$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 03/06/22 at 18:10 ============================================================================= Run Date: MAR 22, 2022 Designation: LEX*2*139 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #130 Status: Released Compliance Date: MAR 31, 2022 ============================================================================= Associated patches: (v)LEX*2*138 <<= must be installed BEFORE `LEX*2*139' Subject: CODE SET FY22 3RD QTR UPDATE: COVID-19 Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY22 3rd Quarter Code Set distribution with 33 changes effective Apr 01, 2022. This patch also contains one change from FY01 2nd Qtr (effective Jan 01, 2001), one change from FY03 2nd Qtr (effective Jan 01, 2003), 17 changes from FY04 2nd Qtr (effective Jan 01, 2004), one change from FY07 4th Qtr (effective Jul 01, 2007), one change from FY14 2nd Qtr (effective Jan 01, 2014), one change from FY15 2nd Qtr (effective Jan 01, 2015), three changes from FY16 2nd Qtr (effective Jan 01, 2016), two changes from FY17 2nd Qtr (effective Jan 01, 2017), one change from FY18 2nd Qtr (effective Jan 01, 2018), two changes from FY19 2nd Qtr (effective Jan 01, 2019), 12 changes from FY19 3rd Qtr (effective Apr 01, 2019), two changes from FY20 1st Qtr (effective Oct 01, 2019), three changes from FY20 2nd Qtr (effective Jan 01, 2020), four changes from FY20 4th Qtr (effective Jul 01, 2020), two changes from FY21 1st Qtr (effective Oct 01, 2020), one change from FY21 1st Qtr (effective Nov 21, 2020), two changes from FY21 2nd Qtr (effective Jan 01, 2021), two changes from FY21 2nd Qtr (effective Feb 26, 2021), one change from FY21 3rd Qtr (effective Apr 01, 2021), two changes from FY21 3rd Qtr (effective May 06, 2021), two changes from FY21 4th Qtr (effective Jul 30, 2021), 45 changes from FY22 1st Qtr (effective Oct 01, 2021), one change from FY22 1st Qtr (effective Oct 20, 2021), five changes from FY22 1st Qtr (effective Oct 29, 2021), three changes from FY22 1st Qtr (effective Dec 08, 2021), one change from FY22 1st Qtr (effective Dec 23, 2021), 26 changes from FY22 2nd Qtr (effective Jan 01, 2022) and 28 projected changes for FY22 4th Qtr (effective Jul 01, 2022). Additionally, this patch exports 55155 changes to the SNOMED CT coding system and 156 changes to the VSE coding system. This patch installs the data for the following Informational patches: ICD*18.0*110 ICPT*6.0*105 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 MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A SUBSET DEFINITIONS #757.2 ^LEXT( N/A ADDITIONAL INFORMATION: ====================== New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Blood Bank Team Coordination: N/A ENHANCEMENTS: ============ FY22 3rd Quarter Update CPT Procedure Additions (65 Codes) ----------------------- Effective Jan 01, 2021 (FY21 2nd Qtr) (1 Code) 0018M Effective Oct 29, 2021 (FY22 1st Qtr) (1 Code) 0073A Effective Jan 01, 2022 (FY22 2nd Qtr) (21 Codes) 0285U 0286U 0287U 0288U 0289U 0290U 0291U 0292U 0293U 0294U 0295U 0296U 0297U 0298U 0299U 0300U 0301U 0302U 0303U 0304U 0305U Effective Apr 01, 2022 (17 Codes) 0306U 0307U 0308U 0309U 0310U 0311U 0312U 0313U 0314U 0315U 0316U 0317U 0318U 0319U 0320U 0321U 0322U Effective Jul 01, 2022 (projected FY22 4th Qtr) (25 Codes) 0714T 0715T 0716T 0717T 0718T 0719T 0720T 0721T 0722T 0723T 0724T 0725T 0726T 0727T 0728T 0729T 0730T 0731T 0732T 0733T 0734T 0735T 0736T 0737T 90584 CPT Procedure Inactivations --------------------------- Effective Apr 01, 2022 (3 Codes) 0097U 0151U 0208U CPT Procedure Revisions (11 Codes) ----------------------- Effective Feb 26, 2021 (FY21 2nd Qtr) (2 Codes) 0031A 0034A Effective Oct 20, 2021 (FY22 1st Qtr) (1 Code) 91303 Effective Oct 29, 2021 (FY22 1st Qtr) (4 Codes) 0051A 0052A 0053A 0054A Effective Jan 01, 2022 (FY22 2nd Qtr) (1 Code) 0090U Effective Jul 01, 2022 (projected FY22 4th Qtr) (3 Codes) 0621T 0622T 90759 HCPCS Procedure Additions (33 Codes) ------------------------- Effective Oct 01, 2021 (FY22 1st Qtr) (29 Codes) C1831 C9084 J0699 J0741 J1305 J1426 J1445 J1448 J2406 J7294 J7295 J9247 J9318 J9319 K1021 K1022 K1023 K1024 K1025 K1026 K1027 P9025 P9026 Q2054 Q4251 Q4252 Q4253 Q9004 S9432 Effective Dec 08, 2021 (FY22 1st Qtr) (3 Codes) M0220 M0221 Q0220 Effective Dec 23, 2021 (FY22 1st Qtr) (1 Code) J0248 HCPCS Procedure Inactivations ----------------------------- Effective Oct 01, 2021 (12 Codes) C9065 C9075 C9076 C9077 C9078 C9079 C9080 J0693 J7303 J9315 Q4228 Q4236 HCPCS Procedures Re-Used ------------------------ Effective Oct 01, 2021 (1 Code) A4453 HCPCS Procedure Revisions (66 Codes) ------------------------- Effective Jan 01, 2001 (FY01 2nd Qtr) (1 Code) J3010 Effective Jan 01, 2003 (FY03 2nd Qtr) (1 Code) G0259 Effective Jan 01, 2004 (FY04 2nd Qtr) (17 Codes) A6441 A6442 A6443 A6444 A6445 A6446 A6447 A6448 A6449 A6450 A6451 A6452 A6453 A6454 A6455 A6456 E2201 Effective Jul 01, 2007 (FY07 4th Qtr) (1 Code) S2067 Effective Jan 01, 2014 (FY14 2nd Qtr) (1 Code) J3060 Effective Jan 01, 2015 (FY15 2nd Qtr) (1 Code) A4719 Effective Jan 01, 2016 (FY16 2nd Qtr) (3 Codes) A4407 A4408 G9676 Effective Jan 01, 2017 (FY17 2nd Qtr) (1 Code) J7342 Effective Jan 01, 2018 (FY18 2nd Qtr) (1 Code) G9489 Effective Jan 01, 2019 (FY19 2nd Qtr) (2 Codes) J2186 Q5111 Effective Apr 01, 2019 (FY19 3rd Qtr) (12 Codes) G2001 G2002 G2003 G2004 G2005 G2006 G2007 G2008 G2009 G2013 G2014 G2015 Effective Oct 01, 2019 (FY20 1st Qtr) (2 Codes) J1944 Q4208 Effective Jan 01, 2020 (FY20 2nd Qtr) (3 Codes) G2137 G2141 G9949 Effective Jul 01, 2020 (FY20 4th Qtr) (4 Codes) C9764 C9765 C9766 C9767 Effective Oct 01, 2020 (FY21 1st Qtr) (2 Codes) L8701 L8702 Effective Nov 21, 2020 (FY21 1st Qtr) (1 Code) M0243 Effective Jan 01, 2021 (FY21 2nd Qtr) (1 Code) G2127 Effective Apr 01, 2021 (FY21 3rd Qtr) (1 Code) J9037 Effective May 06, 2021 (FY21 3rd Qtr) (2 Codes) M0244 M0246 Effective Jul 30, 2021 (FY21 4th Qtr) (2 Codes) M0241 Q0240 Effective Oct 01, 2021 (FY22 1st Qtr) (3 Codes) J1443 J2407 K1013 Effective Jan 01, 2022 (FY22 2nd Qtr) (4 Codes) D1705 D1706 D1707 G4024 CPT Modifier Additions ---------------------- Effective Jan 01, 2017 (1 Code) 93 ICD-10 Diagnosis Additions -------------------------- Effective Apr 01, 2022 (3 Codes) Z28.310 Z28.311 Z28.39 ICD-10 Diagnosis Inactivations ------------------------------ Effective Apr 01, 2022 (1 Code) Z28.3 ICD-10 Procedure Additions -------------------------- Effective Apr 01, 2022 (9 Codes) XW013V7 XW013W7 XW023V7 XW023W7 XW023X7 XW023Y7 XW0DXR7 XW0G7R7 XW0H7R7 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2017 * 6 -- -- -- 6 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/31/2022 4371 1114 31 1995 7511 SNOMED Terms Concepts 6374 3109 -- -- 9483 Synonyms 15685 10698 -- -- 26383 Fully Specified 10664 1114 -- -- 11778 ----- ----- ----- ------ ----- 37094 16035 31 1995 55155 SNOMED CT Version ID: 20220131 VSE Changes ----------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 11/30/2021 35 -- -- -- 35 SNOMED Terms Concepts 35 -- -- -- 35 Synonyms 51 -- -- -- 51 Fully Specified 35 -- -- -- 35 ----- ----- ----- ------ ----- 156 -- -- -- 156 VSE Version ID: 20211130 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_139.GBL Patch Installation: =================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*139. 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 25 MB of data. The import global ^LEXM is about 142 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 Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( 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 ^LEXT Lexicon Subsets 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_139.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 142 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_139.GBL Parameter: "RS" => Globals were saved on 06 Mar 2022 3:08 PM IRIS with description: LEX*2.0*139/ICD*18.0*110/ICPT*6.0*105 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 LEX2139 and the Post-Install routine LEX2139P 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 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2139 Before: n/a After: B93532939 **139** Routine Name: LEX2139P Before: n/a After: B21759938 **139** ============================================================================= User Information: Entered By : Date Entered : FEB 08, 2022 Completed By: Date Completed: MAR 21, 2022 Released By : Date Released : MAR 22, 2022 ============================================================================= Packman Mail Message: ===================== $END TXT