$TXT Created by MNTVBB.DOMAIN.EXT (KIDS) on Wednesday, 08/13/25 at 14:03 ============================================================================= Run Date: SEP 30, 2025 Designation: IBD*3*71 Package : IBD - AUTOMATED INFO COLLECTION SYS Priority: Mandatory Version : 3 SEQ #63 Status: Released Compliance Date: OCT 31, 2025 ============================================================================= Associated patches: (v)IBD*3*63 <<= must be installed BEFORE `IBD*3*71' Subject: UPDATE TYPE OF VISIT CODES Category: - Routine Description: ============ This patch updates Evaluation and Management codes in the TYPE OF VISIT file (#357.69). These codes are a subset of the Current Procedural Terminology codes published by the American Medical Association (AMA) and are used to describe the level of care for an outpatient visit. In addition, an enhancement will be made to default in the CPT short name instead of the Recommended Header/Text when adding Type of Visit codes to a Visit Type selection list within an encounter form. EHRM Impact Statement: ---------------------- This patch can be installed at all sites, including EHRM converted sites. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File # 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: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. INC37506852 - Update Type of Visit file (#357.69) Problem: -------- As requested by the Health Information Governance Office (HIGO), the TYPE OF VISIT file (#357.69) needs to be updated to reflect current procedural terminology. In addition, with management's decision not to update the Recommended Header/Text fields, an issue can occur in CPRS where the new codes won't display if the recommended Header field is left blank when adding a new code to a Visit Type selection list within an encounter form. Resolution: ----------- A post install routine IBD30P71 was created to Add/modify requested Type of Visit Codes as described below. Also, the encounter form edit functionality was enhanced to default in the CPT short description within the Visit Type selection list for the Recommended Header/Text. Routine: IBD30P71 Code Description ------------------------------------------------ 77425 Weekly Radiation Therapy 77431 Radiation Therapy Management 77432 Stereotactic Radiation Trmt 90845 Medical Psychoanalysis 90847 Special Family Therapy 90849 Special Family Therapy 90853 Special Group Therapy 92002 Eye Exam, New Patient 92004 Eye Exam, New Patient 92012 Eye Exam, Established Patient 92014 Eye Exam, Established Patient 98000 SYNCH AUDIO-VIDEO NEW SF 15 98001 SYNCH AUDIO-VIDEO NEW LOW 30 98002 SYNCH AUDIO-VIDEO NEW MOD 45 98003 SYNCH AUDIO-VIDEO NEW HI 60 98004 SYNCH AUDIO-VIDEO EST SF 10 98005 SYNCH AUDIO-VIDEO EST LOW 20 98006 SYNCH AUDIO-VIDEO EST MOD 30 98007 SYNCH AUDIO-VIDEO EST HI 40 98008 SYNCH AUDIO-ONLY NEW SF 15 98009 SYNCH AUDIO-ONLY NEW LOW 30 98010 SYNCH AUDIO-ONLY NEW MOD 45 98011 SYNCH AUDIO-ONLY NEW HIGH 60 98012 SYNCH AUDIO-ONLY EST SF 10 98013 SYNCH AUDIO-ONLY EST LOW 20 98014 SYNCH AUDIO-ONLY EST MOD 30 98015 SYNCH AUDIO-ONLY EST HIGH 40 98016 BRIEF COMUNICAJ TECH-BSD SVC 98960 EDU&TRN PT SELF-MGMT NQHP 1 98961 EDU&TRN PT SLF-MGMT NQHP 2-4 98962 EDU&TRN PT SLF-MGMT NQHP 5-8 98966 PH1 ASSMT&MGMT NQHP 5-10 98967 PH1 ASSMT&MGMT NQHP 11-20 98968 PH1 ASSMT&MGMT NQHP 21-30 98970 NQHP OL DIG ASSMT&MGMT 5-10 98971 NQHP OL DIG ASSMT&MGMT 11-20 98972 NQHP OL DIG ASSMT&MGMT 21+ 98975 REM THER MNTR 1ST SET-UP&EDU 98976 REM THER MNTR DEV SPLY RESP 98977 REM THER MNTR DV SPLY MSCSKL 98978 REM THER MNTR DEV SPLY CBT 99000 SPECIMEN HANDLING OFFICE-LAB 99001 SPECIMEN HANDLING PT-LAB 99002 DEVICE HANDLING PHYS/QHP 99024 Post-Op Follow-up Visit 99026 IN-HOSPITAL ON CALL SERVICE 99027 OUT-OF-HOSP ON CALL SERVICE 99050 Post-Op Follow-up Visit 99051 MED SERV EVE/WKEND/HOLIDAY 99053 MED SERV 10PM-8AM 24 HR FAC 99056 Non-Office Medical Services 99058 Office Emergency Care 99060 OUT OF OFFICE EMERG MED SERV 99070 SPECIAL SUPPLIES PHYS/QHP 99071 PATIENT EDUCATION MATERIALS 99075 MEDICAL TESTIMONY 99078 GROUP HEALTH EDUCATION 99080 SPECIAL REPORTS OR FORMS 99082 UNUSUAL PHYSICIAN TRAVEL 99091 COLLJ & INTERPJ DATA EA 30 D 99202 Limited Exam (16-25 Min) 99203 Intermediate Exam (26-35 Min) 99204 Extended Exam (36-50 Min) 99205 Comprehensive Exam (51-60+ Min) 99211 Brief Exam (1-5 Min) 99212 Limited Exam (6-10 Min) 99213 Intermediate Exam (11-19 Min) 99214 Extended Exam (20-30 Min) 99215 Comprehensive Exam (31-40+ Min) 99221 Brief Admission Care (1-30 Min) 99222 Intermediate Admit Care (31-50 Min) 99223 Comprehensive Admit Care (51-70 Min) 99231 Brief Hosp. Care (1-15 Min) 99232 Intermediate Hosp. Care (16-25 Min) 99233 Comprehensive Hosp. Care (26-35 Min) 99234 Detailed Observ or Inpt hospital care 99235 Comp Observ or Inpt hospital care 99236 Hi Comp Observ or Inpt hospital care 99238 Discharge Day Mgmt. 99239 Hospital D/C Day Mgmt->30 min 99242 Limited Exam (21-35 Min) 99243 Intermediate Exam (36-50 Min) 99244 Extended Exam (51-60 Min) 99245 Comprehensive Exam (71-80+ Min) 99252 Limited Exam (21-40 Min) 99253 Intermediate Exam (41-55 Min) 99254 Extended Exam (56-80 Min) 99255 Comprehensive Exam (81-110 Min) 99281 Brief Exam 99282 Limited Exam 99283 Intermediate Exam 99284 Extended Exam 99285 Comprehensive Exam 99288 Advanced Life Support 99291 First Hour 99292 Each Additional 30 Min. 99304 Initial Nursing Facility Care-Detailed 99305 Initial Nursing Facility Care-Comp 99306 Initial Nursing Facility Care-Hi Comp 99307 Subseq Nursing Facility Care-Prob Focus 99308 Subseq Nurs Facility Care-Ex Prob Focus 99309 Subseq Nursing Facility Care-Detailed 99310 Subseq Nursing Facility Care-Comp 99315 Nursing Facility D/C Day Mgmt-30 min 99316 Nursing Facility D/C Day Mgmt->30 min 99341 Low Severity Problem 99342 Moderate Severity Problem 99344 Home Visit,New Pt,Comp Mod Complex 99345 Home Visit,New Pt,Comp High Complex 99347 Home Visit-Problem Focused 99348 Home Visit-Expanded Problem Focused 99349 Home Visit-Detailed 99350 Home Visit,Est Pt,Mod Complex 99358 First Hour 99359 Additional 30 Min 99360 Each 30 Min. 99366 Team Conf,HCP,Pt Present,> 29 Min 99367 Team Conf,Phys,Pt Not Present,> 29 Min 99368 Team Conf,HCP,Pt Not Present,> 29 Min 99374 Care Plan Svc,Home Hlth,15-29 Min 99375 30-60 minutes 99377 Care Plan Oversight-Hospice 99378 Care Plan Oversight-Nursing Facility 99379 Care Plan Svc,Nurs Fac,15-29 Min 99380 Care Plan Svc,Nurs Fac,> 29 Min 99381 Infant Under 1 year 99382 Age 1-4 99383 Age 5-11 99384 Age 12-17 99385 Age 18-39 99386 Age 40-64 99387 Age 65 and over 99391 Infant Under 1 year 99392 Age 1-4 99393 Age 5-11 99394 Age 12-17 99395 Age 18-39 99396 Age 40-64 99397 Age 65 and over 99401 Brief (15 min) 99402 Intermediate (30 Min) 99403 Extended (45 Min) 99404 Comprehensive (60 Min) 99406 Tobacco Cessation Counseling,3-10 Min 99407 Tobacco Cessation Counseling > 10 Min 99408 Alc/Subs Abuse Counseling,15-30 Min 99409 Alc/Subs Abuse Counseling > 30 Min 99411 Brief (30 Min) 99412 Intermediate (60 Min) 99415 PROLNG CLIN STAFF SVC 1ST HR 99416 PROLNG CLIN STAFF SVC EA ADD 99417 PROLNG OP E/M EACH 15 MIN 99421 OL DIG E/M SVC 5-10 MIN 99422 OL DIG E/M SVC 11-20 MIN 99423 OL DIG E/M SVC 21+ MIN 99429 Preventive Medicine 99439 CHRNC CARE MGMT STAF EA ADDL 99446 NTRPROF PH1/NTRNET/EHR 5-10 99447 NTRPROF PH1/NTRNET/EHR 11-20 99448 NTRPROF PH1/NTRNET/EHR 21-30 99449 NTRPROF PH1/NTRNET/EHR 31/> 99450 Life/Health Insurance Exam 99451 NTRPROF PH1/NTRNET/EHR 5/> 99452 NTRPROF PH1/NTRNET/EHR RFRL 99453 REM MNTR PHYSIOL PARAM SETUP 99454 REM MNTR PHYSIOL PARAM DEV 99455 By treating physician 99456 By other than treating physician 99457 REM PHYSIOL MNTR 1ST 20 MIN 99458 REM PHYSIOL MNTR EA ADDL 20 99459 PELVIC EXAMINATION 99460 Newborn Care Svc,Init,Per Day,Hosp 99461 Newborn Care Svc,Init,Per Day,Not Hosp 99462 Newborn Care Svc,Subsq,Per Day,Hosp 99463 Newborn Care Svc,Init,Adm/DC Same Day 99464 Attendance at Delivery 99465 Delivery/Birthing Room Resuscitation 99466 Crit Care Intrfac Trf,0-24 Mon,30-74 Min 99467 Critcare Intrfac Trf,0-24 Mon,Add 30 Min 99468 Init Neontl Crit Care,0-28 days 99469 Subsq Neontl Crit Care,0-28 days 99471 Init Ped Crit Care,29 days-24 Months 99472 Subsq Ped Crit Care,29 days-24 Months 99473 SELF-MEAS BP PT EDUCAJ/TRAIN 99474 SELF-MEAS BP 2 READG BID 30D 99475 Init Ped Crit Care,2-5 years 99476 Subsq Ped Crit Care,2-5 years 99477 Init Hosp Care,Per Day,0-28 days 99478 Subsq Int Care,Per Day,Low Brth Wgt Inf 99479 Subsq Int Care,Per Day,Low Brth Wgt Inf 99480 Subsq Int Care,Per Day,Low Brth Wgt Inf 99483 ASSMT & CARE PLN PT COG IMP 99484 CARE MGMT SVC BHVL HLTH COND 99485 Phys Supvsn Intrfac Trf,0-24 Mon,30 Min 99486 Phy Svsn Intrfac Trf,0-24 Mon,Add 30 Min 99487 Comp Chr Care Coor,No FTF,Per Calr Month 99489 Comp Chr Care Coor,FTF,Ea Addl 30 Min 99490 CHRNC CARE MGMT STAFF 1ST 20 99491 CHRNC CARE MGMT PHYS 1ST 30 99492 1ST PSYC COLLAB CARE MGMT 99493 SBSQ PSYC COLLAB CARE MGMT 99494 1ST/SBSQ PSYC COLLAB CARE 99495 Trans Care Mgmt Svc,FTF w/in 14 days D/C 99496 Trans Care Mgmt Svc,FTF w/in 7 days D/C 99497 ADVNCD CARE PLAN 30 MIN 99498 ADVNCD CARE PLAN ADDL 30 MIN 99499 Evaluation and Management 99500 HOME VISIT PRENATAL 99501 HOME VISIT POSTNATAL 99502 HOME VISIT NB CARE 99503 HOME VISIT RESP THERAPY 99504 HOME VISIT MECH VENTILATOR 99505 HOME VISIT STOMA CARE 99506 HOME VISIT IM INJECTION 99507 HOME VISIT CATH MAINTAIN 99509 HOME VISIT DAY LIFE ACTIVITY 99510 HOME VISIT SING/M/FAM COUNS 99511 HOME VISIT FECAL/ENEMA MGMT 99512 HOME VISIT FOR HEMODIALYSIS 99600 UNLISTED HOME VISIT SVC/PX 99601 HOME NFS VISIT <2 HRS 99602 HOME NFS VISIT EACH ADDL HR 99605 MTMS BY PHARM NP 15 MIN 99606 MTMS BY PHARM EST 15 MIN 99607 MTMS BY PHARM ADDL 15 MIN TEST SITES: ----------- Orlando VAMC Bedford VA Hospital SNOW Change Order #: -------------------- CHG0649761 - Orlando CHG0649713 - Bedford Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. File Title File Name Format --------------------------------------------------------------------- N/A Documentation Title File Name --------------------------------------------------------- N/A Patch Installation: ------------------- Pre/Post Installation Overview: Pre-Installation Instructions: This patch may be installed with users on the system; although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 2 minutes to install. Installation Instructions: 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 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 IBD*3.0*71. 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. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build IBD*3.0*71 iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build (including Routines) R Routines Only Enter response: B 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. 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 the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install, IBD*3.0*71. 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 option: Option Name Menu Text ----------- --------- IBDF EDIT TOOL KIT FORMS Edit Tool Kit Forms Press the Enter key when you are done selecting options. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. When prompted 'Delay Install (Minutes): (0 - 60): 0//, answer 0 and press the Enter key. Post-Installation Instructions: ------------------------------- Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For example: IBD*3.0*71 Post-Install starts..... >>> Adding 98000 >>> Adding 98001 >>> Adding 98002 >>> Adding 98003 >>> Adding 98004 >>> Adding 98005 >>> Adding 98006 >>> Adding 98007 >>> Adding 98008 >>> Adding 98009 >>> Adding 98010 >>> Adding 98011 >>> Adding 98012 >>> Adding 98013 >>> Adding 98014 >>> Adding 98015 >>> Adding 98016 Total 17 entries added and 0 entries updated in the file #357.69 IBD*3.0*71 Post-Install is complete. Back-Out/Roll Back Plan: ------------------------ Prior to installing an updated KIDS package, the site/region should create a backup using the Backup a Transport Global option [XPD BACKUP]. In the event that the patch installer decides to back out this patch, the patch installer should log a Service Now ticket or contact the Enterprise Service Desk (ESD) at 855-673-4357. Backout or rollback of the software will be a joint decision between the development team, VA site/region personnel and other appropriate VA personnel and will require their concurrence. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;AUTOMATED INFO COLLECTION SYS;**[Patch List]**;APR 24, 1997;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBD30P71 Before: n/a After:B180706002 **71** Routine Name: IBDFN4 Before:B227563778 After:B239544538 **38,51,64,63,71** Routine list of preceding patches: 63 ============================================================================= User Information: Entered By : Date Entered : MAR 13, 2025 Completed By: Date Completed: SEP 30, 2025 Released By : Date Released : SEP 30, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT