============================================================================= Run Date: AUG 03, 2026 Designation: ICD*18*130 Package : ICD - DRG GROUPER Priority: EMERGENCY Version : 18 SEQ #120 Status: Released Compliance Date: AUG 10, 2026 ============================================================================= Subject: FY26 SEMI ANNUAL DRG GROUPER UPDATE Category: - Routine - Other Description: ============ Patch ICD*18*130 provides a fix to the DRG calculation in the semi-annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper version 43R1. The purpose of this patch is to add code for the update that was posted in the Federal Register for fiscal year 2026. These changes were published on https://www.cms.gov and are part of the version 43R1 release, with an effective date of April 1, 2026. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: Be aware of the shortened compliance date. The changes included in this patch are posted in the Federal Register for Fiscal Year 2026 with an effective date of April 1, 2026. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 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 (Data Only) DRG MDC CATEGORY DRG(83.1) Modified (Data Only) DRG MDC CATEGORY DRG ORDER(83.11) Modified (Data Only) DRG MDC CATEGORY CASE(83.2) Modified (Data Only) DRG MDC CATEGORY CODE SETS(83.3) Modified (Data Only) DRG DIAGNOSIS(83.5) Modified (Data Only) DRG PDX EXCLUSION GROUPS(83.51) Modified (Data Only) DRG PROCEDURE(83.6) Modified (Data Only) DRG PROCEDURE GROUPS(83.61) Modified (Data Only) DRG HAC GROUPS(83.7) Modified (Data Only) DRG HAC CODE SETS(83.71) Modified (Data Only) 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: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: ============================================ 1)INC42287763-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 2026. These changes were published on https://www.cms.gov and are part of the version 43R1 release, with an effective status of April 1, 2026. 83.x file changes include: I. Added New Procedure Codes. Resolution: ----------- Updated the 83.x files. Created pre-init routine to facilitate the ICD file update process. Pre-Init Routine: ICD130P 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): CHG0764221 Montana HCS (Fort Harrison, MT): CHG0764283 North Florida HCS (Gainesville, FL): CHG0764324 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_130.KID 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_130.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*130) 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. 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*130. 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 options 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 development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between 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 to for referral to Sustainment. 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD130P Before: n/a After: B3208974 **130** ============================================================================= User Information: Entered By : III Date Entered : JUL 22, 2026 Completed By: Date Completed: JUL 31, 2026 Released By : Date Released : AUG 03, 2026 ============================================================================= Packman Mail Message: ===================== No routines included