$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 12/16/20 at 14:08 ============================================================================= Run Date: DEC 22, 2020 Designation: LEX*2*131 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #122 Status: Released Compliance Date: DEC 31, 2020 ============================================================================= Associated patches: (v)LEX*2*130 <<= must be installed BEFORE `LEX*2*131' Subject: CODE SET FY21 2ND QTR INTERIM UPDATE: COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY21 2nd Quarter Code Set distribution with 368 changes effective Jan 01, 2021. This patch also contains one change from FY20 2nd Qtr (effective Mar 01, 2020) and two changes from FY21 1st Qtr (effective Nov 21, 2020). This patch installs the data for the following Informational patches: ICD*18.0*106 ICPT*6.0*98 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 ICD OPERATION/PROCEDURE #80.1 ^ICD0( ICR 4486 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: ============ FY21 2nd Quarter Update ICD-10 Diagnosis Additions -------------------------- Effective Jan 01, 2021 (6 Codes) J12.82 M35.81 M35.89 Z11.52 Z20.822 Z86.16 ICD-10 Diagnosis Inactivations ------------------------------ Effective Jan 01, 2021 (1 Code) M35.8 ICD-10 Procedure Additions -------------------------- Effective Jan 01, 2021 (21 Codes) XW013H6 XW013K6 XW013S6 XW013T6 XW013U6 XW023S6 XW023T6 XW023U6 XW033E6 XW033F6 XW033G6 XW033H6 XW033L6 XW043E6 XW043F6 XW043G6 XW043H6 XW043L6 XW0DXM6 XW0G7M6 XW0H7M6 HCPCS Procedure Additions (82 Codes) ------------------------- Effective Nov 21, 2020 (FY21 1st Qtr) (2 Codes) M0243 Q0243 Effective Jan 01, 2021 (80 Codes) A9591 C1052 C1062 C1825 C9068 C9069 C9070 C9071 C9072 C9073 C9770 C9771 C9772 C9773 C9774 C9775 G2173 G2174 G2175 G2176 G2177 G2178 G2179 G2180 G2181 G2182 G2183 G2184 G2185 G2186 G2187 G2188 G2189 G2190 G2191 G2192 G2193 G2194 G2195 G2196 G2197 G2198 G2199 G2200 G2201 G2202 G2203 G2204 G2205 G2206 G2207 G2208 G2209 G2210 G2211 G2212 G2213 G2214 G2215 G2216 G2250 G2251 G2252 J0693 J1823 J7212 J7352 J9144 J9223 J9281 J9316 J9317 M1145 M1146 M1147 M1148 M1149 Q5122 S0013 U0005 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2021 (174 Codes) C9060 C9062 C9064 C9066 C9745 C9747 C9749 G0297 G1005 G1006 G2058 G2089 G2102 G2103 G2104 G2114 G2117 G2119 G2120 G2123 G2124 G2130 G2131 G2132 G2133 G2134 G2135 G2153 G2154 G2155 G2156 G2157 G2158 G2159 G2160 G2161 G2162 G2163 G2164 G2165 G2166 G8398 G8442 G8509 G8571 G8572 G8573 G8574 G8627 G8628 G8671 G8672 G8674 G8730 G8731 G8732 G8809 G8810 G8811 G8872 G8873 G8874 G8939 G8959 G8960 G8973 G8974 G8975 G8976 G9232 G9239 G9240 G9241 G9256 G9257 G9258 G9259 G9260 G9261 G9262 G9263 G9264 G9265 G9266 G9300 G9301 G9302 G9303 G9304 G9326 G9327 G9329 G9340 G9365 G9366 G9389 G9390 G9469 G9503 G9523 G9524 G9525 G9526 G9532 G9558 G9559 G9560 G9573 G9574 G9600 G9601 G9602 G9615 G9616 G9617 G9701 G9738 G9739 G9747 G9748 G9749 G9750 G9759 G9798 G9799 G9800 G9801 G9802 G9803 G9804 G9814 G9815 G9816 G9817 G9825 G9826 G9827 G9828 G9829 G9833 G9834 G9835 G9836 G9837 G9849 G9850 G9851 G9855 G9856 G9857 G9924 G9933 G9934 G9935 G9936 G9937 G9966 G9967 M1015 M1023 M1024 M1033 M1061 M1062 M1063 M1064 M1065 M1066 M1136 M1137 M1138 M1139 M1140 M1144 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2021 (3 Codes) G0088 G0089 G0090 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2021 (83 Codes) C9760 G0068 G0069 G0070 G2097 G2105 G2108 G2115 G2116 G2118 G2125 G2126 G2127 G2136 G2138 G2140 G2144 G2151 G2152 G2167 G8430 G8601 G8650 G8654 G8658 G8694 G8709 G8924 G8938 G8969 G9299 G9355 G9356 G9401 G9402 G9415 G9448 G9537 G9550 G9642 G9659 G9660 G9661 G9663 G9666 G9703 G9716 G9717 G9722 G9727 G9729 G9731 G9898 G9901 G9910 G9931 G9938 G9945 J7189 M1003 M1041 M1045 M1046 M1051 M1108 M1109 M1110 M1113 M1114 M1115 M1118 M1119 M1120 M1123 M1124 M1125 M1128 M1129 M1130 M1132 M1133 M1134 M1141 CPT Modifier Revisions ---------------------- Effective Mar 01, 2020 (1 Code) CS 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, 1983-2021 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_131.GBL (ASCII) The host file is 94 MB in size and could take up to 15 minutes to transmit. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LEX_2_131.GBL INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*131. 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 94 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( ICD Operation/Procedure #80.1 ^ICD0( 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 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 ^ICD0 ICD Operation/Procedure ^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_131.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 94 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: /srv/vista/patches/SOFTWARE/LEX_2_131.GBL Parameter: "RS" => Globals were saved on 16 Dec 2020 4:51 PM IRIS with description: LEX*2.0*131/ICD*18.0*106/ICPT*6.0*98 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*131. 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 LEX2131 and the Post-Install routine LEX2131P 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: LEX2131 Before: n/a After: B93519410 **131** Routine Name: LEX2131P Before: n/a After: B21937809 **131** ============================================================================= User Information: Entered By : Date Entered : DEC 07, 2020 Completed By: Date Completed: DEC 21, 2020 Released By : Date Released : DEC 22, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT