$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 05/18/23 at 18:43 ============================================================================= Run Date: JUN 20, 2023 Designation: LEX*2*144 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #135 Status: Released Compliance Date: JUN 30, 2023 ============================================================================= Associated patches: (v)LEX*2*143 <<= must be installed BEFORE `LEX*2*144' Subject: CODE SET FY23 4TH QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY23 4th Quarter Code Set distribution with 117 changes effective Jul 01, 2023. This patch also contains one change from FY18 1st Qtr (effective Oct 01, 2017), one change from FY18 2nd Qtr (effective Jan 01, 2018), one change from FY18 4th Qtr (effective Jul 01, 2018), one change from FY19 1st Qtr (effective Oct 01, 2018), one change from FY19 4th Qtr (effective Jul 01, 2019), one change from FY20 1st Qtr (effective Oct 01, 2019), one change from FY20 3rd Qtr (effective Apr 01, 2020), one change from FY21 2nd Qtr (effective Jan 01, 2021), two changes from FY22 1st Qtr (effective Oct 01, 2021), three changes from FY22 2nd Qtr (effective Jan 01, 2022), three changes from FY22 3rd Qtr (effective Apr 01, 2022), two changes from FY23 2nd Qtr (effective Mar 14, 2023), 79 changes from FY23 3rd Qtr (effective Apr 01, 2023), 45 changes from FY23 3rd Qtr (effective Apr 18, 2023) and five changes from FY23 3rd Qtr (effective May 12, 2023). Additionally, this patch exports 3645 changes to the SNOMED CT coding system and 308 changes to the VA Extension coding system. This patch installs the data for the following Informational patch: ICPT*6.0*110 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 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: ============ FY23 4th Quarter Update CPT Procedure Additions (69 Codes) ----------------------- Effective Mar 14, 2023 (FY23 2nd Qtr) (2 Codes) 0173A 0174A Effective Apr 01, 2023 (FY23 3rd Qtr) (23 Codes) 0364U 0365U 0366U 0367U 0368U 0369U 0370U 0371U 0372U 0373U 0374U 0375U 0376U 0377U 0378U 0379U 0380U 0381U 0382U 0383U 0384U 0385U 0386U Effective Apr 18, 2023 (FY23 3rd Qtr) (9 Codes) 0121A 0141A 0142A 0144A 0151A 0154A 0164A 0171A 0172A Effective Jul 01, 2023 (35 Codes) 0387U 0388U 0389U 0390U 0391U 0392U 0393U 0394U 0395U 0396U 0397U 0398U 0399U 0400U 0401U 0791T 0792T 0793T 0794T 0795T 0796T 0797T 0798T 0799T 0800T 0801T 0802T 0803T 0804T 0805T 0806T 0807T 0808T 0809T 0810T CPT Procedure Inactivations (45 Codes) --------------------------- Effective Apr 01, 2023 (FY23 3rd Qtr) (2 Codes) 0324U 0325U Effective Apr 18, 2023 (FY23 3rd Qtr) (34 Codes) 0001A 0002A 0003A 0004A 0011A 0012A 0013A 0051A 0052A 0053A 0054A 0064A 0071A 0072A 0073A 0074A 0081A 0082A 0083A 0091A 0092A 0093A 0094A 0111A 0112A 0113A 91300 91301 91305 91306 91307 91308 91309 91311 Effective Jul 01, 2023 (9 Codes) 0053U 0143U 0144U 0145U 0146U 0147U 0148U 0149U 0150U CPT Procedure Revisions (18 Codes) ----------------------- Effective Oct 01, 2017 (FY18 1st Qtr) (1 Code) 0022U Effective Jan 01, 2018 (FY18 2nd Qtr) (1 Code) 0032U Effective Jul 01, 2018 (FY18 4th Qtr) (1 Code) 0060U Effective Oct 01, 2018 (FY19 1st Qtr) (1 Code) 0076U Effective Jul 01, 2019 (FY19 4th Qtr) (1 Code) 0095U Effective Oct 01, 2019 (FY20 1st Qtr) (1 Code) 0111U Effective Apr 01, 2020 (FY20 3rd Qtr) (1 Code) 0166U Effective Jan 01, 2021 (FY21 2nd Qtr) (1 Code) 0229U Effective Oct 01, 2021 (FY22 1st Qtr) (2 Codes) 0273U 0276U Effective Jan 01, 2022 (FY22 2nd Qtr) (3 Codes) 0296U 0301U 0302U Effective Apr 01, 2022 (FY22 3rd Qtr) (3 Codes) 0306U 0308U 0311U Effective Apr 18, 2023 (FY23 3rd Qtr) (2 Codes) 0124A 0134A HCPCS Procedure Additions (94 Codes) ------------------------- Effective Apr 01, 2023 (FY23 3rd Qtr) (36 Codes) A2019 A2020 A2021 A6590 A6591 A7049 C9145 C9146 C9147 C9148 C9149 E0677 E0711 E1905 J0208 J0218 J0612 J0613 J1411 J1449 J1747 J2403 J9196 J9294 J9296 J9297 K1035 L8678 Q4265 Q4266 Q4267 Q4268 Q4269 Q4270 Q4271 Q5127 Q5128 Q5129 Q5130 S9563 Effective Jul 01, 2023 (58 Codes) C9150 C9151 C9784 C9785 C9786 C9787 J0137 J0206 J0216 J0457 J0665 J0736 J0737 J1576 J1805 J1806 J1811 J1812 J1813 J1814 J1836 J1921 J1941 J1961 J2249 J2305 J2329 J2371 J2372 J2427 J2561 J2598 J2599 J2806 J7213 J9029 J9056 J9058 J9059 J9063 J9259 J9321 J9322 J9323 J9347 Q4272 Q4273 Q4274 Q4275 Q4276 Q4277 Q4278 Q4280 Q4281 Q4282 Q4283 Q4284 Q5131 HCPCS Procedure Inactivations (17 Codes) ----------------------------- Effective Apr 01, 2023 (FY23 3rd Qtr) (3 Codes) C1834 J0610 J0611 Effective May 12, 2023 (FY23 3rd Qtr) (5 Codes) G2023 G2024 U0003 U0004 U0005 Effective Jul 01, 2023 (9 Codes) C9146 C9147 C9148 C9149 J2370 S0020 S0030 S0073 S0077 HCPCS Procedures Re-Used (9 Codes) ------------------------ Effective Apr 01, 2023 (FY23 3rd Qtr) (4 Codes) A4341 A4342 A4560 M0010 Effective Jul 01, 2023 (5 Codes) J1440 J1920 J9350 J9380 J9381 HCPCS Procedure Revisions (9 Codes) ------------------------- Effective Apr 01, 2023 (FY23 3rd Qtr) (8 Codes) A4628 J1954 K1019 Q5108 Q5111 Q5120 Q5122 S9562 Effective Jul 01, 2023 (1 Code) J2426 CPT Modifier Additions ---------------------- Effective Apr 01, 2023 (3 Codes) JK JL LU CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Apr 01, 2023 * 7 -- -- -- 7 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2023 351 106 -- 45 502 SNOMED Terms Concepts 396 147 -- -- 543 Synonyms 132 660 -- -- 792 Fully Specified 401 106 -- -- 507 ----- ----- ----- ------ ----- 1280 913 -- 45 2344 SNOMED CT Version ID: 20230301 VSE Changes ----------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/15/2023 84 -- -- -- 84 SNOMED Terms Concepts 84 -- -- -- 84 Synonyms 56 -- -- -- 56 Fully Specified 84 -- -- -- 84 ----- ----- ----- ------ ----- 308 -- -- -- 308 VSE Version ID: 20230315 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_144.GBL Patch Installation: =================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*144. 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 and ICD globals will result in a combined growth of about 25 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 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(81.3, CPT Modifier INSTALLATION INSTRUCTIONS ========================= 1) Install the data from the global host file LEX_2_144.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_144.GBL Parameter: "RS" => Globals were saved on 18 May 2023 7:09 PM IRIS with description: LEX*2.0*144/ICPT*6.0*110 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 LEX2144 and the Post-Install routine LEX2144P 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: LEX2144 Before: n/a After: B90855350 **144** Routine Name: LEX2144P Before: n/a After: B21696264 **144** ============================================================================= User Information: Entered By : Date Entered : MAY 17, 2023 Completed By: Date Completed: JUN 16, 2023 Released By : Date Released : JUN 20, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT