$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 04/19/20 at 17:08 ============================================================================= Run Date: MAY 12, 2020 Designation: LEX*2*127 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #118 Status: Released Compliance Date: MAY 22, 2020 ============================================================================= Associated patches: (v)LEX*2*126 <<= must be installed BEFORE `LEX*2*127' Subject: CODE SET FY20 3RD QTR INTERIM DATA UPDATE & API DEFECT REPAIR:COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains two changes from FY20 2nd Qtr (effective Feb 04, 2020), two changes from FY20 2nd Qtr (effective Mar 01, 2020) and 3 projected changes for FY20 3rd Qtr (effective Apr 10, 2020). This patch installs the data for the following Informational patch: ICPT*6.0*94 This patch writes to the following files: CPT #81 ^ICPT( ICR 4489 CPT CATEGORY #81.1 ^DIC(81.1, ICR 4490 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 3rd Quarter Update CPT Procedure Additions ----------------------- Effective Apr 10, 2020 (2 Codes) 86328 86769 CPT Procedure Revisions ----------------------- Effective Apr 10, 2020 (1 Code) 86318 HCPCS Procedure Additions (4 Codes) ------------------------- Effective Feb 04, 2020 (FY20 2nd Qtr) (2 Codes) U0003 U0004 Effective Mar 01, 2020 (FY20 2nd Qtr) (2 Codes) G2023 G2024 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2017 * -- -- -- 4 4 * update from a previous quarter 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 ================= INC10434409 This patch includes a defect repair to the Lexicon code search search routine LEXABC. Search results was screening out codes that begin with the characters "U00". There are 1624 active CODES file (#757.02) entries inactivated in the post-install routine of the patch. The codes belong to an unused code systems. This prevents those codes from appearing in search results. TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SOFTWARE RETRIEVAL: ================== Global Host File: LEX_2_127.GBL (ASCII) The host file is 93 MB in size and could take up to 15 minutes to download. The preferred method is to retrieve the file from: https://download.vista.domain.ext This transmits the files from the first available server. INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*127. 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 and CPT globals will result in a combined growth of about 15 MB of data. The import global ^LEXM is about 93 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 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 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 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(81.3, CPT Modifier 4) Install the data from the global host file LEX_2_127.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 93 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_127.GBL Parameter: RS=> Globals were saved on 23 Apr 2020 12:00 AM Cache with description: LEX*2.0*127/ICPT*6.0*94 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*127. 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 LEX2127 and the Post-Install routine LEX2127P 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: LEX2127 Before: n/a After: B93900855 **127** Routine Name: LEX2127P Before: n/a After: B25187514 **127** Routine Name: LEXABC Before: B85331586 After: B85118295 **4,25,26,29,38,73,51,80,103,127** Routine list of preceding patches: 103 ============================================================================= User Information: Entered By : Date Entered : APR 16, 2020 Completed By: Date Completed: MAY 11, 2020 Released By : Date Released : MAY 12, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT