$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 12/05/21 at 19:53 ============================================================================= Run Date: DEC 21, 2021 Designation: LEX*2*138 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #129 Status: Released Compliance Date: DEC 31, 2021 ============================================================================= Associated patches: (v)LEX*2*137 <<= must be installed BEFORE `LEX*2*138' Subject: CODE SET FY22 2ND QTR UPDATE: COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY22 2nd Quarter Code Set distribution with 500 changes effective Jan 01, 2022. This patch also contains three changes from FY21 1st Qtr (effective Dec 11, 2020), three changes from FY21 1st Qtr (effective Dec 18, 2020), one change from FY21 2nd Qtr (effective Feb 26, 2021), two changes from FY21 3rd Qtr (effective Apr 13, 2021), three changes from FY21 4th Qtr (effective Aug 12, 2021), two changes from FY22 1st Qtr (effective Oct 20, 2021), one change from FY22 1st Qtr (effective Oct 27, 2021) and three changes from FY22 1st Qtr (effective Oct 29, 2021). Additionally, this patch exports 2267 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*104 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: 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 ADDITIONAL INFORMATION: ====================== New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Blood Bank Team Coordination: N/A ENHANCEMENTS: ============ FY22 2nd Quarter Update CPT Procedure Additions (132 Codes) ----------------------- Effective Oct 27, 2021 (FY22 1st Qtr) (1 Code) 0034A Effective Oct 29, 2021 (FY22 1st Qtr) (3 Codes) 0071A 0072A 91307 Effective Jan 01, 2022 (128 Codes) 01937 01938 01939 01940 01941 01942 0671T 0672T 0673T 0674T 0675T 0676T 0677T 0678T 0679T 0680T 0681T 0682T 0683T 0684T 0685T 0686T 0687T 0688T 0689T 0690T 0691T 0692T 0693T 0694T 0695T 0696T 0697T 0698T 0699T 0700T 0701T 0702T 0703T 0704T 0705T 0706T 0707T 0708T 0709T 0710T 0711T 0712T 0713T 33267 33268 33269 33370 33509 33894 33895 33897 42975 43497 53451 53452 53453 53454 61736 61737 63052 63053 64582 64583 64584 64628 64629 66989 66991 68841 69716 69719 69726 69727 77089 77090 77091 77092 80220 80503 80504 80505 80506 81349 81523 81560 82653 83521 83529 86015 86036 86037 86051 86052 86053 86231 86258 86362 86363 86364 86381 86596 87154 91113 93319 93593 93594 93595 93596 93597 93598 94625 94626 98975 98976 98977 98980 98981 99424 99425 99426 99427 99437 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2022 (58 Codes) 0191T 01935 01936 0290T 0355T 0356T 0376T 0423T 0451T 0452T 0453T 0454T 0455T 0456T 0457T 0458T 0459T 0460T 0461T 0462T 0463T 0466T 0467T 0468T 0548T 0549T 0550T 0551T 21310 33470 33722 43850 43855 59135 63194 63195 63196 63198 63199 69715 69718 72275 76101 76102 80500 80502 87450 92559 92560 92561 92564 93530 93531 93532 93533 93561 93562 95943 CPT Procedure Revisions (56 Codes) ----------------------- Effective Dec 11, 2020 (FY21 1st Qtr) (3 Codes) 0001A 0002A 91300 Effective Dec 18, 2020 (FY21 1st Qtr) (3 Codes) 0011A 0012A 91301 Effective Feb 26, 2021 (FY21 2nd Qtr) (1 Code) 91303 Effective Aug 12, 2021 (FY21 4th Qtr) (3 Codes) 0003A 0004A 0013A Effective Oct 20, 2021 (FY22 1st Qtr) (2 Codes) 0064A 91306 Effective Jan 01, 2022 (44 Codes) 0021A 0022A 0031A 0041A 0042A 0512T 0646T 87301 87305 87324 87327 87328 87329 87332 87335 87336 87337 87338 87339 87340 87350 87380 87385 87389 87390 87391 87400 87420 87425 87426 87427 87428 87430 87449 87451 87810 91302 91304 99483 99484 99487 99489 99492 99493 HCPCS Procedure Additions (123 Codes) ------------------------- Effective Apr 13, 2021 (FY21 3rd Qtr) (1 Code) G0465 Effective Jan 01, 2022 (122 Codes) A2001 A2002 A2003 A2004 A2005 A2006 A2007 A2008 A2009 A2010 A4436 A4437 A9595 C1832 C1833 C9085 C9086 C9087 C9088 C9089 C9779 C9780 E1629 G0028 G0029 G0048 G0049 G0067 G1024 G1025 G1026 G1027 G1028 G4000 G4001 G4002 G4003 G4004 G4005 G4006 G4007 G4008 G4009 G4010 G4011 G4012 G4013 G4014 G4015 G4016 G4017 G4018 G4019 G4020 G4021 G4022 G4023 G4024 G4025 G4026 G4027 G4028 G4029 G4030 G4031 G4032 G4033 G4034 G4035 G4036 G4037 G4038 G9988 G9989 G9990 G9991 G9992 G9993 G9994 G9995 G9996 G9997 G9998 G9999 J0172 J1952 J2506 J9021 J9061 J9272 M1072 M1073 M1074 M1075 M1076 M1077 M1078 M1079 M1080 M1081 M1082 M1083 M1084 M1085 M1086 M1087 M1088 M1089 M1094 M1095 M1096 M1097 M1098 M1099 M1100 M1101 M1102 M1103 M1104 M1105 Q2055 Q4199 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2022 (46 Codes) A4397 C9752 C9753 G0424 G2064 G2065 G8422 G8925 G8926 G8938 G9267 G9268 G9269 G9270 G9348 G9349 G9350 G9399 G9400 G9401 G9448 G9449 G9450 G9561 G9562 G9563 G9577 G9578 G9579 G9583 G9584 G9585 G9634 G9635 G9636 G9639 G9640 G9641 G9647 G9666 G9783 J2505 M1022 M1025 M1026 M1031 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2022 (35 Codes) G0030 G0031 G0032 G0033 G0034 G0035 G0036 G0037 G0038 G0039 G0040 G0041 G0042 G0043 G0044 G0045 G0046 G0047 G0050 G0051 G0052 G0053 G0054 G0055 G0056 G0057 G0058 G0059 G0060 G0061 G0062 G0063 G0064 G0065 G0066 HCPCS Procedure Revisions (64 Codes) ------------------------- Effective Apr 13, 2021 (FY21 3rd Qtr) (1 Code) G0460 Effective Jan 01, 2022 (63 Codes) C9777 G1013 G2081 G2097 G2106 G2121 G2122 G2142 G2143 G2144 G2145 G2148 G2150 G2173 G2174 G2175 G2177 G2215 G8433 G8711 G8950 G8952 G8967 G8968 G8969 G9355 G9356 G9359 G9361 G9367 G9368 G9418 G9419 G9421 G9422 G9425 G9428 G9429 G9431 G9554 G9556 G9557 G9580 G9582 G9627 G9662 G9663 G9703 G9716 G9778 G9779 G9780 G9781 G9782 G9822 G9823 G9824 G9906 G9907 G9908 G9909 G9927 G9928 CPT Modifier Additions ---------------------- Effective Jan 01, 2022 (4 Codes) FQ FR FS FT CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2022 16 -- -- -- 16 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2021 485 66 -- 18 569 SNOMED Terms Concepts 503 84 -- -- 587 Synonyms 458 74 -- -- 532 Fully Specified 513 66 -- -- 579 ----- ----- ----- ------ ----- 1959 290 -- 18 2267 SNOMED CT Version ID: 20210901 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_138.GBL Patch Installation: =================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*138. This patch should take from 25 to 90 minutes to install depending on the system. Create a backup 20-75 minutes Load the Global 1-5 minutes Kids Install 1-5 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT globals will result in a combined growth of about 15 MB of data. The import global ^LEXM is about 97 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 INSTALLATION INSTRUCTIONS: ========================== 1) Install the data from the global host file LEX_2_138.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 97 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_138.GBL Parameter: "RS" => Globals were saved on 05 Dec 2021 7:23 PM IRIS with description: LEX*2.0*138/ICPT*6.0*104 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 LEX2138 and the Post-Install routine LEX2138P 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: LEX2138 Before: n/a After: B93773798 **138** Routine Name: LEX2138P Before: n/a After: B21696596 **138** ============================================================================= User Information: Entered By : Date Entered : DEC 01, 2021 Completed By: Date Completed: DEC 20, 2021 Released By : Date Released : DEC 21, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT