$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 11/17/19 at 15:23 ============================================================================= Run Date: DEC 17, 2019 Designation: LEX*2*124 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #115 Status: Released Compliance Date: DEC 24, 2019 ============================================================================= Associated patches: (v)LEX*2*123 <<= must be installed BEFORE `LEX*2*124' Subject: CODE SET FY20 2ND QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY20 2nd Quarter Code Set distribution with 645 changes effective Jan 01, 2020. This patch also contains one change from FY19 3rd Qtr (effective Apr 01, 2019) and 18 changes from FY20 1st Qtr (effective Oct 01, 2019). Additionally, this patch exports 350562 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*91 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: ============ FY20 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2020 (152 Codes) 0563T 0564T 0565T 0566T 0567T 0568T 0569T 0570T 0571T 0572T 0573T 0574T 0575T 0576T 0577T 0578T 0579T 0580T 0581T 0582T 0583T 0584T 0585T 0586T 0587T 0588T 0589T 0590T 0591T 0592T 0593T 15769 15771 15772 15773 15774 2023F 2025F 2033F 20560 20561 20700 20701 20702 20703 20704 20705 21601 21602 21603 3051F 3052F 33016 33017 33018 33019 33858 33859 33871 34717 34718 35702 35703 46948 49013 49014 62328 62329 64451 64454 64624 64625 66987 66988 74221 74248 78429 78430 78431 78432 78433 78434 78830 78831 78832 78835 80145 80187 80230 80235 80280 80285 81277 81307 81308 81309 81522 81542 81552 87563 90694 90912 90913 92201 92202 92549 93356 93985 93986 95700 95705 95706 95707 95708 95709 95710 95711 95712 95713 95714 95715 95716 95717 95718 95719 95720 95721 95722 95723 95724 95725 95726 96156 96158 96159 96164 96165 96167 96168 96170 96171 97129 97130 98970 98971 98972 99421 99422 99423 99458 99473 99474 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2020 (66 Codes) 0205T 0206T 0249T 0254T 0341T 0357T 0375T 0377T 0380T 0399T 0482T 19260 19271 19272 19304 20926 3045F 33010 33011 33015 33860 33870 35721 35741 35761 43401 64402 64410 64413 74241 74245 74247 74249 74260 76930 78205 78206 78320 78607 78647 78710 78805 78806 78807 90911 92225 92226 93299 95827 95831 95832 95833 95834 95950 95951 95953 95956 96150 96151 96152 96153 96154 96155 97127 98969 99444 CPT Procedure Revisions ----------------------- Effective Jan 01, 2020 (95 Codes) 0402T 0554T 0555T 0556T 0557T 2022F 2024F 2026F 3022F 3027F 3035F 3042F 3050F 3077F 3080F 3084F 31233 31235 31292 31293 31294 31295 31296 31297 31298 3279F 33275 35701 3750F 46945 46946 54640 62270 62272 64400 64405 64408 64415 64416 64417 64418 64420 64421 64425 64430 64435 64445 64446 64447 64448 64449 64450 66711 66982 66984 74022 74210 74220 74230 74240 74246 74250 74251 74270 74280 76805 76810 77061 77062 78459 78491 78492 78800 78801 78802 78803 78804 81350 81406 81407 92548 92626 92627 93784 93786 93788 93790 93792 94728 95813 97605 97607 97760 97761 99457 HCPCS Procedure Additions (184 Codes) ------------------------- Effective Oct 01, 2019 (FY20 1st Qtr) (1 Code) J0642 Effective Jan 01, 2020 (183 Codes) A4226 A9590 B4187 C1734 C1824 C1839 C1982 C2596 C9054 C9055 C9757 C9758 E0787 E2398 G1000 G1001 G1002 G1003 G1004 G1005 G1006 G1007 G1008 G1009 G1010 G1011 G2021 G2022 G2058 G2061 G2062 G2063 G2064 G2065 G2066 G2067 G2068 G2069 G2070 G2071 G2072 G2073 G2074 G2075 G2076 G2077 G2078 G2079 G2080 G2081 G2082 G2083 G2086 G2087 G2088 G2089 G2090 G2091 G2092 G2093 G2094 G2095 G2096 G2097 G2098 G2099 G2100 G2101 G2102 G2103 G2104 G2105 G2106 G2107 G2108 G2109 G2110 G2112 G2113 G2114 G2115 G2116 G2117 G2118 G2119 G2120 G2121 G2122 G2123 G2124 G2125 G2126 G2127 G2128 G2129 G2130 G2131 G2132 G2133 G2134 G2135 G2136 G2137 G2138 G2139 G2140 G2141 G2142 G2143 G2144 G2145 G2146 G2147 G2148 G2149 