$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 04/03/17 at 11:21 ============================================================================= Run Date: MAY 22, 2017 Designation: LEX*2*111 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #101 Status: Released Compliance Date: MAY 30, 2017 ============================================================================= Associated patches: (v)LEX*2*109 <<= must be installed BEFORE `LEX*2*111' Subject: Code Set FY17 3rd Qtr Update Category: - Routine - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ This patch contains two changes from FY97 2nd Qtr (effective Jan 01, 1997), four changes from FY99 2nd Qtr (effective Jan 01, 1999), three changes from FY00 2nd Qtr (effective Feb 01, 2000), one change from FY01 2nd Qtr (effective Jan 01, 2001), three changes from FY01 4th Qtr (effective Jul 01, 2001), one change from FY02 1st Qtr (effective Oct 01, 2001), six changes from FY02 2nd Qtr (effective Jan 01, 2002), 37 changes from FY03 2nd Qtr (effective Jan 01, 2003), three changes from FY04 2nd Qtr (effective Jan 01, 2004), eight changes from FY06 2nd Qtr (effective Jan 01, 2006), one change from FY07 4th Qtr (effective Jul 01, 2007), seven changes from FY08 2nd Qtr (effective Jan 01, 2008), one change from FY11 3rd Qtr (effective Apr 01, 2011), 19 changes from FY13 2nd Qtr (effective Jan 01, 2013), one change from FY14 1st Qtr (effective Oct 01, 2013), 11 changes from FY14 2nd Qtr (effective Jan 01, 2014), four changes from FY15 2nd Qtr (effective Jan 01, 2015), three changes from FY16 This patch also exports 47472 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICD*18.0*91 ICPT*6.0*79 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 ICD OPERATION/PROCEDURE #80.1 ^ICD0( ICR 4486 CPT #81 ^ICPT( ICR 4489 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 3rd Quarter Update CPT Procedure Additions (5 Codes) ----------------------- Effective Feb 01, 2017 (FY17 2nd Qtr) (3 Codes) 0001U 0002U 0003U Effective May 01, 2017 (2 Codes) 0004U 0005U CPT Procedure Revisions ----------------------- Effective Jan 01, 2017 (14 Codes) 1130F 20550 3340F 3341F 3342F 3343F 3344F 3345F 3350F 99217 99218 99219 99220 99450 HCPCS Procedure Additions ------------------------- Effective Jan 01, 2017 (2 Codes) C1842 G0659 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2017 (7 Codes) C9456 C9457 G0464 G0477 G0478 G0479 G9467 HCPCS Procedure Revisions (61 Codes) ------------------------- Effective Jan 01, 2002 (FY02 2nd Qtr) (1 Code) A4719 Effective Jan 01, 2006 (FY06 2nd Qtr) (2 Codes) C1820 S3854 Effective Jan 01, 2014 (FY14 2nd Qtr) (11 Codes) G9190 G9254 G9283 G9284 G9293 G9294 G9295 L1830 L3809 L3918 L4398 Effective Jan 01, 2015 (FY15 2nd Qtr) (4 Codes) G9410 G9411 G9412 G9413 Effective Jan 01, 2016 (FY16 2nd Qtr) (3 Codes) G9659 G9676 L1902 Effective Jan 01, 2017 (FY17 2nd Qtr) (40 Codes) E1031 G0281 G0328 G0480 G0481 G0482 G0483 G0490 G0499 G0500 G8566 G9187 G9232 G9481 G9482 G9483 G9484 G9485 G9486 G9487 G9488 G9489 G9490 G9497 G9559 G9594 G9678 G9679 G9680 G9681 G9682 G9683 G9684 G9685 G9785 G9822 K0056 L9900 S2067 T1999 CPT Modifier Additions (6 Codes) ---------------------- Effective Jul 01, 1997 (1 Code) EP Effective Jan 01, 2017 (5 Codes) 95 FX V1 V2 V3 CPT Modifier Inactivations -------------------------- Effective Jan 01, 2017 (1 Code) L1 CPT Modifiers Re-Used --------------------- Effective Jan 01, 2017 (1 Codes) PN CPT Modifier Revisions (118 Codes) ---------------------- Effective Jan 01, 1997 (FY97 2nd Qtr) (2 Codes) QG TC Effective Oct 01, 1998 (FY98 1st Qtr) (2 Codes) GH GJ Effective Jan 01, 1999 (FY99 2nd Qtr) (4 Codes) AS G6 GT KS Effective Jan 01, 2000 (FY00 1st Qtr) (1 Code) EJ Effective Feb 01, 2000 (FY00 2nd Qtr) (3 Codes) G7 G8 G9 Effective Jan 01, 2001 (FY01 2nd Qtr) (1 Code) QY Effective Jul 01, 2001 (FY01 4th Qtr) (7 Codes) SD SE SH SJ TG TH TJ Effective Oct 01, 2001 (FY02 1st Qtr) (1 Code) GQ Effective Jan 01, 2002 (FY02 2nd Qtr) (7 Codes) GB GG GV GW GZ KR SA Effective Jan 01, 2003 (FY03 2nd Qtr) (44 Codes) AU AV AW AX BA BO CA EY GM GP HB HC HD HE HG HH HK HM HR HS HU HV HW HX HY HZ JW KB QJ SK SM SU SV TK TL TM TN TP TQ TR TT TU TV U2 Effective Jan 01, 2004 (FY04 2nd Qtr) (4 Codes) A9 CB K0 RD Effective Jan 01, 2006 (FY06 2nd Qtr) (6 Codes) P1 P2 P3 P4 P5 P6 Effective Jul 01, 2007 (FY07 4th Qtr) (1 Code) KX Effective Jan 01, 2008 (FY08 2nd Qtr) (9 Codes) ED EE FB GD GL GY KV Q0 Q1 Effective Apr 01, 2011 (FY11 3rd Qtr) (1 Code) SC Effective Jan 01, 2013 (FY13 2nd Qtr) (19 Codes) CH CI CJ CK CL CM CN E1 E2 E3 E4 GS LC LD LT QM QN RI RT Effective Oct 01, 2013 (FY14 1st Qtr) (1 Code) AO Effective Jan 01, 2014 (FY14 2nd Qtr) (1 Code) HI Effective Oct 01, 2016 (FY17 1st Qtr) (2 Codes) CP CT Effective Jan 01, 2017 (FY17 2nd Qtr) (2 Codes) PO Q2 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jun 01, 2001 * -- -- -- 3 3 Effective Jun 04, 2001 * -- -- -- 3 3 Effective Jul 07, 2001 * -- -- -- 3 3 Effective Jan 01, 2006 * -- -- -- 3 3 Effective Jan 01, 2017 * 41 -- -- -- 41 ----- ----- ----- ------ ----- Total 41 -- -- 12 53 * update from a previous quarter ICD Changes ----------- This patch updates ICD-10 Coding Conflicts from the 2017 final rule: Unacceptable as Principal Diagnosis file #80 field #1.3 Sex Conflicts file #80, field #10 file #80.1 field #10 Age Low Conflicts file #80, field #11 Age High Conflicts file #80, field #12 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/31/2017 5089 -- 16 498 5603 SNOMED Terms Concepts 5588 498 -- -- 6086 Synonyms 12328 17453 -- -- 29781 Fully Specified 5589 413 -- -- 6002 ----- ----- ----- ------ ----- 28594 18364 16 498 47472 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 ================= R12227041FY17 - Add Modifier RT and LT to CPT code 76642 I13232159FY17 - Update Lexicon description for CPT 80050 KNOWN DEFECTS ============= HCPCS codes C9484, C9485, C9486, C9487, C9488 were activated for use on 04/01/17 but were not included in this patch. They will be included in a future Lexicon patch. CPT Modifier 95 is activated for use on 01/01/2017 with 29 applicable modifier ranges. Range 93258 - 93268 should be 93268 - 93268. This will be updated in a future Lexicon patch. SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_111.GBL (ASCII) The host file is 261 MB in size and could take up to 6 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*111. It is recommended that this patch be installed during non-peak hours. This patch should take from 65 to 120 minutes to install depending on the system. Create a backup 50-91 minutes Load the Global 05-09 minutes Kids Install 10-20 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 2 MB of data. The import global ^LEXM is about 201 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: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( CPT #81 ^ICPT( 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 2.3 gigabytes. Make sure space is available before proceeding. It should take from 50 to 91 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^ICD0 ICD Operation/Procedure ^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(81.2, CPT Copyright ^DIC(81.3, CPT Modifier 4) Install the data from the global host file LEX_2_111.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 261 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 9 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_111.GBL Parameter: RS=> Globals were saved on 13 Apr 2017 07:58 AM Cache with description: LEX*2.0*111/ICPT*6.0*79 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*111. 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 10-20 minutes 8) Cleanup a) The Environment Check routine LEX2111 and the Post-Install routine LEX2111P 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. BACKOUT PROCEDURE ================= To back-out data from a production account could cause broken pointers, cause errors and hard MUMPS crashes. The back-out plan for data only patches is to "Report the findings and wait for a repair patch." Contact the Enterprise Service Desk to log an Incident to the NTL.APP.VistA.Clinical Lexicon 2_0 category which assigns the ticket to the appropriate National Support team. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2111 Before: n/a After: B92267772 **111** Routine Name: LEX2111P Before: n/a After: B20996581 **111** ============================================================================= User Information: Entered By : Date Entered : MAR 27, 2017 Completed By: Date Completed: MAY 19, 2017 Released By : Date Released : MAY 22, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT