$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 02/28/21 at 14:44 ============================================================================= Run Date: MAR 04, 2021 Designation: LEX*2*132 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #123 Status: Released Compliance Date: MAR 08, 2021 ============================================================================= Associated patches: (v)LEX*2*131 <<= must be installed BEFORE `LEX*2*132' Subject: CODE SET FY21 3RD QTR UPDATE: COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY21 3rd Quarter Code Set distribution with 6 changes effective Apr 01, 2021. This patch also contains one change from FY20 2nd Qtr (effective Jan 01, 2020), four changes from FY20 2nd Qtr (effective Mar 01, 2020), one change from FY20 3rd Qtr (effective Apr 01, 2020), two changes from FY21 1st Qtr (effective Oct 01, 2020), 20 changes from FY21 2nd Qtr (effective Jan 01, 2021), two changes from FY21 2nd Qtr (effective Feb 09, 2021), five changes from FY21 2nd Qtr (effective Feb 26, 2021) and 32 projected changes for FY21 4th Qtr (effective Jul 01, 2021). Additionally, this patch exports 43492 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*99 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: ============ FY21 3rd Quarter Update CPT Procedure Additions (59 Codes) ----------------------- Effective Apr 01, 2020 (FY20 3rd Qtr) (1 Code) 0014M Effective Oct 01, 2020 (FY21 1st Qtr) (2 Codes) 0015M 0016M Effective Jan 01, 2021 (FY21 2nd Qtr) (14 Codes) 0017M 0227U 0228U 0229U 0230U 0231U 0232U 0233U 0234U 0235U 0236U 0237U 0238U 0239U Effective Feb 26, 2021 (FY21 2nd Qtr) (5 Codes) 0021A 0022A 0031A 91302 91303 Effective Apr 01, 2021 (6 Codes) 0242U 0243U 0244U 0245U 0246U 0247U Effective Jul 01, 2021 (projected FY21 4th Qtr) (31 Codes) 0640T 0641T 0642T 0643T 0644T 0645T 0646T 0647T 0648T 0649T 0650T 0651T 0652T 0653T 0654T 0655T 0656T 0657T 0658T 0659T 0660T 0661T 0662T 0663T 0664T 0665T 0666T 0667T 0668T 0669T 0670T CPT Procedure Inactivations --------------------------- Effective Jan 01, 2021 (3 Codes) 0098U 0099U 0100U CPT Procedure Revisions (2 Codes) ----------------------- Effective Jan 01, 2020 (FY20 2nd Qtr) (1 Code) 0152U Effective Jul 01, 2021 (projected FY21 4th Qtr) (1 Code) 0493T CPT Procedure Re-Activated --------------------------- Effective Feb 01, 1998 (1 Code) 87450 HCPCS Procedure Additions ------------------------- Effective Feb 09, 2021 (2 Codes) M0245 Q0245 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2021 (3 Codes) G2061 G2062 G2063 HCPCS Procedure Revisions ------------------------- Effective Mar 01, 2020 (3 Codes) G0179 G0180 G0181 CPT Modifier Revisions ---------------------- Effective Mar 01, 2020 (1 Code) CS CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2018 * -- -- -- 1 1 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/31/2021 3533 3512 17 1157 8219 SNOMED Terms Concepts 4693 4669 -- -- 9362 Synonyms 7709 9943 -- -- 17652 Fully Specified 4747 3512 -- -- 8259 ----- ----- ----- ------ ----- 20682 21636 17 1157 43492 SNOMED CT Version ID: 20210131 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_132.GBL (ASCII) The host file is 129 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_132.GBL INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*132. 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 25 MB of data. The import global ^LEXM is about 129 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_132.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 129 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_132.GBL Parameter: "RS" => Globals were saved on 28 Feb 2021 2:40 PM IRIS with description: LEX*2.0*132/ICPT*6.0*99 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*132. 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 LEX2132 and the Post-Install routine LEX2132P 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: LEX2132 Before: n/a After: B93758566 **132** Routine Name: LEX2132P Before: n/a After: B21873529 **132** ============================================================================= User Information: Entered By : Date Entered : FEB 28, 2021 Completed By: Date Completed: MAR 04, 2021 Released By : Date Released : MAR 04, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT