$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 03/07/18 at 14:42 ============================================================================= Run Date: APR 11, 2018 Designation: LEX*2*117 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #108 Status: Released Compliance Date: APR 18, 2018 ============================================================================= Associated patches: (v)LEX*2*116 <<= must be installed BEFORE `LEX*2*117' Subject: Code Set FY18 3rd Qtr Update Category: - Routine - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ This patch contains the FY18 3rd Quarter Code Set distribution with 31 changes effective Apr 01, 2018. This patch also contains two changes from FY16 2nd Qtr (effective Jan 01, 2016), one change from FY17 2nd Qtr (effective Jan 01, 2017) and 23 changes from FY18 2nd Qtr (effective Jan 01, 2018). Additionally, this patch exports 41661 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*84 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 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 3rd Quarter Update CPT Procedure Revisions (2 Codes) ----------------------- Effective Jan 01, 2017 (FY17 2nd Qtr) (1 Code) 90750 Effective Jan 01, 2018 (FY18 2nd Qtr) (1 Code) 74283 HCPCS Procedure Additions (19 Codes) ------------------------- Effective Jan 01, 2018 (FY18 2nd Qtr) (3 Codes) G9868 G9869 G9870 Effective Apr 01, 2018 (16 Codes) G9873 G9874 G9875 G9876 G9877 G9878 G9879 G9880 G9881 G9882 G9883 G9884 G9885 K0903 Q5103 Q5104 HCPCS Procedure Inactivations (7 Codes) ----------------------------- Effective Jan 01, 2018 (FY18 2nd Qtr) (6 Codes) G0502 G0503 G0504 G0505 G0507 Q9988 Effective Apr 01, 2018 (1 Code) Q5102 HCPCS Procedures Re-Used ------------------------ Effective Apr 01, 2018 (1 Code) Q2041 HCPCS Procedure Revisions (19 Codes) ------------------------- Effective Jan 01, 2016 (FY16 2nd Qtr) (2 Codes) G9637 G9638 Effective Jan 01, 2018 (FY18 2nd Qtr) (13 Codes) G0279 G9367 G9368 G9481 G9482 G9483 G9484 G9485 G9486 G9487 G9488 G9489 G9490 Effective Apr 01, 2018 (4 Codes) G0516 G9890 G9891 Q5101 CPT Modifier Inactivations -------------------------- Effective Apr 01, 2018 (3 Codes) ZA ZB ZC CPT Modifiers Re-Used --------------------- Effective Apr 01, 2018 (3 Codes) QA QB QR CPT Modifier Revisions ---------------------- Effective Apr 01, 2018 (3 Codes) QE QF QG CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2005 * -- 141 -- 14 155 Effective Jan 01, 2007 * -- 1 -- -- 1 Effective Jan 01, 2017 * 16 -- -- 12 28 Effective Jan 01, 2018 * 1727 24705 1 33975 60408 Effective Apr 01, 2018 19 -- -- 2 21 ----- ----- ----- ------ ----- Total 1762 24847 1 34003 60613 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/01/2006 27 -- 3 913 943 01/31/2007 -- 9 -- 11 20 07/31/2007 -- 2 -- 13 15 01/31/2008 -- -- -- 1 1 07/31/2008 -- 3 -- -- 3 01/31/2009 -- 1 -- 4 5 07/31/2009 -- -- -- 3 3 01/31/2010 -- 1 -- -- 1 07/31/2010 -- -- -- 1 1 07/31/2011 -- 3 -- 1 4 01/31/2014 -- 2 -- -- 2 09/01/2014 -- 19 -- 48 67 01/31/2015 -- 6 -- 20 26 01/31/2016 -- 2 -- -- 2 01/31/2017 -- -- -- 1 1 07/31/2017 -- -- -- 44 44 01/31/2018 4924 -- 11 816 5751 SNOMED Terms Concepts 5741 816 -- -- 6557 Synonyms 13708 4788 -- -- 18496 Fully Specified 9719 -- -- -- 9719 ----- ----- ----- ------ ----- 34119 5652 14 1876 41661 SNOMED CT Version ID: 20180131 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: ================= I18252488FY18 - Need Modifiers for 00731, 00732, 00811, 00812 and 00813 R18703038FY18 - Need Modifiers for 00731, 00732, 00811, 00812 and 00813 duplicate I18667197FY18 - Need Modifiers for 00731, 00732, 00811, 00812 and 00813 duplicate I18903494FY18 - Problems Using Procedure Code G0505 TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_117.GBL (ASCII) The host file is 156.357 MB in size and could take up to 6 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*117. It is recommended that this patch be installed during non-peak hours. This patch should take from 30 to 90 minutes to install depending on the system. Create a backup 20-75 minutes Load the Global 2-4 minutes Kids Install 10-13 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT globals will result in a combined growth of about 16 MB of data. The import global ^LEXM is about 119.19 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 20 to 75 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_117.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 156 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 2 to 4 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_117.GBL Parameter: RS=> Globals were saved on 08 Mar 2018 09:15 AM Cache with description: LEX*2.0*117/ICPT*6.0*84 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*117. 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 10-13 minutes 8) Cleanup a) The Environment Check routine LEX2117 and the Post-Install routine LEX2117P 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 Help desk to log a ticket. 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: LEX2117 Before: n/a After: B91429778 **117** Routine Name: LEX2117P Before: n/a After: B20925693 **117** ============================================================================= User Information: Entered By : Date Entered : DEC 01, 2017 Completed By: Date Completed: APR 10, 2018 Released By : Date Released : APR 11, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT