============================================================================= Run Date: APR 08, 2025 Designation: ICD*18*123 Package : ICD - DRG GROUPER Priority: EMERGENCY Version : 18 SEQ #114 Status: Released Compliance Date: APR 15, 2025 ============================================================================= Subject: FY2025 SEMI-ANNUAL DRG GROUPER UPDATE Category: - Routine - Other Description: ============ Patch ICD*18.0*123 provides the semi-annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper version 42R1. 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 42R1 release, with an effective date of April 1, 2025. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 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 April 1, 2025. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ EHRM Impact Statement: ---------------------- - This patch should have no EHRM impact, and can be installed at all sites, including EHRM converted sites. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- DRG MDC CATEGORY(83) Modified DRG MDC CATEGORY DRG (83.1) Modified DRG MDC CATEGORY DRG ORDER(83.11) Modified DRG MDC CATEGORY CASE(83.2) Modified DRG MDC CATEGORY CODE SETS(83.3) Modified DRG DIAGNOSIS(83.5) Modified DRG PDX EXCLUSION GROUPS(83.51) Modified DRG PROCEDURE(83.6) Modified DRG PROCEDURE GROUPS(83.61) Modified DRG HAC GROUPS(83.7) Modified DRG HAC CODE SETS(83.71) 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: ----------------------- New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: ============================================ 1. INC37944819- Semi-annual update of VistA DRG Application Problem: -------- 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 42R1 release, with an effective status of April 1, 2025. Changes include: I. Added and Deactivated PC codes. Resolution: ----------- Updated the DRG calculation(83x) files. Created pre-init routine, ICD123P, to facilitate the update of the DRG calculation(83x) files. Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) Test Sites - SNOW Change Order #: --------------------------------- VISN 02 (Buffalo, NY): CHG0590568 Montana HCS (Fort Harrison, MT): CHG0590187 North Florida HCS (Gainesville, FL): CHG0590970 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_123.KID or by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE File Title File Name Format ----------------------------------------------------- KIDS Installation File ICD_18_123.KID ASCII Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE 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:" enter /srv/vista/patches/SOFTWARE/ICD_18_123.KID 2. 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. ICD*18.0*123) 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 ICD*18.0*123. 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. 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 . ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? yes//', answer . a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option: 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] 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. 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD123P Before: n/a After: B3208989 **123** ============================================================================= User Information: Entered By : III Date Entered : FEB 27, 2025 Completed By: Date Completed: APR 08, 2025 Released By : Date Released : APR 08, 2025 ============================================================================= Packman Mail Message: ===================== No routines included