G2150 G2151 G2152 G2153 G2154 G2155 G2156 G2157 G2158 G2159 G2160 G2161 G2162 G2163 G2164 G2165 G2166 G2167 J0179 J9199 J9309 K1001 K1002 K1003 K1004 K1005 L2006 L8033 M1106 M1107 M1108 M1109 M1110 M1111 M1112 M1113 M1114 M1115 M1116 M1117 M1118 M1119 M1120 M1121 M1122 M1123 M1124 M1125 M1126 M1127 M1128 M1129 M1130 M1131 M1132 M1133 M1134 M1135 M1136 M1137 M1138 M1139 M1140 M1141 M1142 M1143 M1144 P9099 HCPCS Procedure Inactivations (92 Codes) ----------------------------- Effective Oct 01, 2019 (FY20 1st Qtr) (14 Codes) C9035 C9036 C9037 C9038 C9039 C9040 C9044 C9045 C9048 C9049 C9050 C9051 C9052 C9447 Effective Jan 01, 2020 (78 Codes) C9043 C9407 C9408 G0365 G0515 G8649 G8653 G8657 G8665 G8669 G8673 G8861 G8978 G8979 G8980 G8981 G8982 G8983 G8984 G8985 G8986 G8987 G8988 G8989 G8990 G8991 G8992 G8993 G8994 G8995 G8996 G8997 G8998 G8999 G9017 G9018 G9019 G9020 G9033 G9034 G9035 G9036 G9158 G9159 G9160 G9161 G9162 G9163 G9164 G9165 G9166 G9167 G9168 G9169 G9170 G9171 G9172 G9173 G9174 G9175 G9176 G9186 G9472 G9742 G9743 G9941 G9944 G9947 M1000 M1001 M1002 M1030 M1042 M1044 M1047 M1048 M1050 M1053 HCPCS Procedure Revisions (70 Codes) ------------------------- Effective Apr 01, 2019 (FY19 3rd Qtr) (1 Code) G2003 Effective Oct 01, 2019 (FY20 1st Qtr) (3 Codes) J0641 J1944 Q4208 Effective Jan 01, 2020 (66 Codes) B4185 D8703 D8704 G8650 G8654 G8662 G8666 G8670 G8674 G9239 G9264 G9349 G9355 G9356 G9359 G9405 G9414 G9469 G9510 G9519 G9520 G9531 G9547 G9548 G9549 G9550 G9551 G9595 G9663 G9727 G9729 G9731 G9733 G9735 G9737 G9739 G9772 G9781 G9785 G9786 G9798 G9898 G9901 G9910 G9917 G9938 G9942 G9946 G9948 G9949 J9201 L8032 M1009 M1010 M1011 M1012 M1013 M1014 M1015 M1043 M1045 M1046 M1049 M1052 Q5105 Q5106 CPT Modifier Inactivations -------------------------- Effective Jan 01, 2020 (1 Code) GD CPT Modifier Revisions ---------------------- Effective Jan 01, 2020 (4 Codes) 50 59 63 99 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2019 -- 10 -- 2 12 SNOMED Terms Concepts 2 12 -- -- 14 Synonyms 4 350520 -- -- 350524 Fully Specified 2 10 -- -- 12 ----- ----- ----- ------ ----- 8 350552 -- 2 350562 SNOMED CT Version ID: 20190901 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, 1983-2020 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 ================= None TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_124.GBL (ASCII) The host file is 170 MB in size and could take up to 20 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*124. 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 1-5 minutes Kids Install 7-15 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon and CPT globals will result in a combined growth of about 15 MB of data. The import global ^LEXM is about 170 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 2.4 gigabytes. Make sure space is available before proceeding. It should take from 25 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_124.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 170 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 3 to 6 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_124.GBL Parameter: RS=> Globals were saved on 16 Nov 2019 6:49 PM Cache with description: LEX*2.0*124/ICPT*6.0*91 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*124. 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 8-15 minutes 8) Cleanup a) The Environment Check routine LEX2124 and the Post-Install routine LEX2124P 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: LEX2124 Before: n/a After: B91985768 **124** Routine Name: LEX2124P Before: n/a After: B21692036 **124** ============================================================================= User Information: Entered By : Date Entered : NOV 15, 2019 Completed By: Date Completed: DEC 16, 2019 Released By : Date Released : DEC 17, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT