$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Friday, 08/19/22 at 14:17 ============================================================================= Run Date: SEP 14, 2022 Designation: LEX*2*141 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #132 Status: Released Compliance Date: SEP 23, 2022 ============================================================================= Associated patches: (v)LEX*2*140 <<= must be installed BEFORE `LEX*2*141' Subject: CODE SET FY23 1ST QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY23 1st Quarter Code Set distribution with 1909 changes effective Oct 01, 2022. This patch also contains one change from FY19 2nd Qtr (effective Jan 01, 2019), one change from FY22 3rd Qtr (effective May 17, 2022), 10 changes from FY22 3rd Qtr (effective Jun 17, 2022), three changes from FY22 4th Qtr (effective Jul 26, 2022) and 35 projected changes for FY23 2nd Qtr (effective Jan 01, 2023). Additionally, this patch exports 39674 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*111 ICPT*6.0*107 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 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: ============ FY23 1st Quarter Update CPT Procedure Additions (38 Codes) ----------------------- Effective May 17, 2022 (FY22 3rd Qtr) (1 Code) 0074A Effective Jun 17, 2022 (FY22 3rd Qtr) (10 Codes) 0081A 0082A 0083A 0091A 0092A 0093A 0111A 0112A 0113A 91311 Effective Jul 26, 2022 (FY22 4th Qtr) (3 Codes) 87593 90611 90622 Effective Oct 01, 2022 (23 Codes) 0332U 0333U 0334U 0335U 0336U 0337U 0338U 0339U 0340U 0341U 0342U 0343U 0344U 0345U 0346U 0347U 0348U 0349U 0350U 0351U 0352U 0353U 0354U Effective Jan 01, 2023 (projected FY23 2nd Qtr) (1 Code) 90678 HCPCS Procedure Additions ------------------------- Effective Jan 01, 2023 (22 Codes) D0372 D0373 D0374 D0387 D0388 D0389 D0801 D0802 D0803 D0804 D1781 D1782 D1783 D4286 D6105 D6106 D6107 D6197 D7509 D7956 D7957 D9953 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2023 (2 Codes) D0351 D0704 HCPCS Procedure Revisions (11 Codes) ------------------------- Effective Jan 01, 2019 (FY19 2nd Qtr) (1 Code) D5211 Effective Jan 01, 2023 (projected FY23 2nd Qtr) (10 Codes) D0210 D0393 D0709 D4266 D4267 D4355 D4921 D7251 D9110 D9450 ICD-10 Diagnosis Additions -------------------------- Effective Oct 01, 2022 (1176 Codes) B37.31 B37.32 D59.30 D59.31 D59.32 D59.39 D68.00 D68.01 D68.020 D68.021 D68.022 D68.023 D68.029 D68.03 D68.04 D68.09 D75.821 D75.822 D75.828 D75.829 D75.84 D81.82 E34.30 E34.31 E34.321 E34.322 E34.328 E34.329 E34.39 E87.20 E87.21 E87.22 E87.29 F01.511 F01.518 F01.52 F01.53 F01.54 F01.A0 F01.A11 F01.A18 F01.A2 F01.A3 F01.A4 F01.B0 F01.B11 F01.B18 F01.B2 F01.B3 F01.B4 F01.C0 F01.C11 F01.C18 F01.C2 F01.C3 F01.C4 F02.811 F02.818 F02.82 F02.83 F02.84 F02.A0 F02.A11 F02.A18 F02.A2 F02.A3 F02.A4 F02.B0 F02.B11 F02.B18 F02.B2 F02.B3 F02.B4 F02.C0 F02.C11 F02.C18 F02.C2 F02.C3 F02.C4 F03.911 F03.918 F03.92 F03.93 F03.94 F03.A0 F03.A11 F03.A18 F03.A2 F03.A3 F03.A4 F03.B0 F03.B11 F03.B18 F03.B2 F03.B3 F03.B4 F03.C0 F03.C11 F03.C18 F03.C2 F03.C3 F03.C4 F06.70 F06.71 F10.90 F10.91 F11.91 F12.91 F13.91 F14.91 F15.91 F16.91 F18.91 F19.91 F43.81 F43.89 G71.031 G71.032 G71.033 G71.0340 G71.0341 G71.0342 G71.0349 G71.035 G71.038 G71.039 G90.A G93.31 G93.32 G93.39 I20.2 I25.112 I25.702 I25.712 I25.722 I25.732 I25.752 I25.762 I25.792 I31.31 I31.39 I34.81 I34.89 I47.20 I47.21 I47.29 I71.010 I71.011 I71.012 I71.019 I71.10 I71.11 I71.12 I71.13 I71.20 I71.21 I71.22 I71.23 I71.30 I71.31 I71.32 I71.33 I71.40 I71.41 I71.42 I71.43 I71.50 I71.51 I71.52 I71.60 I71.61 I71.62 I77.82 J95.87 K76.82 M51.A0 M51.A1 M51.A2 M51.A3 M51.A4 M51.A5 M62.5A0 M62.5A1 M62.5A2 M62.5A9 M93.004 M93.014 M93.024 M93.034 M93.041 M93.042 M93.043 M93.044 M93.051 M93.052 M93.053 M93.054 M93.061 M93.062 M93.063 M93.064 M93.071 M93.072 M93.073 M93.074 M96.A1 M96.A2 M96.A3 M96.A4 M96.A9 N14.11 N14.19 N76.82 N80.00 N80.01 N80.02 N80.03 N80.101 N80.102 N80.103 N80.109 N80.111 N80.112 N80.113 N80.119 N80.121 N80.122 N80.123 N80.129 N80.201 N80.202 N80.203 N80.209 N80.211 N80.212 N80.213 N80.219 N80.221 N80.222 N80.223 N80.229 N80.30 N80.311 N80.312 N80.319 N80.321 N80.322 N80.329 N80.331 N80.332 N80.333 N80.339 N80.341 N80.342 N80.343 N80.349 N80.351 N80.352 N80.353 N80.359 N80.361 N80.362 N80.363 N80.369 N80.371 N80.372 N80.373 N80.379 N80.381 N80.382 N80.383 N80.389 N80.391 N80.392 N80.399 N80.3A1 N80.3A2 N80.3A3 N80.3A9 N80.3B1 N80.3B2 N80.3B3 N80.3B9 N80.3C1 N80.3C2 N80.3C3 N80.3C9 N80.40 N80.41 N80.42 N80.50 N80.511 N80.512 N80.519 N80.521 N80.522 N80.529 N80.531 N80.532 N80.539 N80.541 N80.542 N80.549 N80.551 N80.552 N80.559 N80.561 N80.562 N80.569 N80.A0 N80.A1 N80.A2 N80.A41 N80.A42 N80.A43 N80.A49 N80.A51 N80.A52 N80.A53 N80.A59 N80.A61 N80.A62 N80.A63 N80.A69 N80.B1 N80.B2 N80.B31 N80.B32 N80.B39 N80.B4 N80.B5 N80.B6 N80.C0 N80.C10 N80.C11 N80.C19 N80.C2 N80.C3 N80.C4 N80.C9 N80.D0 N80.D1 N80.D2 N80.D3 N80.D4 N80.D5 N80.D6 N80.D9 N85.A O35.00X0 O35.00X1 O35.00X2 O35.00X3 O35.00X4 O35.00X5 O35.00X9 O35.01X0 O35.01X1 O35.01X2 O35.01X3 O35.01X4 O35.01X5 O35.01X9 O35.02X0 O35.02X1 O35.02X2 O35.02X3 O35.02X4 O35.02X5 O35.02X9 O35.03X0 O35.03X1 O35.03X2 O35.03X3 O35.03X4 O35.03X5 O35.03X9 O35.04X0 O35.04X1 O35.04X2 O35.04X3 O35.04X4 O35.04X5 O35.04X9 O35.05X0 O35.05X1 O35.05X2 O35.05X3 O35.05X4 O35.05X5 O35.05X9 O35.06X0 O35.06X1 O35.06X2 O35.06X3 O35.06X4 O35.06X5 O35.06X9 O35.07X0 O35.07X1 O35.07X2 O35.07X3 O35.07X4 O35.07X5 O35.07X9 O35.08X0 O35.08X1 O35.08X2 O35.08X3 O35.08X4 O35.08X5 O35.08X9 O35.09X0 O35.09X1 O35.09X2 O35.09X3 O35.09X4 O35.09X5 O35.09X9 O35.10X0 O35.10X1 O35.10X2 O35.10X3 O35.10X4 O35.10X5 O35.10X9 O35.11X0 O35.11X1 O35.11X2 O35.11X3 O35.11X4 O35.11X5 O35.11X9 O35.12X0 O35.12X1 O35.12X2 O35.12X3 O35.12X4 O35.12X5 O35.12X9 O35.13X0 O35.13X1 O35.13X2 O35.13X3 O35.13X4 O35.13X5 O35.13X9 O35.14X0 O35.14X1 O35.14X2 O35.14X3 O35.14X4 O35.14X5 O35.14X9 O35.15X0 O35.15X1 O35.15X2 O35.15X3 O35.15X4 O35.15X5 O35.15X9 O35.19X0 O35.19X1 O35.19X2 O35.19X3 O35.19X4 O35.19X5 O35.19X9 O35.AXX0 O35.AXX1 O35.AXX2 O35.AXX3 O35.AXX4 O35.AXX5 O35.AXX9 O35.BXX0 O35.BXX1 O35.BXX2 O35.BXX3 O35.BXX4 O35.BXX5 O35.BXX9 O35.CXX0 O35.CXX1 O35.CXX2 O35.CXX3 O35.CXX4 O35.CXX5 O35.CXX9 O35.DXX0 O35.DXX1 O35.DXX2 O35.DXX3 O35.DXX4 O35.DXX5 O35.DXX9 O35.EXX0 O35.EXX1 O35.EXX2 O35.EXX3 O35.EXX4 O35.EXX5 O35.EXX9 O35.FXX0 O35.FXX1 O35.FXX2 O35.FXX3 O35.FXX4 O35.FXX5 O35.FXX9 O35.GXX0 O35.GXX1 O35.GXX2 O35.GXX3 O35.GXX4 O35.GXX5 O35.GXX9 O35.HXX0 O35.HXX1 O35.HXX2 O35.HXX3 O35.HXX4 O35.HXX5 O35.HXX9 P28.30 P28.31 P28.32 P28.33 P28.39 P28.40 P28.41 P28.42 P28.43 P28.49 Q21.10 Q21.11 Q21.12 Q21.13 Q21.14 Q21.15 Q21.16 Q21.19 Q21.20 Q21.21 Q21.22 Q21.23 Q85.81 Q85.82 Q85.83 Q85.89 S06.0XAA S06.0XAD S06.0XAS S06.1XAA S06.1XAD S06.1XAS S06.2XAA S06.2XAD S06.2XAS S06.30AA S06.30AD S06.30AS S06.31AA S06.31AD S06.31AS S06.32AA S06.32AD S06.32AS S06.33AA S06.33AD S06.33AS S06.34AA S06.34AD S06.34AS S06.35AA S06.35AD S06.35AS S06.36AA S06.36AD S06.36AS S06.37AA S06.37AD S06.37AS S06.38AA S06.38AD S06.38AS S06.4XAA S06.4XAD S06.4XAS S06.5XAA S06.5XAD S06.5XAS S06.6XAA S06.6XAD S06.6XAS S06.81AA S06.81AD S06.81AS S06.82AA S06.82AD S06.82AS S06.89AA S06.89AD S06.89AS S06.8A0A S06.8A0D S06.8A0S S06.8A1A S06.8A1D S06.8A1S S06.8A2A S06.8A2D S06.8A2S S06.8A3A S06.8A3D S06.8A3S S06.8A4A S06.8A4D S06.8A4S S06.8A5A S06.8A5D S06.8A5S S06.8A6A S06.8A6D S06.8A6S S06.8A7A S06.8A8A S06.8A9A S06.8A9D S06.8A9S S06.8AAA S06.8AAD S06.8AAS S06.9XAA S06.9XAD S06.9XAS T43.651A T43.651D T43.651S T43.652A T43.652D T43.652S T43.653A T43.653D T43.653S T43.654A T43.654D T43.654S T43.655A T43.655D T43.655S T43.656A T43.656D T43.656S V20.01XA V20.01XD V20.01XS V20.09XA V20.09XD V20.09XS V20.11XA V20.11XD V20.11XS V20.19XA V20.19XD V20.19XS V20.21XA V20.21XD V20.21XS V20.29XA V20.29XD V20.29XS V20.31XA V20.31XD V20.31XS V20.39XA V20.39XD V20.39XS V20.41XA V20.41XD V20.41XS V20.49XA V20.49XD V20.49XS V20.51XA V20.51XD V20.51XS V20.59XA V20.59XD V20.59XS V20.91XA V20.91XD V20.91XS V20.99XA V20.99XD V20.99XS V21.01XA V21.01XD V21.01XS V21.09XA V21.09XD V21.09XS V21.11XA V21.11XD V21.11XS V21.19XA V21.19XD V21.19XS V21.21XA V21.21XD V21.21XS V21.29XA V21.29XD V21.29XS V21.31XA V21.31XD V21.31XS V21.39XA V21.39XD V21.39XS V21.41XA V21.41XD V21.41XS V21.49XA V21.49XD V21.49XS V21.51XA V21.51XD V21.51XS V21.59XA V21.59XD V21.59XS V21.91XA V21.91XD V21.91XS V21.99XA V21.99XD V21.99XS V22.01XA V22.01XD V22.01XS V22.09XA V22.09XD V22.09XS V22.11XA V22.11XD V22.11XS V22.19XA V22.19XD V22.19XS V22.21XA V22.21XD V22.21XS V22.29XA V22.29XD V22.29XS V22.31XA V22.31XD V22.31XS V22.39XA V22.39XD V22.39XS V22.41XA V22.41XD V22.41XS V22.49XA V22.49XD V22.49XS V22.51XA V22.51XD V22.51XS V22.59XA V22.59XD V22.59XS V22.91XA V22.91XD V22.91XS V22.99XA V22.99XD V22.99XS V23.01XA V23.01XD V23.01XS V23.09XA V23.09XD V23.09XS V23.11XA V23.11XD V23.11XS V23.19XA V23.19XD V23.19XS V23.21XA V23.21XD V23.21XS V23.29XA V23.29XD V23.29XS V23.31XA V23.31XD V23.31XS V23.39XA V23.39XD V23.39XS V23.41XA V23.41XD V23.41XS V23.49XA V23.49XD V23.49XS V23.51XA V23.51XD V23.51XS V23.59XA V23.59XD V23.59XS V23.91XA V23.91XD V23.91XS V23.99XA V23.99XD V23.99XS V24.01XA V24.01XD V24.01XS V24.09XA V24.09XD V24.09XS V24.11XA V24.11XD V24.11XS V24.19XA V24.19XD V24.19XS V24.21XA V24.21XD V24.21XS V24.29XA V24.29XD V24.29XS V24.31XA V24.31XD V24.31XS V24.39XA V24.39XD V24.39XS V24.41XA V24.41XD V24.41XS V24.49XA V24.49XD V24.49XS V24.51XA V24.51XD V24.51XS V24.59XA V24.59XD V24.59XS V24.91XA V24.91XD V24.91XS V24.99XA V24.99XD V24.99XS V25.01XA V25.01XD V25.01XS V25.09XA V25.09XD V25.09XS V25.11XA V25.11XD V25.11XS V25.19XA V25.19XD V25.19XS V25.21XA V25.21XD V25.21XS V25.29XA V25.29XD V25.29XS V25.31XA V25.31XD V25.31XS V25.39XA V25.39XD V25.39XS V25.41XA V25.41XD V25.41XS V25.49XA V25.49XD V25.49XS V25.51XA V25.51XD V25.51XS V25.59XA V25.59XD V25.59XS V25.91XA V25.91XD V25.91XS V25.99XA V25.99XD V25.99XS V26.01XA V26.01XD V26.01XS V26.09XA V26.09XD V26.09XS V26.11XA V26.11XD V26.11XS V26.19XA V26.19XD V26.19XS V26.21XA V26.21XD V26.21XS V26.29XA V26.29XD V26.29XS V26.31XA V26.31XD V26.31XS V26.39XA V26.39XD V26.39XS V26.41XA V26.41XD V26.41XS V26.49XA V26.49XD V26.49XS V26.51XA V26.51XD V26.51XS V26.59XA V26.59XD V26.59XS V26.91XA V26.91XD V26.91XS V26.99XA V26.99XD V26.99XS V27.01XA V27.01XD V27.01XS V27.09XA V27.09XD V27.09XS V27.11XA V27.11XD V27.11XS V27.19XA V27.19XD V27.19XS V27.21XA V27.21XD V27.21XS V27.29XA V27.29XD V27.29XS V27.31XA V27.31XD V27.31XS V27.39XA V27.39XD V27.39XS V27.41XA V27.41XD V27.41XS V27.49XA V27.49XD V27.49XS V27.51XA V27.51XD V27.51XS V27.59XA V27.59XD V27.59XS V27.91XA V27.91XD V27.91XS V27.99XA V27.99XD V27.99XS V28.01XA V28.01XD V28.01XS V28.09XA V28.09XD V28.09XS V28.11XA V28.11XD V28.11XS V28.19XA V28.19XD V28.19XS V28.21XA V28.21XD V28.21XS V28.29XA V28.29XD V28.29XS V28.31XA V28.31XD V28.31XS V28.39XA V28.39XD V28.39XS V28.41XA V28.41XD V28.41XS V28.49XA V28.49XD V28.49XS V28.51XA V28.51XD V28.51XS V28.59XA V28.59XD V28.59XS V28.91XA V28.91XD V28.91XS V28.99XA V28.99XD V28.99XS V29.001A V29.001D V29.001S V29.008A V29.008D V29.008S V29.091A V29.091D V29.091S V29.098A V29.098D V29.098S V29.101A V29.101D V29.101S V29.108A V29.108D V29.108S V29.191A V29.191D V29.191S V29.198A V29.198D V29.198S V29.201A V29.201D V29.201S V29.208A V29.208D V29.208S V29.291A V29.291D V29.291S V29.298A V29.298D V29.298S V29.31XA V29.31XD V29.31XS V29.39XA V29.39XD V29.39XS V29.401A V29.401D V29.401S V29.408A V29.408D V29.408S V29.491A V29.491D V29.491S V29.498A V29.498D V29.498S V29.501A V29.501D V29.501S V29.508A V29.508D V29.508S V29.591A V29.591D V29.591S V29.598A V29.598D V29.598S V29.601A V29.601D V29.601S V29.608A V29.608D V29.608S V29.691A V29.691D V29.691S V29.698A V29.698D V29.698S V29.811A V29.811D V29.811S V29.818A V29.818D V29.818S V29.881A V29.881D V29.881S V29.888A V29.888D V29.888S V29.91XA V29.91XD V29.91XS V29.99XA V29.99XD V29.99XS W23.2XXA W23.2XXD W23.2XXS Z03.83 Z59.82 Z59.86 Z59.87 Z71.87 Z71.88 Z72.823 Z79.60 Z79.61 Z79.620 Z79.621 Z79.622 Z79.623 Z79.624 Z79.630 Z79.631 Z79.632 Z79.633 Z79.634 Z79.64 Z79.69 Z79.85 Z87.61 Z87.68 Z87.731 Z87.732 Z87.760 Z87.761 Z87.762 Z87.763 Z87.768 Z91.110 Z91.118 Z91.119 Z91.190 Z91.198 Z91.199 Z91.A10 Z91.A18 Z91.A20 Z91.A28 Z91.A3 Z91.A4 Z91.A5 Z91.A9 ICD-10 Diagnosis Inactivations ------------------------------ Effective Oct 01, 2022 (287 Codes) B37.3 D59.3 D68.0 D75.82 E34.3 E87.2 F01.51 F02.81 F03.91 F43.8 G93.3 I31.3 I34.8 I47.2 I71.01 I71.1 I71.2 I71.3 I71.4 I71.5 I71.6 N14.1 N80.0 N80.1 N80.2 N80.3 N80.4 N80.5 O35.0XX0 O35.0XX1 O35.0XX2 O35.0XX3 O35.0XX4 O35.0XX5 O35.0XX9 O35.1XX0 O35.1XX1 O35.1XX2 O35.1XX3 O35.1XX4 O35.1XX5 O35.1XX9 P28.3 P28.4 Q21.1 Q21.2 Q85.8 V20.0XXA V20.0XXD V20.0XXS V20.1XXA V20.1XXD V20.1XXS V20.2XXA V20.2XXD V20.2XXS V20.3XXA V20.3XXD V20.3XXS V20.4XXA V20.4XXD V20.4XXS V20.5XXA V20.5XXD V20.5XXS V20.9XXA V20.9XXD V20.9XXS V21.0XXA V21.0XXD V21.0XXS V21.1XXA V21.1XXD V21.1XXS V21.2XXA V21.2XXD V21.2XXS V21.3XXA V21.3XXD V21.3XXS V21.4XXA V21.4XXD V21.4XXS V21.5XXA V21.5XXD V21.5XXS V21.9XXA V21.9XXD V21.9XXS V22.0XXA V22.0XXD V22.0XXS V22.1XXA V22.1XXD V22.1XXS V22.2XXA V22.2XXD V22.2XXS V22.3XXA V22.3XXD V22.3XXS V22.4XXA V22.4XXD V22.4XXS V22.5XXA V22.5XXD V22.5XXS V22.9XXA V22.9XXD V22.9XXS V23.0XXA V23.0XXD V23.0XXS V23.1XXA V23.1XXD V23.1XXS V23.2XXA V23.2XXD V23.2XXS V23.3XXA V23.3XXD V23.3XXS V23.4XXA V23.4XXD V23.4XXS V23.5XXA V23.5XXD V23.5XXS V23.9XXA V23.9XXD V23.9XXS V24.0XXA V24.0XXD V24.0XXS V24.1XXA V24.1XXD V24.1XXS V24.2XXA V24.2XXD V24.2XXS V24.3XXA V24.3XXD V24.3XXS V24.4XXA V24.4XXD V24.4XXS V24.5XXA V24.5XXD V24.5XXS V24.9XXA V24.9XXD V24.9XXS V25.0XXA V25.0XXD V25.0XXS V25.1XXA V25.1XXD V25.1XXS V25.2XXA V25.2XXD V25.2XXS V25.3XXA V25.3XXD V25.3XXS V25.4XXA V25.4XXD V25.4XXS V25.5XXA V25.5XXD V25.5XXS V25.9XXA V25.9XXD V25.9XXS V26.0XXA V26.0XXD V26.0XXS V26.1XXA V26.1XXD V26.1XXS V26.2XXA V26.2XXD V26.2XXS V26.3XXA V26.3XXD V26.3XXS V26.4XXA V26.4XXD V26.4XXS V26.5XXA V26.5XXD V26.5XXS V26.9XXA V26.9XXD V26.9XXS V27.0XXA V27.0XXD V27.0XXS V27.1XXA V27.1XXD V27.1XXS V27.2XXA V27.2XXD V27.2XXS V27.3XXA V27.3XXD V27.3XXS V27.4XXA V27.4XXD V27.4XXS V27.5XXA V27.5XXD V27.5XXS V27.9XXA V27.9XXD V27.9XXS V28.0XXA V28.0XXD V28.0XXS V28.1XXA V28.1XXD V28.1XXS V28.2XXA V28.2XXD V28.2XXS V28.3XXA V28.3XXD V28.3XXS V28.4XXA V28.4XXD V28.4XXS V28.5XXA V28.5XXD V28.5XXS V28.9XXA V28.9XXD V28.9XXS V29.00XA V29.00XD V29.00XS V29.09XA V29.09XD V29.09XS V29.10XA V29.10XD V29.10XS V29.19XA V29.19XD V29.19XS V29.20XA V29.20XD V29.20XS V29.29XA V29.29XD V29.29XS V29.3XXA V29.3XXD V29.3XXS V29.40XA V29.40XD V29.40XS V29.49XA V29.49XD V29.49XS V29.50XA V29.50XD V29.50XS V29.59XA V29.59XD V29.59XS V29.60XA V29.60XD V29.60XS V29.69XA V29.69XD V29.69XS V29.81XA V29.81XD V29.81XS V29.88XA V29.88XD V29.88XS V29.9XXA V29.9XXD V29.9XXS Z87.76 Z91.11 Z91.19 ICD-10 Diagnosis Revisions -------------------------- Effective Oct 01, 2022 (28 Codes) C84.40 C84.41 C84.42 C84.43 C84.44 C84.45 C84.46 C84.47 C84.48 C84.49 C94.6 F01.50 F02.80 F03.90 G31.09 G31.83 G31.84 K35.32 K35.33 M93.011 M93.012 M93.013 M93.021 M93.022 M93.023 M93.031 M93.032 M93.033 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2022 (331 Codes) 00500Z3 00503Z3 00504Z3 005W0Z3 005W3Z3 005W4Z3 005X0Z3 005X3Z3 005X4Z3 005Y0Z3 005Y3Z3 005Y4Z3 00DC0ZZ 00DC3ZZ 00DC4ZZ 02RF08N 02RF38N 02RF48N 04LE0CV 04LE0DV 04LE0ZV 04LE3CV 04LE3DV 04LE3ZV 04LE4CV 04LE4DV 04LE4ZV 04LF0CW 04LF0DW 04LF0ZW 04LF3CW 04LF3DW 04LF3ZW 04LF4CW 04LF4DW 04LF4ZW 0B5C0Z3 0B5C3Z3 0B5C4Z3 0B5D0Z3 0B5D3Z3 0B5D4Z3 0B5F0Z3 0B5F3Z3 0B5F4Z3 0B5G0Z3 0B5G3Z3 0B5G4Z3 0B5H0Z3 0B5H3Z3 0B5H4Z3 0B5J0Z3 0B5J3Z3 0B5J4Z3 0B5K0Z3 0B5K3Z3 0B5K4Z3 0B5L0Z3 0B5L3Z3 0B5L4Z3 0B5M0Z3 0B5M3Z3 0B5M4Z3 0D510Z3 0D513Z3 0D514Z3 0D520Z3 0D523Z3 0D524Z3 0D530Z3 0D533Z3 0D534Z3 0D540Z3 0D543Z3 0D544Z3 0D550Z3 0D553Z3 0D554Z3 0D560Z3 0D563Z3 0D564Z3 0D570Z3 0D573Z3 0D574Z3 0D580Z3 0D583Z3 0D584Z3 0D590Z3 0D593Z3 0D594Z3 0D5A0Z3 0D5A3Z3 0D5A4Z3 0D5B0Z3 0D5B3Z3 0D5B4Z3 0D5C0Z3 0D5C3Z3 0D5C4Z3 0D5E0Z3 0D5E3Z3 0D5E4Z3 0D5F0Z3 0D5F3Z3 0D5F4Z3 0D5G0Z3 0D5G3Z3 0D5G4Z3 0D5H0Z3 0D5H3Z3 0D5H4Z3 0D5J0Z3 0D5J3Z3 0D5J4Z3 0D5K0Z3 0D5K3Z3 0D5K4Z3 0D5L0Z3 0D5L3Z3 0D5L4Z3 0D5M0Z3 0D5M3Z3 0D5M4Z3 0D5N0Z3 0D5N3Z3 0D5N4Z3 0D5P0Z3 0D5P3Z3 0D5P4Z3 0D5Q0Z3 0D5Q3Z3 0D5Q4Z3 0DX80ZB 0DX80ZC 0DX80ZD 0DX80ZF 0DX84ZB 0DX84ZC 0DX84ZD 0DX84ZF 0DXE0ZB 0DXE4ZB 0F500Z3 0F503Z3 0F504Z3 0F510Z3 0F513Z3 0F514Z3 0F520Z3 0F523Z3 0F524Z3 0F540Z3 0F543Z3 0F544Z3 0F550Z3 0F553Z3 0F554Z3 0F560Z3 0F563Z3 0F564Z3 0F570Z3 0F573Z3 0F574Z3 0F580Z3 0F583Z3 0F584Z3 0F590Z3 0F593Z3 0F594Z3 0F5C0Z3 0F5C3Z3 0F5C4Z3 0F5D0Z3 0F5D3Z3 0F5D4Z3 0F5F0Z3 0F5F3Z3 0F5F4Z3 0F5G0Z3 0F5G3Z3 0F5G4Z3 0G500Z3 0G503Z3 0G504Z3 0G510Z3 0G513Z3 0G514Z3 0G520Z3 0G523Z3 0G524Z3 0G530Z3 0G533Z3 0G534Z3 0G540Z3 0G543Z3 0G544Z3 0G560Z3 0G563Z3 0G564Z3 0G570Z3 0G573Z3 0G574Z3 0G580Z3 0G583Z3 0G584Z3 0G590Z3 0G593Z3 0G594Z3 0G5B0Z3 0G5B3Z3 0G5B4Z3 0G5C0Z3 0G5C3Z3 0G5C4Z3 0G5D0Z3 0G5D3Z3 0G5D4Z3 0G5F0Z3 0G5F3Z3 0G5F4Z3 0G5G0Z3 0G5G3Z3 0G5G4Z3 0G5H0Z3 0G5H3Z3 0G5H4Z3 0G5K0Z3 0G5K3Z3 0G5K4Z3 0G5L0Z3 0G5L3Z3 0G5L4Z3 0G5M0Z3 0G5M3Z3 0G5M4Z3 0G5N0Z3 0G5N3Z3 0G5N4Z3 0G5P0Z3 0G5P3Z3 0G5P4Z3 0G5Q0Z3 0G5Q3Z3 0G5Q4Z3 0G5R0Z3 0G5R3Z3 0G5R4Z3 0H5T0Z3 0H5T3Z3 0H5U0Z3 0H5U3Z3 0H5V0Z3 0H5V3Z3 0NP003Z 0NP033Z 0NP043Z 0NP0X3Z 0NW003Z 0NW033Z 0NW043Z 0NW0X3Z 0V500Z3 0V503Z3 0V504Z3 0W9670Z 0W967ZX 0W967ZZ 0W9680Z 0W968ZX 0W968ZZ 3E033GR 3E043GR 3E0V0GC 3E0V4GC 5A0222C BB34Z3Z X0HK3Q8 X0HQ3R8 X0Z0X18 X2A7358 XF50X08 XF51X08 XF52X08 XKUC068 XKUD068 XNH6058 XNH6358 XNH7058 XNH7358 XRGE058 XRGE358 XRGF058 XRGF358 XRHB018 XRHD018 XRRG0L8 XRRG0M8 XRRH0L8 XRRH0M8 XW01318 XW01348 XW020D8 XW03308 XW03358 XW03368 XW03378 XW03388 XW03398 XW04308 XW04358 XW04368 XW04378 XW04388 XW04398 XW0DX38 XW0G738 XW0H738 XW0H7X8 XW133B8 XW133C8 XW133F8 XW133G8 XW143B8 XW143C8 XW143F8 XW143G8 XXE0X48 XXE3X58 XXE3X68 XXE5X38 XY0YX28 ICD-10 Procedure Inactivations ------------------------------ Effective Oct 01, 2022 (64 Codes) 5A0512C 5A0522C D0Y0KZZ D0Y1KZZ D0Y6KZZ D0Y7KZZ DBY0KZZ DBY1KZZ DBY2KZZ DBY5KZZ DBY6KZZ DBY7KZZ DBY8KZZ DDY0KZZ DDY1KZZ DDY2KZZ DDY3KZZ DDY4KZZ DDY5KZZ DDY7KZZ DDY8KZZ DFY0KZZ DFY1KZZ DFY2KZZ DFY3KZZ DGY0KZZ DGY1KZZ DGY2KZZ DGY4KZZ DGY5KZZ DMY0KZZ DMY1KZZ DVY0KZZ X2RF032 X2RF332 X2RF432 XHRPXL2 XK02303 XRG0092 XRG00F3 XRG1092 XRG10F3 XRG2092 XRG20F3 XRG4092 XRG40F3 XRG6092 XRG60F3 XRG7092 XRG70F3 XRG8092 XRG80F3 XRGA092 XRGA0F3 XRGB092 XRGB0F3 XRGC092 XRGC0F3 XRGD092 XRGD0F3 XW03392 XW033A3 XW04392 XW043A3 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 06/30/2022 4394 1469 28 1599 7490 SNOMED Terms Concepts 6002 3068 -- -- 9070 Synonyms 10504 5042 -- -- 15546 Fully Specified 6099 1469 -- -- 7568 ----- ----- ----- ------ ----- 26999 11048 28 1599 39674 SNOMED CT Version ID: 20220630 VSE Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- VSE Codes 06/27/2022 50 -- -- -- 50 VSE Terms Concepts 50 -- -- -- 50 Synonyms 11 -- -- -- 11 Fully Specified 50 -- -- -- 50 ----- ----- ----- ------ ----- 161 -- -- -- 161 VSE Version ID: 20220627 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, 1983-2023 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_141.GBL Patch Installation: =================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*141. 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 60 MB of data. The import global ^LEXM is about 146 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, 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 INSTALLATION INSTRUCTIONS ========================= 1) Install the data from the global host file LEX_2_141.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 146 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_141.GBL Parameter: "RS" => Globals were saved on 17 Aug 2022 4:01 PM IRIS with description: LEX*2.0*141/ICPT*6.0*107/ICD*18.0*111 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 LEX2140 and the Post-Install routine LEX2140P 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 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2141 Before: n/a After: B93534307 **141** Routine Name: LEX2141P Before: n/a After: B21760188 **141** ============================================================================= User Information: Entered By : Date Entered : AUG 17, 2022 Completed By: Date Completed: SEP 13, 2022 Released By : Date Released : SEP 14, 2022 ============================================================================= Packman Mail Message: ===================== $END TXT