 071C4ZL 071D0Z3 071D0Z4 071D0Z7 071D0ZK 071D0ZL 071D4Z3 071D4Z4 071D4Z7 071D4ZK 071D4ZL 071F0Z3 071F0Z4 071F0Z7 071F0ZK 071F0ZL 071F4Z3 071F4Z4 071F4Z7 071F4ZK 071F4ZL 071G0Z3 071G0Z4 071G0Z7 071G0ZK 071G0ZL 071G4Z3 071G4Z4 071G4Z7 071G4ZK 071G4ZL 071H0Z3 071H0Z4 071H0Z7 071H0ZK 071H0ZL 071H4Z3 071H4Z4 071H4Z7 071H4ZK 071H4ZL 071J0Z3 071J0Z4 071J0Z7 071J0ZK 071J0ZL 071J4Z3 071J4Z4 071J4Z7 071J4ZK 071J4ZL 071K0Z3 071K0Z4 071K0Z7 071K0ZK 071K0ZL 071K4Z3 071K4Z4 071K4Z7 071K4ZK 071K4ZL 071L0Z3 071L0Z4 071L0Z7 071L0ZK 071L0ZL 071L4Z3 071L4Z4 071L4Z7 071L4ZK 071L4ZL 0FP480Z 0FPG80Z 0FW480Z 0FWG80Z 0HRT07B 0HRU07B 0HRV07B 0NPB05Z 0NPB35Z 0NPB45Z 0NPBX5Z 0NPW05Z 0NPW35Z 0NPW45Z 0NPWX5Z 0NWB05Z 0NWB35Z 0NWB45Z 0NWBX5Z 0NWW05Z 0NWW35Z 0NWW45Z 0NWWX5Z 5A05A0L 8E023FZ X05133A X27P3TA X27Q3TA X27R3TA X27S3TA X27T3TA X27U3TA X28F3VA X2R50WA X2R60WA X2R70WA X2R80WA X2RJ3RA X2VE3SA XHR0XGA XHR1XGA XHR2XGA XHR3XGA XHR4XGA XHR5XGA XHR6XGA XHR7XGA XRGA0EA XRGB0EA XRGC0EA XRGD0EA XRGJ0CA XRGK0CA XRGL0CA XRGM0CA XRH60FA XRH63FA XRH64FA XRH70FA XRH73FA XRH74FA XRH80FA XRH83FA XRH84FA XRHA0FA XRHA3FA XRHA4FA XRHB0FA XRHB3FA XRHB4FA XRHC0FA XRHC3FA XRHC4FA XRHD0FA XRHD3FA XRHD4FA XW0136A XW0333A XW0334A XW0335A XW0338A XW0339A XW033BA XW033CA XW033DA XW033FA XW0433A XW0434A XW0435A XW0438A XW0439A XW043BA XW043CA XW043FA XW0J3HA XW0J3JA XW0J3KA XW0J3LA XW0K3HA XW0K3JA XW0K3KA XW0K3LA XW0L3HA XW0L3JA XW0L3KA XW0L3LA XW0M3HA XW0M3JA XW0M3KA XW0M3LA XW0U0GA XW0V3WA XW1337A XW1437A XX25X0A XXA536A XXE0X1A XXE5X2A XXE5X4A ICD-10 Procedure Inactivations ------------------------------ Effective Oct 01, 2024 (61 Codes) X27H385 X27H395 X27H3B5 X27H3C5 X27J385 X27J395 X27J3B5 X27J3C5 X27K385 X27K395 X27K3B5 X27K3C5 X27L385 X27L395 X27L3B5 X27L3C5 X27M385 X27M395 X27M3B5 X27M3C5 X27N385 X27N395 X27N3B5 X27N3C5 X27P385 X27P395 X27P3B5 X27P3C5 X27Q385 X27Q395 X27Q3B5 X27Q3C5 X27R385 X27R395 X27R3B5 X27R3C5 X27S385 X27S395 X27S3B5 X27S3C5 X27T385 X27T395 X27T3B5 X27T3C5 X27U385 X27U395 X27U3B5 X27U3C5 XW033K5 XW033N5 XW033U5 XW043K5 XW043N5 XW043U5 XW097M5 XW0DXJ5 XW0DXL5 XW0DXR5 XW0DXT5 XW0DXV5 XXE5XM5 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/01/2024 5395 2267 19 1301 8982 SNOMED Terms Concepts 6698 3568 -- -- 10266 Synonyms 12678 6474 -- -- 19152 Fully Specified 6879 2267 -- -- 9146 ----- ----- ----- ------ ----- 31650 14576 19 1301 47546 SNOMED CT Version ID: 20240701 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, 1983-2024 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. Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message as well as a global host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LEX_2_151.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*151. This patch should take from 25 to 90 minutes to install depending on the system. Create a backup 20-75 minutes Load the Global 1-5 minutes Kids Install 1-5 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, and CPT globals will result in a combined growth of about 30 MB of data. The import global ^LEXM is about 212 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 Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( CPT #81 ^ICPT( 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^ICD0 ICD Operation/Procedure ^ICPT CPT ^LEX Lexicon Files INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_151.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 212 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_151.GBL Parameter: "RS" => Globals were saved on 10 Sep 2024 8:06 PM IRIS with description: LEX*2.0*151/ICPT*6.0*117/ICD*18.0*121 Data Input option: A ^LEXM 2) Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 3) From the Kernel Installation and 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. or XXXXX BUILD X.X) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. 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. C. 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 . ii. If prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO//. Post-Installation Instructions: ------------------------------- Cleanup a) The Environment Check routine LEX2151 and the Post-Install routine LEX2151P 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2151 Before: n/a After: B90829630 **151** Routine Name: LEX2151P Before: n/a After: B21760398 **151** ============================================================================= User Information: Entered By : Date Entered : SEP 03, 2024 Completed By: Date Completed: SEP 19, 2024 Released By : Date Released : SEP 19, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT