$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 08/25/21 at 16:49 ============================================================================= Run Date: SEP 07, 2021 Designation: LEX*2*136 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #127 Status: Released Compliance Date: SEP 09, 2021 ============================================================================= Associated patches: (v)LEX*2*135 <<= must be installed BEFORE `LEX*2*136' Subject: CODE SET FY22 1ST QTR UPDATE: COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY22 1st Quarter Code Set distribution with 604 changes effective Oct 01, 2021. This patch also contains one change from FY18 4th Qtr (effective Jul 01, 2018), two changes from FY20 2nd Qtr (effective Jan 01, 2020), one change from FY21 2nd Qtr (effective Jan 01, 2021), two changes from FY21 3rd Qtr (effective May 06, 2021), one change from FY21 3rd Qtr (effective Jun 03, 2021), three changes from FY21 3rd Qtr (effective Jun 24, 2021), seven changes from FY21 4th Qtr (effective Jul 01, 2021), five changes from FY21 4th Qtr (effective Aug 12, 2021) and 79 projected changes for FY22 2nd Qtr (effective Jan 01, 2022). Additionally, this patch exports 66451 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*107 ICPT*6.0*102 PATCH COMPONENTS: ================= Forms Associated: N/A Mail Groups Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A Options Associated: N/A Remote Procedures Associated: N/A Parameter Definitions Associated: N/A Files Associated: 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 ADDITIONAL INFORMATION: ======================= New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Blood Bank Team Coordination: N/A ENHANCEMENTS: ============= FY22 1st Quarter Update CPT Procedure Additions (42 Codes) ----------------------- Effective Jul 01, 2021 (FY21 4th Qtr) (7 Codes) 0248U 0249U 0250U 0251U 0252U 0253U 0254U Effective Aug 12, 2021 (FY21 4th Qtr) (5 Codes) 0003A 0013A 0041A 0042A 91304 Effective Oct 01, 2021 (30 Codes) 0255U 0256U 0257U 0258U 0259U 0260U 0261U 0262U 0263U 0264U 0265U 0266U 0267U 0268U 0269U 0270U 0271U 0272U 0273U 0274U 0275U 0276U 0277U 0278U 0279U 0280U 0281U 0282U 0283U 0284U CPT Procedure Revisions (39 Codes) ----------------------- Effective Jul 01, 2018 (FY18 4th Qtr) (1 Code) 0051U Effective Jan 01, 2020 (FY20 2nd Qtr) (1 Code) 0154U Effective Jan 01, 2021 (FY21 2nd Qtr) (1 Code) 0236U Effective Jan 01, 2022 (projected FY22 2nd Qtr) (36 Codes) 0021A 0022A 0031A 0663T 29806 80189 87255 87305 87320 87324 87327 87328 87329 87332 87335 87336 87337 87338 87339 87340 87341 87350 87380 87385 87389 87390 87391 87400 87420 87425 87426 87427 87430 87449 87451 91302 HCPCS Procedure Additions (27 Codes) ------------------------- Effective Jun 03, 2021 (FY21 3rd Qtr) (1 Code) Q0244 Effective Jun 24, 2021 (FY21 3rd Qtr) (2 Codes) M0249 Q0249 Effective Jan 01, 2022 (projected FY22 2nd Qtr) (24 Codes) D0606 D1701 D1702 D1703 D1704 D1705 D1706 D1707 D3911 D3921 D4322 D4323 D5227 D5228 D5725 D5765 D6198 D7298 D7299 D7300 D9912 D9947 D9948 D9949 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2022 (5 Codes) D4320 D4321 D8050 D8060 D8690 HCPCS Procedures Re-Used ------------------------ Effective Jun 24, 2021 (1 Code) M0250 HCPCS Procedure Revisions (15 Codes) ------------------------- Effective May 06, 2021 (FY21 3rd Qtr) (2 Codes) M0244 M0246 Effective Jan 01, 2022 (projected FY22 2nd Qtr) (13 Codes) D0120 D0180 D2971 D3910 D4276 D6012 D6051 D6100 D7292 D7293 D7294 D9613 D9997 CPT Modifier Revisions (2 Codes) ---------------------- Effective Jan 01, 2020 (FY20 2nd Qtr) (1 Code) 99 Effective Jan 01, 2022 (projected FY22 2nd Qtr) (1 Code) 27 ICD-10 Diagnosis Additions -------------------------- Effective Oct 01, 2021 (159 Codes) A79.82 C56.3 C79.63 C84.7A D55.21 D55.29 D75.838 D75.839 D89.44 E75.244 F32.A F78.A1 F78.A9 G04.82 G44.86 G92.00 G92.01 G92.02 G92.03 G92.04 G92.05 G92.8 G92.9 I5A. K22.81 K22.82 K22.89 K31.A0 K31.A11 K31.A12 K31.A13 K31.A14 K31.A15 K31.A19 K31.A21 K31.A22 K31.A29 L24.A0 L24.A1 L24.A2 L24.A9 L24.B0 L24.B1 L24.B2 L24.B3 M31.10 M31.11 M31.19 M35.05 M35.06 M35.07 M35.08 M35.0A M35.0B M35.0C M45.A0 M45.A1 M45.A2 M45.A3 M45.A4 M45.A5 M45.A6 M45.A7 M45.A8 M45.AB M54.50 M54.51 M54.59 P00.82 P09.1 P09.2 P09.3 P09.4 P09.5 P09.6 P09.8 P09.9 R05.1 R05.2 R05.3 R05.4 R05.8 R05.9 R35.81 R35.89 R45.88 R63.30 R63.31 R63.32 R63.39 R79.83 S06.A0XA S06.A0XD S06.A0XS S06.A1XA S06.A1XD S06.A1XS T40.711A T40.711D T40.711S T40.712A T40.712D T40.712S T40.713A T40.713D T40.713S T40.714A T40.714D T40.714S T40.715A T40.715D T40.715S T40.716A T40.716D T40.716S T40.721A T40.721D T40.721S T40.722A T40.722D T40.722S T40.723A T40.723D T40.723S T40.724A T40.724D T40.724S T40.725A T40.725D T40.725S T40.726A T40.726D T40.726S T80.82XA T80.82XD T80.82XS U09.9 Y35.899A Y35.899D Y35.899S Z55.5 Z58.6 Z59.00 Z59.01 Z59.02 Z59.41 Z59.48 Z59.811 Z59.812 Z59.819 Z59.89 Z71.85 Z91.014 Z91.51 Z91.52 Z92.850 Z92.858 Z92.859 Z92.86 ICD-10 Diagnosis Inactivations ------------------------------ Effective Oct 01, 2021 (32 Codes) D55.2 F78. G92. K22.8 M31.1 M54.5 P09. R05. R35.8 R63.3 T40.7X1A T40.7X1D T40.7X1S T40.7X2A T40.7X2D T40.7X2S T40.7X3A T40.7X3D T40.7X3S T40.7X4A T40.7X4D T40.7X4S T40.7X5A T40.7X5D T40.7X5S T40.7X6A T40.7X6D T40.7X6S Z59.0 Z59.4 Z59.8 Z91.5 ICD-10 Diagnosis Revisions -------------------------- Effective Oct 01, 2021 (22 Codes) G71.20 M35.00 M35.01 M35.02 M35.03 M35.04 M35.09 T63.611A T63.611D T63.611S T63.612A T63.612D T63.612S T63.613A T63.613D T63.613S T63.614A T63.614D T63.614S Z68.30 Z68.41 Z92.25 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2021 (191 Codes) 00D00ZZ 00D03ZZ 00D04ZZ 00D70ZZ 00D73ZZ 00D74ZZ 02C03Z7 02C13Z7 02C23Z7 02C33Z7 02F03ZZ 02F13ZZ 02F23ZZ 02F33ZZ 02RA0LZ 02RA0MZ 02RH38L 02RH38M 02VL0CZ 02VL0DZ 02VL0ZZ 02VL3CZ 02VL3DZ 02VL3ZZ 02VL4CZ 02VL4DZ 02VL4ZZ 03173ZF 03183ZF 03FG3Z0 03FG3ZZ 06LY7CC 06LY7CZ 06LY7DC 06LY7DZ 06LY7ZC 06LY7ZZ 06LY8CC 06LY8CZ 06LY8DC 06LY8DZ 06LY8ZC 06LY8ZZ 07DT0ZX 07DT0ZZ 07DT3ZX 07DT3ZZ 0F800ZZ 0F803ZZ 0F804ZZ 0F810ZZ 0F813ZZ 0F814ZZ 0F820ZZ 0F823ZZ 0F824ZZ 0K847ZZ 0K848ZZ 0NH003Z 0NH033Z 0NH043Z 0PS403Z 0PS443Z 0QBN0Z2 0QBN3Z2 0QBN4Z2 0QBP0Z2 0QBP3Z2 0QBP4Z2 0QS003Z 0QS043Z 0RPJ0J6 0RPJ0J7 0RPJ3J6 0RPJ3J7 0RPJ4J6 0RPJ4J7 0RPK0J6 0RPK0J7 0RPK3J6 0RPK3J7 0RPK4J6 0RPK4J7 0RWJ0J6 0RWJ0J7 0RWJ3J6 0RWJ3J7 0RWJ4J6 0RWJ4J7 0RWJXJ6 0RWJXJ7 0RWK0J6 0RWK0J7 0RWK3J6 0RWK3J7 0RWK4J6 0RWK4J7 0RWKXJ6 0RWKXJ7 30233D1 30243D1 3E1M48X 3E1M48Z 4B00XW0 5A1221J BF150ZZ BF151ZZ BF15YZZ BF15ZZA X2CP3T7 X2CQ3T7 X2CR3T7 X2CS3T7 X2CT3T7 X2CU3T7 X2CV3T7 X2CY3T7 X2JAX47 X2KB317 X2KC317 X2RX0N7 X2V73Q7 X2VW0N7 XD2G4V7 XD2G8V7 XD2H4V7 XD2H8V7 XDPH8K7 XFJB8A7 XFJD8A7 XHRPXF7 XNS00C7 XNS03C7 XNS40C7 XNS43C7 XRGA0R7 XRGA3R7 XRGA4R7 XRGB0R7 XRGB3R7 XRGB4R7 XRGC0R7 XRGC3R7 XRGC4R7 XRGD0R7 XRGD3R7 XRGD4R7 XW00X27 XW01397 XW01X27 XW03357 XW03367 XW03377 XW03387 XW033A7 XW033B7 XW033C7 XW033G7 XW033H7 XW033J7 XW033K7 XW033L7 XW033M7 XW033N7 XW04357 XW04367 XW04377 XW04387 XW043A7 XW043B7 XW043C7 XW043G7 XW043H7 XW043J7 XW043K7 XW043L7 XW043M7 XW043N7 XW0V0P7 XW133D7 XW133E7 XW143D7 XW143E7 XWHD7Q7 XXE0X07 XXE3X27 XXE5XR7 XXE5XT7 XXE5XV7 XXE97U7 XY0YX37 ICD-10 Procedure Inactivations ------------------------------ Effective Oct 01, 2021 (107 Codes) 30230AZ 30230C0 30230G0 30230G2 30230G3 30230G4 30230H0 30230H1 30230J0 30230J1 30230K0 30230K1 30230L0 30230L1 30230M0 30230M1 30230N0 30230N1 30230P0 30230P1 30230Q0 30230Q1 30230R0 30230R1 30230S0 30230S1 30230T0 30230T1 30230U2 30230U3 30230U4 30230V0 30230V1 30230W0 30230W1 30230X0 30230X2 30230X3 30230X4 30230Y0 30230Y2 30230Y3 30230Y4 30240AZ 30240C0 30240G0 30240G2 30240G3 30240G4 30240H0 30240H1 30240J0 30240J1 30240K0 30240K1 30240L0 30240L1 30240M0 30240M1 30240N0 30240N1 30240P0 30240P1 30240Q0 30240Q1 30240R0 30240R1 30240S0 30240S1 30240T0 30240T1 30240U2 30240U3 30240U4 30240V0 30240V1 30240W0 30240W1 30240X0 30240X2 30240X3 30240X4 30240Y0 30240Y2 30240Y3 30240Y4 30280B1 X2C0361 X2C1361 X2C2361 X2C3361 XR2G021 XR2H021 XW03321 XW03331 XW03341 XW03351 XW033C3 XW04321 XW04331 XW04341 XW04351 XW043C3 XW23346 XW23376 XW24346 XW24376 ICD-10 Procedure Revisions -------------------------- Effective Oct 01, 2021 (63 Codes) 3E00X0M 3E0130M 3E0230M 3E0300M 3E0330M 3E0400M 3E0430M 3E0500M 3E0530M 3E0600M 3E0630M 3E0930M 3E0970M 3E09X0M 3E0A30M 3E0B30M 3E0B70M 3E0BX0M 3E0C30M 3E0C70M 3E0CX0M 3E0D30M 3E0D70M 3E0DX0M 3E0E30M 3E0E70M 3E0E80M 3E0F30M 3E0F70M 3E0F80M 3E0G30M 3E0G70M 3E0G80M 3E0H30M 3E0H70M 3E0H80M 3E0J30M 3E0J70M 3E0J80M 3E0K30M 3E0K70M 3E0K80M 3E0L30M 3E0L70M 3E0M30M 3E0M30Y 3E0M70M 3E0N30M 3E0N70M 3E0N80M 3E0P30M 3E0P70M 3E0P80M 3E0Q00M 3E0Q30M 3E0Q70M 3E0R30M 3E0S30M 3E0U30M 3E0V30M 3E0W30M 3E0Y30M 3E0Y70M SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/31/2021 4452 8021 41 1317 13831 SNOMED Terms Concepts 5772 9337 -- -- 15109 Synonyms 9073 14751 -- -- 23824 Fully Specified 5666 8021 -- -- 13687 ----- ----- ----- ------ ----- 24963 40130 41 1317 66451 SNOMED CT Version ID: 20210731 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, 1983-2022 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. DEFECT TRACKING SYSTEM TICKETS(S) & OVERVIEW: ============================================= None TEST SITES: =========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message as well as a global host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LEX_2_136.GBL Patch Installation: =================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*136. 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 5-20 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT and ICD globals will result in a combined growth of about 40 MB of data. The import global ^LEXM is about 143 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 INSTALLATION INSTRUCTIONS: ========================== 1) Install the data from the global host file LEX_2_136.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 143 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_136.GBL Parameter: "RS" => Globals were saved on 25 Aug 2021 2:53 PM IRIS with description: LEX*2.0*136/ICD*18.0*107/ICPT*6.0*102 Data Input option: A ^LEXM 2) Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 3) From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. or XXXXX BUILD X.X) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. C. Select the Install Package(s) option and choose the patch to install. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer . ii. If prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO//. Post-Installation Instructions: ============================== Cleanup a) The Environment Check routine LEX2136 and the Post-Install routine LEX2136P 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. Back-Out/Roll Back 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. 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: LEX2136 Before: n/a After: B93532160 **136** Routine Name: LEX2136P Before: n/a After: B21760227 **136** ============================================================================= User Information: Entered By : Date Entered : AUG 04, 2021 Completed By: Date Completed: SEP 03, 2021 Released By : Date Released : SEP 07, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT