$TXT Created by YORTY,M ROBERT at DEVVCC.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 02/04/08 at 09:12 ============================================================================= Run Date: FEB 20, 2008 Designation: ICD*18*32 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #31 Status: Released Compliance Date: MAR 22, 2008 ============================================================================= Associated patches: (v)ICD*18*31 <<= must be installed BEFORE `ICD*18*32' Subject: DRGs NOT INCLUDED IN FY08 RELEASE Category: - Routine Description: ============ This patch will assign FY08 DRGs to a set of procedure codes that were not included in ICD*18.0*31. It will also address Medical Severity DRG calculation issues discovered since the release. OVERVIEW --------------- The following codes will be updated in the ICD OPERATION/PROCEDURE (#80.1). 53.00 53.01 53.02 53.03 53.04 53.05 53.10 53.11 53.12 53.13 53.14 53.15 53.16 53.17 53.21 53.29 53.31 53.39 The following codes will be updated in the ICD DIAGNOSIS (#80). 040.41 040.42 058.10 058.11 058.12 058.81 058.82 058.89 079.83 233.30 233.31 233.32 233.39 255.41 255.42 258.01 258.02 258.03 288.66 315.34 331.5 338.21 338.22 338.28 338.29 338.4 359.21 359.22 359.23 359.24 359.29 364.81 364.89 388.45 389.05 389.06 389.13 389.17 389.20 389.21 389.22 403.00 403.10 403.90 414.2 415.12 423.3 440.4 449. 488. 525.71 525.72 525.73 525.79 569.43 624.01 624.02 624.09 664.60 664.61 664.64 733.45 787.20 787.21 787.22 787.23 787.24 787.29 789.51 789.59 999.31 999.39 V12.53 V12.54 V13.22 V16.52 V17.41 V17.49 V18.11 V18.19 V25.04 V26.41 V26.49 V26.81 V26.89 V49.85 V68.01 V68.09 V72.12 V73.81 V84.81 V84.89 This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- HD227311, HD229411 Overview of Remedy Ticket(s): ----------------------------- HD227311 Problem: DX codes (611.1, 272.4) with Operation/procedure code (85.32) is resulting as an 'ungroupable' DRG. Resolution: Edited the MS-DRGs 584-585 logic to include looking for Total and Subtotal Mastectomy procedures. HD229411 Problem: DX codes (427.9, 426.12) and Operation/procedure codes (37.26, 37.22) is resulting as an 'ungroupable' DRG. Resolution: Edited the calculating ICDDRG0 routine to call logic that processes MS-DRGs 246-251. Components Sent With Patch -------------------------- For Routines: Total number of routines: 7 Total number of routines modified: 3 Total number of new routines: 4 Test Sites: ----------- Ann Arbor, MI Bay Pines, FL Upstate New York HCS Pre/Post Installation Overview ------------------------------ This patch does not involve global file restoration. ================INSTALLATION INSTRUCTIONS ================= If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. PTF Menu [DG PTF MENU] Install Time - less than 5 minutes 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter ICD*18.0*32): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. 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 components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//' answer NO (unless otherwise indicated) c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES (unless otherwise indicated) d. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: PTF Menu [DG PTF MENU] e. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 13,2000;Build 9 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1832P Before: n/a After: B134553 **32** Routine Name: ICD1832S Before: n/a After: B9455190 **32** Routine Name: ICD1832T Before: n/a After: B4278997 **32** Routine Name: ICD1832U Before: n/a After: B7696423 **32** Routine Name: ICDDRG0 Before: B59783980 After: B60142349 **1,2,7,10,14,17,20,24,27,30,31,32** Routine Name: ICDTBL2 Before: B36870791 After: B37828418 **31,32** Routine Name: ICDTBL5 Before: B6084560 After: B6322015 **31,32** Routine list of preceding patches: 31 ============================================================================= User Information: Entered By : HARRIS,DONNA H Date Entered : DEC 19, 2007 Completed By: BARBER,HAROLDINE Date Completed: FEB 19, 2008 Released By : HOLMES,MARY Date Released : FEB 20, 2008 ============================================================================= Packman Mail Message: ===================== $END TXT