$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 07/17/17 at 08:46 ============================================================================= Run Date: AUG 17, 2017 Designation: LEX*2*112 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #103 Status: Released Compliance Date: AUG 24, 2017 ============================================================================= Associated patches: (v)LEX*2*103 <<= must be installed BEFORE `LEX*2*112' (v)LEX*2*111 <<= must be installed BEFORE `LEX*2*112' Subject: Code Set FY17 4th Qtr Update Category: - Other - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ This patch contains the FY17 4th Quarter Code Set distribution with 13 changes effective Jul 01, 2017. This patch also contains one change from FY93 2nd Qtr (effective Jan 01, 1993), three changes from FY17 2nd Qtr (effective Feb 01, 2017), four changes from FY17 3rd Qtr (effective Apr 01, 2017), two changes from FY17 3rd Qtr (effective May 01, 2017) and one change from FY17 3rd Qtr (effective Jun 30, 2017). Additionally, this patch exports 2365 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*80 This patch writes to the following files: CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A SUBSET DEFINITIONS #757.2 ^LEXT( N/A ENHANCEMENTS ============ FY17 4th Quarter Update CPT Procedure Inactivations (5 Codes) --------------------------- Effective Feb 01, 2017 (FY17 2nd Qtr) (3 Codes) 0001U 0002U 0003U Effective May 01, 2017 (FY17 3rd Qtr) (2 Codes) 0004U 0005U HCPCS Procedure Additions (15 Codes) ------------------------- Effective Apr 01, 2017 (FY17 3rd Qtr) (4 Codes) C9484 C9485 C9486 C9488 Effective Jul 01, 2017 (11 Codes) C9489 C9490 C9745 C9746 C9747 Q9984 Q9985 Q9986 Q9987 Q9988 Q9989 HCPCS Procedure Inactivations ----------------------------- Effective Jun 30, 2017 (1 Code) C9487 HCPCS Procedures Re-Used ------------------------ Effective Jul 01, 2017 (2 Codes) K0553 K0554 CPT Modifier Revisions ---------------------- Effective Jan 01, 1993 (1 Code) K0 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 1999 * 2 -- -- -- 2 Effective Jan 01, 2001 * 1 -- -- -- 1 Effective Jan 01, 2011 * 3 -- -- -- 3 Effective Jan 01, 2014 * 1 -- -- -- 1 Effective Jan 01, 2016 * 2 -- -- -- 2 Effective Jan 01, 2017 * 3 -- -- 11 14 ----- ----- ----- ------ ----- Total 12 -- -- 11 23 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/01/2005 8 -- -- -- 8 07/01/2006 -- -- 7 -- 7 01/31/2007 -- -- 8 -- 8 07/31/2007 -- -- 3 -- 3 01/31/2008 -- -- 2 -- 2 07/31/2008 -- -- 3 -- 3 01/31/2009 -- -- 8 -- 8 07/31/2009 -- -- 10 -- 10 01/31/2010 -- -- 8 -- 8 01/31/2011 -- -- 2 -- 2 07/31/2011 -- -- 1 -- 1 01/31/2012 -- -- 3 -- 3 07/31/2012 -- -- 1 -- 1 09/01/2014 -- -- -- 6 6 01/31/2015 -- 1 -- -- 1 03/01/2017 490 -- -- 5 495 SNOMED Terms Concepts 495 5 -- -- 500 Synonyms 644 156 -- -- 800 Fully Specified 495 4 -- -- 499 ----- ----- ----- ------ ----- 2132 166 56 11 2365 SNOMED CT Version ID: 20170301 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: ================= I14163426FY17 - RT/LT/50 Modifiers with 76882/77065/93971 R13766583FY17 - Modifier GT with 97804 R14576097FY17 - Modifier TD with G0299 and TE with G0300 TEST SITES: =========== Montana HCS (Fort Harrison, MT) Northern Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_112.GBL (ASCII) The host file is 237 MB in size and could take up to 5-8 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*112. It is recommended that this patch be installed during non-peak hours. This patch should take from 48 to 87 minutes to install depending on the system. Create a backup 40-70 minutes Load the Global 02-05 minutes Kids Install 06-12 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined decrease of about 10 MB of data. The import global ^LEXM is about 185 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 Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( These backup files may get as large as 2.3 gigabytes. Make sure space is available before proceeding. It should take from 40 to 70 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 ^LEXT Lexicon Subsets 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(81.3, CPT Modifier 4) Install the data from the global host file LEX_2_112.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 237 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 02 to 05 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_112.GBL Parameter: RS=> Globals were saved on 11 Jul 2017 07:36 AM Cache with description: LEX*2.0*112/ICPT*6.0*80 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*112. 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 06-12 minutes 8) Cleanup a) The Environment Check routine LEX2112 and the Post-Install routine LEX2112P 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. 9) Patch verification: Kernel Installation & Distribution System-> Utilities-> Install File Print option can be used to check for any errors plus the status of the install being completed. BACK-OUT PROCEDURE ================= To back-out data from a production account could cause broken pointers, 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2112 Before: n/a After: B92654799 **112** Routine Name: LEX2112P Before: n/a After: B20925265 **112** ============================================================================= User Information: Entered By : Date Entered : JUN 08, 2017 Completed By: Date Completed: AUG 17, 2017 Released By : Date Released : AUG 17, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT