$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 11/14/18 at 10:01 ============================================================================= Run Date: DEC 12, 2018 Designation: LEX*2*120 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #111 Status: Released Compliance Date: DEC 20, 2018 ============================================================================= Associated patches: (v)LEX*2*119 <<= must be installed BEFORE `LEX*2*120' Subject: CODE SET FY19 2ND QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY19 2nd Quarter Code Set distribution with 626 changes effective Jan 01, 2019. This patch also contains 15 changes from FY18 3rd Qtr (effective Apr 01, 2018), one change from FY18 4th Qtr (effective Jul 01, 2018), one change from FY18 4th Qtr (effective Aug 01, 2018) and 12 changes from FY19 1st Qtr (effective Oct 01, 2018). Additionally, this patch exports 2655 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*87 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: ============ FY19 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2019 (167 Codes) 0505T 0506T 0507T 0508T 0509T 0510T 0511T 0512T 0513T 0514T 0515T 0516T 0517T 0518T 0519T 0520T 0521T 0522T 0523T 0524T 0525T 0526T 0527T 0528T 0529T 0530T 0531T 0532T 0533T 0534T 0535T 0536T 0537T 0538T 0539T 0540T 0541T 0542T 10004 10005 10006 10007 10008 10009 10010 10011 10012 11102 11103 11104 11105 11106 11107 20932 20933 20934 27369 33274 33275 33285 33286 33289 33440 33866 36572 36573 38531 43762 43763 50436 50437 53854 76391 76978 76979 76981 76982 76983 77046 77047 77048 77049 81163 81164 81165 81166 81167 81171 81172 81173 81174 81177 81178 81179 81180 81181 81182 81183 81184 81185 81186 81187 81188 81189 81190 81204 81233 81234 81236 81237 81239 81271 81274 81284 81285 81286 81289 81305 81306 81312 81320 81329 81333 81336 81337 81343 81344 81345 81443 81518 81596 82642 83722 92273 92274 93264 95836 95976 95977 95983 95984 96112 96113 96121 96130 96131 96132 96133 96136 96137 96138 96139 96146 97151 97152 97153 97154 97155 97156 97157 97158 99451 99452 99453 99454 99457 99491 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2019 (71 Codes) 0159T 0188T 0189T 0190T 0195T 0196T 0337T 0346T 0359T 0360T 0361T 0363T 0364T 0365T 0366T 0367T 0368T 0369T 0370T 0371T 0372T 0374T 0387T 0388T 0389T 0390T 0391T 0406T 0407T 10022 11100 11101 20005 27370 31595 33282 33284 41500 43760 46762 50395 61332 61480 61610 61612 63615 64508 64550 66220 76001 77058 77059 78270 78271 78272 81211 81213 81214 92275 95974 95975 95978 95979 96101 96102 96103 96111 96118 96119 96120 99090 CPT Procedure Revisions ----------------------- Effective Jan 01, 2019 (64 Codes) 0333T 0335T 0362T 0373T 0497T 0498T 10021 22552 36568 36569 36584 37183 37188 61333 61641 61642 66225 74485 76881 76882 77021 77022 77387 81109 81162 81212 81215 81216 81217 81244 81287 81327 81334 81400 81401 81404 81405 81407 90689 90968 90969 93279 93285 93286 93288 93290 93291 93294 93296 93297 93298 93299 93355 94780 94781 95970 95971 95972 96116 99091 99446 99447 99448 99449 HCPCS Procedure Additions (177 Codes) ------------------------- Effective Aug 01, 2018 (FY18 4th Qtr) (1 Code) G2000 Effective Oct 01, 2018 (FY19 1st Qtr) (12 Codes) C9034 G9978 G9979 G9980 G9981 G9982 G9983 G9984 G9985 G9986 G9987 Q5110 Effective Jan 01, 2019 (164 Codes) A4563 A5514 A6460 A6461 A9589 B4105 C1823 C8937 C9035 C9036 C9037 C9038 C9039 C9407 C9408 C9751 C9752 C9753 C9754 C9755 E0447 E0467 G0068 G0069 G0070 G2010 G2011 G2012 J0185 J0517 J0567 J0584 J0599 J0841 J1301 J1454 J1628 J1746 J2062 J2797 J3304 J3316 J3397 J3398 J3591 J7177 J7203 J7329 J9044 J9057 J9153 J9173 J9229 J9311 J9312 L8608 L8698 L8701 L8702 M1000 M1001 M1002 M1003 M1004 M1005 M1006 M1007 M1008 M1009 M1010 M1011 M1012 M1013 M1014 M1015 M1016 M1017 M1018 M1019 M1020 M1021 M1022 M1023 M1024 M1025 M1026 M1027 M1028 M1029 M1030 M1031 M1032 M1033 M1034 M1035 M1036 M1037 M1038 M1039 M1040 M1041 M1042 M1043 M1044 M1045 M1046 M1047 M1048 M1049 M1050 M1051 M1052 M1053 M1054 M1055 M1056 M1057 M1058 M1059 M1060 M1061 M1062 M1063 M1064 M1065 M1066 M1067 M1068 M1069 M1070 M1071 Q4183 Q4184 Q4185 Q4186 Q4187 Q4188 Q4189 Q4190 Q4191 Q4192 Q4193 Q4194 Q4195 Q4196 Q4197 Q4198 Q4200 Q4201 Q4202 Q4203 Q4204 Q5107 Q5109 T4545 V5171 V5172 V5181 V5211 V5212 V5213 V5214 V5215 V5221 HCPCS Procedure Inactivations (43 Codes) ----------------------------- Effective Jul 01, 2018 (FY18 4th Qtr) (1 Code) C9469 Effective Jan 01, 2019 (42 Codes) C8904 C8907 C9014 C9015 C9016 C9024 C9028 C9029 C9030 C9031 C9032 C9275 C9463 C9464 C9465 C9466 C9467 C9468 C9492 C9493 C9497 C9741 C9744 C9748 G9534 G9535 G9536 G9538 G9686 J0833 J9310 K0903 Q2040 Q4131 Q4172 Q9993 Q9994 Q9995 V5170 V5180 V5210 V5220 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2019 (18 Codes) A9513 G0071 G0076 G0077 G0078 G0079 G0080 G0081 G0082 G0083 G0084 G0085 G0086 G0087 J3245 J7170 J7318 Q2042 HCPCS Procedure Revisions (111 Codes) ------------------------- Effective Apr 01, 2018 (FY18 3rd Qtr) (15 Codes) G0499 G0516 G9874 G9876 G9877 G9878 G9879 G9880 G9881 G9882 G9883 G9884 G9885 G9890 G9891 Effective Jan 01, 2019 (96 Codes) A5513 A9273 C1889 E0218 E0483 G8647 G8648 G8649 G8650 G8651 G8652 G8653 G8654 G8655 G8656 G8657 G8658 G8659 G8660 G8661 G8662 G8663 G8664 G8665 G8666 G8667 G8668 G8669 G8670 G8671 G8672 G8673 G8674 G8709 G8749 G8806 G8807 G8880 G9428 G9429 G9431 G9454 G9457 G9509 G9511 G9530 G9531 G9532 G9537 G9573 G9574 G9594 G9596 G9612 G9614 G9625 G9627 G9628 G9630 G9631 G9633 G9649 G9651 G9683 G9685 G9690 G9727 G9729 G9731 G9733 G9735 G9737 G9739 G9755 G9764 G9765 G9772 G9773 G9787 G9803 G9804 G9974 G9975 J0295 J0834 J7178 J8655 J9041 P9073 Q2041 Q4133 Q4137 V5190 V5200 V5230 V5240 CPT Modifier Additions ---------------------- Effective Jan 01, 2019 (3 Codes) CO CQ G0 CPT Modifiers Re-Used --------------------- Effective Jan 01, 2019 (1 Code) ER CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2019 17 -- -- 3 20 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2018 623 -- -- 3 626 SNOMED Terms Concepts 626 3 -- -- 629 Synonyms 771 3 -- -- 774 Fully Specified 626 -- -- -- 626 ----- ----- ----- ------ ----- 2646 6 -- 3 2655 SNOMED CT Version ID: 20180901 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, 1983-2019 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: ================= I2593891 - Update Index to fix issues with search. TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_120.GBL (ASCII) The host file is 136.52 MB in size and could take up to 7 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 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*120. It is recommended that this patch be installed during non-peak hours. This patch should take from 6 to 12 minutes to install depending on the system. Create a backup 20-80 minutes Load the Global 5-10 minutes Kids Install 6-12 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon and CPT globals will result in a combined growth of about 110 MB of data. The import global ^LEXM is about 105 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 X.2.4 gigabytes. Make sure space is available before proceeding. It should take from 4 to 7 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_120.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 1012 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_120.GBL Parameter: RS=> Globals were saved on 14 Nov 2018 10:21 AM Cache with description: LEX*2.0*120/ICPT*6.0*87 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*120. 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 6-10 minutes 8) Cleanup a) The Environment Check routine LEX2120 and the Post-Install routine LEX2120P 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 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2120 Before: n/a After: B91908895 **120** Routine Name: LEX2120P Before: n/a After: B21647627 **120** ============================================================================= User Information: Entered By : Date Entered : OCT 16, 2018 Completed By: Date Completed: DEC 11, 2018 Released By : Date Released : DEC 12, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT