$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 02/08/17 at 09:35 ============================================================================= Run Date: MAR 02, 2017 Designation: LEX*2*109 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #100 Status: Released Compliance Date: MAR 09, 2017 ============================================================================= Associated patches: (v)LEX*2*108 <<= must be installed BEFORE `LEX*2*109' Subject: Code Set FY17 2nd Qtr Update Category: - Enhancement (Mandatory) - Routine - Data Dictionary - Other Description: ============ This patch contains the FY17 2nd Quarter Code Set distribution with 1916 changes effective Jan 01, 2017. This patch also contains two changes from FY14 2nd Qtr (effective Jan 01, 2014), one change from FY16 2nd Qtr (effective Feb 12, 2016), 29 changes from FY17 1st Qtr (effective Oct 01, 2016) and one change from FY17 1st Qtr (effective Oct 17, 2016). Additionally, this patch exports 361688 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICPT*6.0*78 This patch writes to the following files: CPT #81 ^ICPT( ICR 4489 CPT CATEGORY #81.1 ^DIC(81.1, ICR 4490 CPT COPYRIGHT #81.2 ^DIC(81.2, ICR 4491 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY17 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2017 (141 Codes) 0408T 0409T 0410T 0411T 0412T 0413T 0414T 0415T 0416T 0417T 0418T 0419T 0420T 0421T 0422T 0423T 0424T 0425T 0426T 0427T 0428T 0429T 0430T 0431T 0432T 0433T 0434T 0435T 0436T 0437T 0440T 0441T 0442T 0443T 0444T 0445T 0446T 0447T 0448T 0449T 0450T 0451T 0452T 0453T 0454T 0455T 0456T 0457T 0458T 0459T 0460T 0461T 0462T 0463T 22853 22854 22859 22867 22868 22869 22870 27197 27198 28291 28295 31551 31552 31553 31554 31572 31573 31574 31591 31592 33340 33390 33391 36456 36473 36474 36901 36902 36903 36904 36905 36906 36907 36908 36909 37246 37247 37248 37249 43284 43285 58674 62320 62321 62322 62323 62324 62325 62326 62327 62380 76706 77065 77066 77067 80305 80306 80307 81327 81413 81414 81422 81439 81539 87483 90674 92242 93590 93591 93592 96160 96161 96377 97161 97162 97163 97164 97165 97166 97167 97168 97169 97170 97171 97172 99153 99157 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2017 (81 Codes) 0019T 0169T 0171T 0172T 0281T 0282T 0283T 0284T 0285T 0286T 0287T 0288T 0289T 0291T 0292T 0336T 0392T 0393T 11752 21495 22305 22851 27193 27194 28290 28293 28294 31582 31588 33400 33401 33403 35450 35452 35458 35460 35471 35472 35475 35476 36147 36148 36870 62310 62311 62318 62319 75791 75962 75964 75966 75968 75978 77051 77052 77055 77056 77057 80300 80301 80302 80303 80304 81280 81281 81282 92140 93965 97001 97002 97003 97004 97005 97006 99143 99144 99145 99148 99149 99150 99420 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2017 (5 Codes) 84410 99151 99152 99155 99156 CPT Procedure Revisions (1149 Codes) ----------------------- Effective Jan 01, 2014 (FY14 2nd Qtr) (2 Codes) 43270 64643 Effective Feb 12, 2016 (FY16 2nd Qtr) (1 Code) 6030F Effective Oct 17, 2016 (FY17 1st Qtr) (1 Code) 0159T Effective Jan 01, 2017 (1145 Codes) 0001F 0005F 00102 0012F 00326 0052T 0053T 00542 0054T 0055T 00561 00562 00620 0071T 0072T 00834 00836 00862 00921 0095T 0101T 0107T 0110T 01220 01230 01232 01234 01340 01360 0159T 0174T 0175T 0179T 0180T 01924 01925 01926 01930 01931 01932 01933 01951 01952 01953 01960 01961 01962 01963 0219T 0220T 0221T 0222T 0274T 0275T 0294T 0306T 0308T 0314T 0348T 0349T 0350T 0351T 0352T 0353T 0354T 0356T 0358T 0360T 0367T 0382T 0383T 0384T 0385T 0386T 0387T 0388T 0439T 0500F 0501F 0502F 0503F 0513F 0518F 0519F 0520F 0529F 0550F 0551F 0580F 1000F 1002F 1003F 1004F 1005F 1006F 1007F 1008F 1018F 1019F 1022F 1026F 1030F 1034F 1035F 1036F 1038F 1039F 1061F 1066F 1091F 11005 1100F 11056 11057 11101 1110F 1119F 11200 11300 11301 11302 11303 11305 11306 11307 11308 1130F 11310 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99334 99335 99336 99341 99347 99350 99354 99355 99363 99364 99366 99381 99391 99441 99442 99444 99450 99455 99487 99489 99490 HCPCS Procedure Additions (260 Codes) ------------------------- Effective Oct 01, 2016 (FY17 1st Qtr) (23 Codes) G0490 G0498 G9187 G9361 G9481 G9482 G9483 G9484 G9485 G9486 G9487 G9488 G9489 G9490 G9678 G9679 G9680 G9681 G9682 G9683 G9684 G9685 G9686 Effective Jan 01, 2017 (237 Codes) A4224 A4225 A4467 A4553 A9285 A9286 A9587 A9588 A9597 A9598 C1889 C9140 C9456 C9457 G0491 G0492 G0493 G0494 G0495 G0496 G0499 G0500 G0501 G0502 G0503 G0504 G0505 G0506 G0507 G0508 G0509 G9687 G9688 G9689 G9690 G9691 G9692 G9693 G9694 G9695 G9696 G9697 G9698 G9699 G9700 G9701 G9702 G9703 G9704 G9705 G9706 G9707 G9708 G9709 G9710 G9711 G9712 G9713 G9714 G9715 G9716 G9717 G9718 G9719 G9720 G9721 G9722 G9723 G9724 G9725 G9726 G9727 G9728 G9729 G9730 G9731 G9732 G9733 G9734 G9735 G9736 G9737 G9738 G9739 G9740 G9741 G9742 G9743 G9744 G9745 G9746 G9747 G9748 G9749 G9750 G9751 G9752 G9753 G9754 G9755 G9756 G9757 G9758 G9759 G9760 G9761 G9762 G9763 G9764 G9765 G9766 G9767 G9768 G9769 G9770 G9771 G9772 G9773 G9774 G9775 G9776 G9777 G9778 G9779 G9780 G9781 G9782 G9783 G9784 G9785 G9786 G9787 G9788 G9789 G9790 G9791 G9792 G9793 G9794 G9795 G9796 G9797 G9798 G9799 G9800 G9801 G9802 G9803 G9804 G9805 G9806 G9807 G9808 G9809 G9810 G9811 G9812 G9813 G9814 G9815 G9816 G9817 G9818 G9819 G9820 G9821 G9822 G9823 G9824 G9825 G9826 G9827 G9828 G9829 G9830 G9831 G9832 G9833 G9834 G9835 G9836 G9837 G9838 G9839 G9840 G9841 G9842 G9843 G9844 G9845 G9846 G9847 G9848 G9849 G9850 G9851 G9852 G9853 G9854 G9855 G9856 G9857 G9858 G9859 G9860 G9861 G9862 J0883 J0884 J1942 J2182 J2786 J7175 J7179 J7202 J7207 J7209 J8670 J9034 J9145 J9176 J9205 J9325 J9352 L1851 L1852 Q4166 Q4167 Q4168 Q4169 Q4170 Q4171 Q4172 Q4173 Q4174 Q4175 T1041 HCPCS Procedure Inactivations (140 Codes) ----------------------------- Effective Oct 01, 2016 (FY17 1st Qtr) (2 Codes) G0436 G0437 Effective Jan 01, 2017 (138 Codes) A4466 A9544 A9545 B9000 C9121 C9137 C9138 C9139 C9349 C9461 C9470 C9471 C9472 C9473 C9474 C9475 C9476 C9477 C9478 C9479 C9480 C9481 C9742 C9800 E0628 G0163 G0164 G0389 G3001 G8401 G8458 G8460 G8461 G8485 G8486 G8487 G8489 G8490 G8491 G8494 G8495 G8496 G8497 G8498 G8499 G8500 G8544 G8545 G8548 G8549 G8551 G8634 G8645 G8646 G8725 G8726 G8728 G8757 G8758 G8759 G8761 G8762 G8765 G8784 G8848 G8853 G8868 G8898 G8899 G8900 G8902 G8903 G8906 G8927 G8928 G8929 G8940 G8948 G8953 G8977 G9203 G9204 G9205 G9206 G9207 G9208 G9209 G9210 G9211 G9217 G9219 G9222 G9233 G9234 G9235 G9236 G9237 G9238 G9244 G9245 G9324 G9435 G9436 G9437 G9438 G9439 G9440 G9441 G9442 G9443 G9463 G9464 G9465 G9466 G9499 G9572 G9581 G9619 G9650 G9652 G9653 G9657 G9667 G9669 G9670 G9671 G9672 G9673 G9677 J0760 J1590 K0901 K0902 Q4119 Q4120 Q4129 Q9980 Q9981 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2017 (10 Codes) A9515 J0570 J1130 J2840 J7320 J7322 J7342 J9295 S3854 T1040 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2017 (159 Codes) A4221 A4720 A9599 B9002 E0292 E0293 E0296 E0627 E0629 E0740 E0967 E0995 E2206 E2220 E2221 E2222 E2224 G0202 G0204 G0206 G0281 G0296 G0300 G0328 G0339 G0340 G0476 G8427 G8428 G8430 G8431 G8432 G8433 G8510 G8511 G8598 G8599 G8649 G8653 G8655 G8656 G8657 G8658 G8659 G8660 G8661 G8662 G8665 G8669 G8671 G8672 G8673 G8674 G8697 G8815 G8924 G8925 G8946 G8968 G9229 G9231 G9232 G9239 G9264 G9286 G9298 G9307 G9308 G9326 G9327 G9359 G9381 G9416 G9417 G9423 G9424 G9448 G9467 G9497 G9500 G9501 G9519 G9520 G9531 G9532 G9547 G9549 G9551 G9554 G9555 G9556 G9557 G9559 G9584 G9585 G9595 G9596 G9607 G9609 G9610 G9611 G9625 G9626 G9627 G9628 G9629 G9630 G9632 G9633 G9642 G9659 G9660 G9661 G9676 J0573 J0875 J1745 J1830 J3090 J3302 J3303 J3357 J7040 J7050 J7201 J7297 J7298 J7301 J7340 J9033 K0015 K0019 K0037 K0042 K0043 K0044 K0045 K0046 K0047 K0050 K0051 K0052 K0069 K0070 K0071 K0072 K0077 K0098 K0552 L1906 L3150 P9072 P9604 Q0085 Q2039 Q4105 Q4131 S0285 S3620 CPT Modifier Additions ---------------------- Effective Oct 01, 2016 (2 Codes) CP CT CPT Modifiers Re-Used --------------------- Effective Oct 01, 2016 (2 Codes) ZA ZB CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2005 * -- -- -- 4 4 Effective Jan 01, 2016 * 45 -- -- -- 45 ----- ----- ----- ------ ----- Total 45 -- -- 4 49 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2016 565 -- -- 5 570 SNOMED Terms Concepts 570 5 -- -- 575 Synonyms 359841 122 -- -- 359963 Fully Specified 575 5 -- -- 580 ----- ----- ----- ------ ----- 361551 132 -- 5 361688 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, 1983-2016 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. REQUEST/INCIDENTS ================= None KNOWN DEFECTS ============= Modifiers FX, PN, V1, V2, V3 were activated for use on 01/01/17 but were not included in this patch. They will be included in a future lexicon patch. SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_109.GBL (ASCII) The host file is 262 MB in size and could take up to 5 to 9 minutes to SFTP. The preferred method is to retrieve the file from: download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany domain.ext Hines domain.ext Salt Lake City domain.ext INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*109. It is recommended that this patch be installed during non-peak hours. This patch should take from 65 to 125 minutes to install depending on the system. Create a backup 50-90 minutes Load the Global 05-09 minutes Kids Install 10-26 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 36 MB of data. The import global ^LEXM is about 196 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: CPT #81 ^ICPT( CPT Category #81.1 ^DIC(81.1, CPT Copyright #81.2 ^DIC(81.2, CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 1.93 gigabytes. Make sure space is available before proceeding. It should take from 50 to 90 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: ------ -------------------------- ^ICPT CPT ^LEX Lexicon Files When you are creating a backup of a subscripted global, you are saving a partial global (a file within a global). You should use the utility ^%GOGEN, and when prompted for a global, enter the open global reference (as shown below). Examples: Enter To create a Backup copy of: ------ -------------------------- ^DIC(81.1, CPT Category ^DIC(81.2, CPT Copyright ^DIC(81.3, CPT Modifier 4) Install the data from the global host file LEX_2_109.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 196 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 5 to 10 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_109.GBL Parameter: RS=> Globals were saved on 08 Feb 2017 09:40 AM Cache with description: LEX*2.0*109/ICD*18.0*87/ICPT*6.0*78 Data Input option: A ^LEXM 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*109. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Scheduled Options, Menu Options, and Protocols?" prompt. The KIDs install should take from 10-26 minutes 8) Cleanup a) The Environment Check routine LEX2109 and the Post-Install routine LEX2109P 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 12 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2109 Before: n/a After: B92267064 **109** Routine Name: LEX2109P Before: n/a After: B39858779 **109** ============================================================================= User Information: Entered By : Date Entered : NOV 17, 2016 Completed By: Date Completed: MAR 02, 2017 Released By : Date Released : MAR 02, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT