$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 11/21/22 at 15:13 ============================================================================= Run Date: DEC 20, 2022 Designation: LEX*2*142 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #133 Status: Released Compliance Date: DEC 29, 2022 ============================================================================= Associated patches: (v)LEX*2*141 <<= must be installed BEFORE `LEX*2*142' Subject: CODE SET FY23 2ND QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY23 2nd Quarter Code Set distribution with 660 changes effective Jan 01, 2023. This patch also contains one change from FY19 2nd Qtr (effective Jan 01, 2019), six changes from FY22 3rd Qtr (effective May 11, 2022), four changes from FY22 4th Qtr (effective Aug 31, 2022) and 35 changes from FY23 1st Qtr (effective Oct 01, 2022). Additionally, this patch exports 1637 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*108 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 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 2nd Quarter Update CPT Procedure Additions (126 Codes) ----------------------- Effective Aug 31, 2022 (FY22 4th Qtr) (4 Codes) 0124A 0134A 91312 91313 Effective Jan 01, 2023 (122 Codes) 0002M 0003M 0004M 0006M 0007M 0011M 0012M 0013M 0104A 0355U 0356U 0357U 0358U 0359U 0360U 0361U 0362U 0363U 0738T 0739T 0740T 0741T 0742T 0743T 0744T 0745T 0746T 0747T 0748T 0749T 0750T 0751T 0752T 0753T 0754T 0755T 0756T 0757T 0758T 0759T 0760T 0761T 0762T 0763T 0764T 0765T 0766T 0767T 0768T 0769T 0770T 0771T 0772T 0773T 0774T 0775T 0776T 0777T 0778T 0779T 0780T 0781T 0782T 0783T 15778 15853 15854 22860 30469 33900 33901 33902 33903 33904 36836 36837 43290 43291 49591 49592 49593 49594 49595 49596 49613 49614 49615 49616 49617 49618 49621 49622 49623 55867 69728 69729 69730 76883 81418 81441 81449 81451 81456 84433 87467 87468 87469 87478 87484 87913 91308 91310 92066 93569 93573 93574 93575 95919 96202 96203 98978 99418 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2023 (77 Codes) 0091A 0092A 0093A 0113A 0163T 0312T 0313T 0314T 0315T 0316T 0317T 0470T 0471T 0475T 0476T 0477T 0478T 0487T 0491T 0492T 0493T 0497T 0498T 0499T 0514T 0702T 0703T 15850 49560 49561 49565 49566 49568 49570 49572 49580 49582 49585 49587 49590 49652 49653 49654 49655 49656 49657 81405 87593 90611 90622 99217 99218 99219 99220 99224 99225 99226 99241 99251 99318 99324 99325 99326 99327 99328 99334 99335 99336 99337 99339 99340 99343 99354 99355 99356 99357 99483 CPT Procedure Revisions ----------------------- Effective Jan 01, 2023 (461 Codes) 0003A 0004A 0013A 0016M 0031A 0034A 0051A 0052A 0053A 0054A 0064A 0071A 0072A 0073A 0094A 0101T 0102T 0402T 0513T 0621T 0622T 0648T 0649T 0717T 0723T 0724T 0729T 0733T 0734T 11981 15851 15999 17999 19294 19499 20999 21089 21299 21315 21320 21499 21899 22220 22222 22224 22226 22532 22533 22534 22548 22551 22552 22554 22556 22558 22585 22586 22590 22595 22600 22610 22612 22614 22630 22632 22633 22634 22800 22802 22804 22808 22810 22812 22855 22856 22857 22858 22861 22862 22864 22865 22899 22999 23500 23505 23515 23520 23525 23530 23532 23540 23545 23550 23552 23570 23575 23585 23600 23605 23615 23616 23620 23625 23630 23650 23655 23660 23665 23670 23675 23680 23700 23800 23802 23900 23920 23921 23929 23930 23931 23935 24000 24006 24077 24079 24100 24101 24102 24105 24110 24115 24116 24120 24125 24126 24130 24134 24136 24138 24140 24145 24147 24150 24152 24155 24160 24164 24200 24201 24220 24300 24301 24305 24310 24320 24330 24331 24340 24341 24999 25999 26989 27279 27280 27282 27299 27599 27899 28899 29799 29999 3074F 3075F 30999 31299 31599 31899 32999 33471 33999 35600 35883 35884 36299 37183 37501 3750F 37799 38129 38589 38999 39499 39599 4040F 40799 40899 41599 41899 42299 42699 42999 43289 43499 43659 43999 44238 44899 44979 45999 46999 47379 47399 47579 47999 48999 49329 49659 49999 50040 50045 50060 50065 50070 50075 50080 50081 50100 50120 50125 50130 50135 50205 50549 50949 51999 53899 54340 54344 54348 54352 54699 55559 55866 55899 58578 58579 58679 58999 59897 59898 59899 60659 60699 62287 63045 63046 63047 63048 63053 63197 64415 64416 64417 64445 64446 64447 64448 64568 64575 64580 64581 64999 66174 66175 66999 67141 67145 67299 67599 67999 68399 68899 69399 69714 69716 69717 69719 69726 69727 69799 69949 69979 75573 76496 76497 76498 76499 76882 77299 77399 77499 77799 78099 78199 78299 78399 78499 78599 78699 78799 78803 78830 78831 78832 78999 79999 81099 81194 81228 81229 81330 81445 81450 81455 82656 83030 83033 83036 83037 83045 83050 83051 83060 83065 83068 83069 83080 83090 83491 83498 84999 85999 86486 86999 87320 87341 87485 87486 87487 87490 87491 87492 87901 87902 87906 87910 87912 87999 88099 88199 88299 88399 88749 89240 90399 90739 90749 90759 90899 90999 91110 91111 91299 91303 91305 91306 91307 91309 92065 92229 92284 92499 92700 93563 93564 93565 93566 93567 93568 93653 93654 93656 93799 93998 94799 95199 95999 96379 96549 96999 97039 97139 97799 98975 98976 98977 99199 99211 99221 99222 99223 99231 99232 99233 99234 99235 99236 99238 99239 99242 99243 99244 99245 99252 99253 99254 99255 99281 99282 99283 99284 99285 99304 99305 99306 99307 99308 99309 99310 99315 99316 99341 99342 99344 99345 99347 99348 99349 99350 99417 99439 99446 99447 99448 99449 99451 99490 99491 99495 99496 99600 HCPCS Procedure Additions ------------------------- Effective Oct 01, 2022 (21 Codes) A2014 A2015 A2016 A2017 A2018 A4596 A9602 A9607 A9800 C1834 C9101 C9142 J1302 J1932 J2777 J9274 J9298 Q2056 Q5125 T1032 T1033 HCPCS Procedure Inactivations ----------------------------- Effective Oct 01, 2022 (5 Codes) C9094 C9095 C9096 C9097 C9098 HCPCS Procedures Re-Used (7 Codes) ------------------------ Effective May 11, 2022 (FY22 3rd Qtr) (6 Codes) G0310 G0311 G0312 G0313 G0314 G0315 Effective Oct 01, 2022 (FY23 1st Qtr) (1 Code) E0183 HCPCS Procedure Revisions (9 Codes) ------------------------- Effective Jan 01, 2019 (FY19 2nd Qtr) (1 Code) D5211 Effective Oct 01, 2022 (FY23 1st Qtr) (8 Codes) A9291 E0483 K1002 K1019 Q4128 Q9001 Q9002 Q9003 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2022 356 46 -- 5 407 SNOMED Terms Concepts 361 51 -- -- 412 Synonyms 351 46 -- -- 397 Fully Specified 375 46 -- -- 421 ----- ----- ----- ------ ----- 1443 189 -- 5 1637 SNOMED CT Version ID: 20220901 VSE Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- VSE Codes 10/15/2022 102 -- -- -- 102 VSE Terms Concepts 102 -- -- -- 102 Synonyms 56 -- -- -- 56 Fully Specified 102 -- -- -- 102 ----- ----- ----- ------ ----- 362 -- -- -- 362 VSE Version ID: 20221015 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_142.GBL Patch Installation: =================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*142. 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 20 MB of data. The import global ^LEXM is about 99 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, 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_142.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 99 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_142.GBL Parameter: "RS" => Globals were saved on 21 Nov 2022 3:49 PM IRIS with description: LEX*2.0*142/ICPT*6.0*108 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 LEX2142 and the Post-Install routine LEX2142P 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: LEX2142 Before: n/a After: B90853981 **142** Routine Name: LEX2142P Before: n/a After: B21696963 **142** ============================================================================= User Information: Entered By : Date Entered : NOV 20, 2022 Completed By: Date Completed: DEC 16, 2022 Released By : Date Released : DEC 20, 2022 ============================================================================= Packman Mail Message: ===================== $END TXT