$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 03/24/20 at 16:40 ============================================================================= Run Date: APR 01, 2020 Designation: LEX*2*126 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #117 Status: Released Compliance Date: APR 06, 2020 ============================================================================= Associated patches: (v)LEX*2*125 <<= must be installed BEFORE `LEX*2*126' Subject: CODE SET FY20 3RD QTR INTERIM DATA UPDATE: COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY20 3rd Quarter Code Set distribution with 17 changes effective Apr 01, 2020. This patch also contains two changes from FY20 2nd Qtr (effective Jan 01, 2020), two changes from FY20 2nd Qtr (effective Feb 04, 2020), one change from FY20 2nd Qtr (effective Mar 13, 2020) and 26 projected changes for FY20 4th Qtr (effective Jul 01, 2020). Additionally, this patch exports 15459 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*102 ICPT*6.0*93 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 CPT #81 ^ICPT( ICR 4489 CPT CATEGORY #81.1 ^DIC(81.1, ICR 4490 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 3rd Quarter Update CPT Procedure Additions (26 Codes) ----------------------- Effective Mar 13, 2020 (FY20 2nd Qtr) (1 Code) 87635 Effective Jul 01, 2020 (projected FY20 4th Qtr) (25 Codes) 0594T 0596T 0597T 0598T 0599T 0600T 0601T 0602T 0603T 0604T 0605T 0606T 0607T 0608T 0609T 0610T 0611T 0612T 0613T 0614T 0615T 0616T 0617T 0618T 0619T CPT Procedure Revisions ----------------------- Effective Jul 01, 2020 (1 Code) 0577T HCPCS Procedure Additions (16 Codes) ------------------------- Effective Jan 01, 2020 (FY20 2nd Qtr) (2 Codes) G2168 G2169 Effective Feb 04, 2020 (FY20 2nd Qtr) (2 Codes) U0001 U0002 Effective Apr 01, 2020 (12 Codes) C9053 C9056 C9057 C9058 G1012 G1013 G1014 G1015 G1016 G1017 G1018 G1019 HCPCS Procedure Inactivations ----------------------------- Effective Apr 01, 2020 (1 Code) G1000 HCPCS Procedure Revisions ------------------------- Effective Apr 01, 2020 (3 Codes) G2061 G2062 G2063 ICD-10 Diagnosis Additions -------------------------- Effective Apr 01, 2020 (1 Code) U07.1 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2020 11 17 -- 7 35 SNOMED Terms Concepts 18 24 -- -- 42 Synonyms 7671 7676 -- -- 15347 Fully Specified 18 17 -- -- 35 ----- ----- ----- ------ ----- 7718 7734 -- 7 15459 SNOMED CT Version ID: 20200131 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_126.GBL (ASCII) The host file is 102 MB in size and could take up to 15 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*126. 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 5-15 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT and ICD globals will result in a combined growth of about 20 MB of data. The import global ^LEXM is about 102 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: ICD Diagnosis #80 ^ICD9( CPT #81 ^ICPT( CPT Category #81.1 ^DIC(81.1, 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 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^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 4) Install the data from the global host file LEX_2_126.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 102 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 1 to 5 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_126.GBL Parameter: RS=> Globals were saved on 24 Mar 2020 17:33 PM Cache with description: LEX*2.0*126/ICD*18.0*102/ICPT*6.0*93 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*126. 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 5-15 minutes 8) Cleanup a) The Environment Check routine LEX2126 and the Post-Install routine LEX2126P 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2126 Before: n/a After: B93272148 **126** Routine Name: LEX2126P Before: n/a After: B21755590 **126** ============================================================================= User Information: Entered By : Date Entered : MAR 16, 2020 Completed By: Date Completed: MAR 31, 2020 Released By : Date Released : APR 01, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT