$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 11/28/17 at 09:25 ============================================================================= Run Date: DEC 27, 2017 Designation: LEX*2*116 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #106 Status: Released Compliance Date: JAN 04, 2018 ============================================================================= Associated patches: (v)LEX*2*115 <<= must be installed BEFORE `LEX*2*116' Subject: Code Set FY18 2nd Qtr Update Category: - Routine - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ This patch contains the FY18 2nd Quarter Code Set distribution with 568 changes effective Jan 01, 2018. This patch also contains four changes from FY94 3rd Qtr (effective Jun 01, 1994), two changes from FY17 4th Qtr (effective Jul 01, 2017), 1 projected change for FY18 3rd Qtr (effective Apr 01, 2018) and 1 projected change for FY18 4th Qtr (effective Jul 01, 2018). Additionally, this patch exports 1778 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*83 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 PATCH COMPONENTS: ================ Files & Fields Associated: N/A Forms Associated: N/A Mail Groups Associated: N/A Options Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A ADDITIONAL INFORMATION: ====================== New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A ENHANCEMENTS: ============ FY18 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2018 (145 Codes) 00731 00732 00811 00812 00813 0464T 0465T 0466T 0467T 0468T 0469T 0470T 0471T 0472T 0473T 0474T 0475T 0476T 0477T 0478T 0479T 0480T 0481T 0482T 0483T 0484T 0485T 0486T 0487T 0488T 0489T 0490T 0491T 0492T 0493T 0494T 0495T 0496T 0497T 0498T 0499T 0500T 0501T 0502T 0503T 0504T 15733 19294 20939 31241 31253 31257 31259 31298 32994 33927 33928 33929 34701 34702 34703 34704 34705 34706 34707 34708 34709 34710 34711 34712 34713 34714 34715 34716 36465 36466 36482 36483 38222 38573 43286 43287 43288 55874 58575 64912 64913 71045 71046 71047 71048 74018 74019 74021 81105 81106 81107 81108 81109 81110 81111 81112 81120 81121 81175 81176 81230 81231 81232 81238 81247 81248 81249 81258 81259 81269 81283 81328 81334 81335 81346 81361 81362 81363 81364 81448 81520 81521 81541 81551 86794 87634 87662 94617 94618 95249 96573 96574 97127 97763 99483 99484 99492 99493 99494 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2018 (82 Codes) 0051T 0052T 0053T 00740 00810 01180 01190 01682 0178T 0179T 0180T 0255T 0293T 0294T 0299T 0300T 0301T 0302T 0303T 0304T 0305T 0306T 0307T 0309T 0310T 0340T 0438T 15732 29582 29583 31320 34800 34802 34803 34804 34805 34806 34825 34826 34900 36120 36515 55450 64565 69820 69840 71010 71015 71020 71021 71022 71023 71030 71034 71035 74000 74010 74020 75658 75952 75953 75954 77422 78190 83499 84061 86185 86243 86378 86729 86822 87277 87470 87477 87515 88154 93982 94620 97532 97762 99363 99364 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2018 (4 Codes) 15730 86008 93792 93793 CPT Procedure Revisions ----------------------- Effective Jan 01, 2018 (77 Codes) 0100T 01680 0254T 0333T 11403 14302 17250 25000 29902 31254 31255 31276 31300 31584 31645 31646 32998 3372F 34812 34820 34833 34834 36140 36468 36470 36471 36516 36908 38220 38221 4194F 43112 57240 57260 57265 62290 62291 62292 64550 76000 76098 76881 76882 77423 80305 80306 80307 81257 81400 81401 81403 81404 81405 81406 81432 81439 81519 82042 82043 82044 86003 86005 90750 90756 92602 93355 94621 95250 95251 95930 96567 97760 97761 99217 99218 99219 99220 HCPCS Procedure Additions ------------------------- Effective Jan 01, 2018 (125 Codes) C9014 C9015 C9016 C9024 C9028 C9029 C9738 C9748 G0511 G0512 G0513 G0514 G0515 G0516 G0517 G0518 G9890 G9891 G9892 G9893 G9894 G9895 G9896 G9897 G9898 G9899 G9900 G9901 G9902 G9903 G9904 G9905 G9906 G9907 G9908 G9909 G9910 G9911 G9912 G9913 G9914 G9915 G9916 G9917 G9918 G9919 G9920 G9921 G9922 G9923 G9924 G9925 G9926 G9927 G9928 G9929 G9930 G9931 G9932 G9933 G9934 G9935 G9936 G9937 G9938 G9939 G9940 G9941 G9942 G9943 G9944 G9945 G9946 G9947 G9948 G9949 G9954 G9955 G9956 G9957 G9958 G9959 G9960 G9961 G9962 G9963 G9964 G9965 G9966 G9967 G9968 G9969 G9970 G9974 G9975 G9976 G9977 J0565 J1428 J1555 J1627 J1726 J1729 J2326 J3358 J7210 J7211 J7296 J9022 J9023 J9203 J9285 L3761 L7700 L8694 P9073 P9100 Q0477 Q4176 Q4177 Q4178 Q4179 Q4180 Q4181 Q4182 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2018 (30 Codes) A9599 C9140 C9483 C9484 C9485 C9486 C9489 C9490 C9491 C9494 G0202 G0204 G0206 G8696 G8697 G8698 G8879 G8947 G8971 G8972 G9381 G9496 J1725 J9300 P9072 Q9984 Q9985 Q9986 Q9987 Q9989 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2018 (6 Codes) E0953 E0954 J2350 J7345 L8625 Q2040 HCPCS Procedure Revisions (76 Codes) ------------------------- Effective Jun 01, 1994 (FY94 3rd Qtr) (4 Codes) Q0117 Q0121 Q0122 Q0123 Effective Jan 01, 2018 (72 Codes) D6118 D6119 E1639 G8430 G8433 G8442 G8535 G8540 G8808 G8869 G8880 G8938 G8939 G8941 G8967 G8968 G8969 G9227 G9256 G9257 G9258 G9259 G9260 G9261 G9262 G9263 G9313 G9348 G9384 G9504 G9541 G9607 G9624 G9637 G9638 G9656 G9716 G9717 G9744 G9745 G9758 G9762 G9763 G9764 G9765 G9784 G9785 G9786 G9794 G9814 G9815 G9816 G9817 G9840 G9841 G9843 J0604 J0606 J2274 J7321 J7328 L3760 L8618 L8624 L8691 Q4132 Q4133 Q4148 Q4156 Q4158 Q4162 Q4163 CPT Modifier Additions (10 Codes) ---------------------- Effective Jan 01, 2018 (9 Codes) 96 97 FY TB X1 X2 X3 X4 X5 Effective Apr 01, 2018 (projected FY18 3rd Qtr) (1 Code) VM CPT Modifier Inactivations -------------------------- Effective Jan 01, 2018 (2 Codes) CP SZ CPT Modifiers Re-Used (2 Codes) --------------------- Effective Jan 01, 2018 (1 Code) JG Effective Jul 01, 2018 (projected FY18 4th Qtr) (1 Code) QQ CPT Modifier Revisions (17 Codes) ---------------------- Effective Jul 01, 2017 (FY17 4th Qtr) (2 Codes) Q5 Q6 Effective Jan 01, 2018 (15 Codes) 22 25 27 47 51 52 53 58 59 62 63 66 73 76 77 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 1999 * -- -- -- 9 9 Effective Jan 01, 2008 * 1 -- -- 3 4 Effective Jan 01, 2018 9 -- -- 1 10 ----- ----- ----- ------ ----- Total 10 -- -- 13 23 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/31/2017 395 -- -- 5 400 SNOMED Terms Concepts 400 5 -- -- 405 Synonyms 552 13 -- -- 565 Fully Specified 408 -- -- -- 408 ----- ----- ----- ------ ----- 1755 18 -- 5 1778 SNOMED CT Version ID: 20170901 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, 1983-2017 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: ================= R16956922FY18 - Modifier 50 with 76641 and 76642 TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_116.GBL (ASCII) The host file is 11.1 MB in size and could take up to 4 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: Hines domain.ext Salt Lake City domain.ext INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*116. It is recommended that this patch be installed during non-peak hours. This patch should take from 22 to 93 minutes to install depending on the system. Create a backup 20-90 minutes Load the Global less than 1 minute Kids Install 1-2 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon and CPT globals will result in a combined growth of about 9.56 MB of data. The import global ^LEXM is about 8.84 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 2.2 gigabytes. Make sure space is available before proceeding. It should take from 20 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_116.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 8.8 megabytes in size. Make sure there is sufficient space available to load this global on your system. The loading of the global should take less than a minute. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_116.GBL Parameters? "RS" => Globals were saved on 11 Dec 2017 9:13 PM Cache with description: LEX*2.0*116/ICPT*6.0*83 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*116. 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 1-2 minutes 8) Cleanup The Environment Check routine LEX2116 and the Post-Install routine LEX2116P 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) Back-out Plan: 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 your 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. 10) 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2116 Before: n/a After: B91629866 **116** Routine Name: LEX2116P Before: n/a After: B20925588 **116** ============================================================================= User Information: Entered By : Date Entered : OCT 11, 2017 Completed By: Date Completed: DEC 27, 2017 Released By : Date Released : DEC 27, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT