$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 09/10/23 at 20:54 ============================================================================= Run Date: SEP 25, 2023 Designation: LEX*2*145 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #136 Status: Released Compliance Date: SEP 29, 2023 ============================================================================= Associated patches: (v)LEX*2*144 <<= must be installed BEFORE `LEX*2*145' Subject: CODE SET FY24 1ST QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY24 1st Quarter Code Set distribution with 614 changes effective Oct 01, 2023. This patch also contains one change from FY03 2nd Qtr (effective Jan 01, 2003), one change from FY10 4th Qtr (effective Jul 02, 2010), one change from FY18 1st Qtr (effective Dec 31, 2017), two changes from FY18 2nd Qtr (effective Jan 02, 2018), 31 changes from FY22 2nd Qtr (effective Jan 02, 2022), five changes from FY23 2nd Qtr (effective Jan 01, 2023), two changes from FY23 3rd Qtr (effective Jun 01, 2023), 49 changes from FY23 3rd Qtr (effective Jun 30, 2023), three changes from FY23 4th Qtr (effective Jul 01, 2023), one change from FY23 4th Qtr (effective Jul 02, 2023), one change from FY23 4th Qtr (effective Jul 06, 2023) and 3 projected changes for FY24 2nd Qtr (effective Jan 01, 2024). Additionally, this patch exports 43858 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*116 ICPT*6.0*111 Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #80 ICD DIAGNOSIS Modified #80.1 ICD OPERATION/PROCEDURE Modified #81 CPT Modified #81.1 CPT CATEGORY Modified #81.3 CPT MODIFIER Modified #757-757.41 LEXICON files Modified Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: --------------------------------- Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SNOW Change Order #: -------------------- NFSG: CHG0409671 UNY: CHG0409795 FHM: CHG0410166 ENHANCEMENTS: ------------- FY24 1st Quarter Update CPT Procedure Additions (71 Codes) ----------------------- Effective Jan 01, 2023 (FY23 2nd Qtr) (1 Code) 0019M Effective Jun 30, 2023 (FY23 3rd Qtr) (49 Codes) 0811T 0812T 0813T 0814T 0815T 0820T 0821T 0822T 0823T 0824T 0825T 0826T 0827T 0828T 0829T 0830T 0831T 0832T 0833T 0834T 0835T 0836T 0837T 0838T 0839T 0840T 0841T 0842T 0843T 0844T 0845T 0846T 0847T 0848T 0849T 0850T 0851T 0852T 0853T 0854T 0855T 0856T 0857T 0858T 0864T 0865T 0866T 90380 90381 Effective Oct 01, 2023 (18 Codes) 0402U 0403U 0404U 0405U 0406U 0407U 0408U 0409U 0410U 0411U 0412U 0413U 0414U 0415U 0416U 0417U 0418U 0419U Effective Jan 01, 2024 (projected FY24 2nd Qtr) (3 Codes) 90589 90623 90683 CPT Procedure Inactivations (6 Codes) --------------------------- Effective Jun 01, 2023 (FY23 3rd Qtr) (2 Codes) 0031A 0034A Effective Oct 01, 2023 (4 Codes) 0066U 0357U 0386U 0397U HCPCS Procedure Additions (61 Codes) ------------------------- Effective Jul 06, 2023 (FY23 4th Qtr) (1 Code) J0174 Effective Oct 01, 2023 (46 Codes) A2022 A2023 A2024 A2025 A9156 A9268 A9269 A9292 A9573 A9697 B4148 C9152 C9153 C9154 C9155 C9156 C9157 C9158 C9788 C9789 C9790 C9791 C9792 E0490 E0491 H2040 H2041 J0349 J0801 J0802 J0874 J0889 J2359 J2781 J7214 J7353 J7519 J9051 J9064 J9345 K1036 L1681 L5991 Q4285 Q4286 V2526 Effective Jan 01, 2024 (projected FY24 2nd Qtr) (14 Codes) D0396 D1301 D2976 D2989 D2991 D6089 D7284 D7939 D9938 D9939 D9954 D9955 D9956 D9957 HCPCS Procedure Inactivations (38 Codes) ----------------------------- Effective Jul 02, 2010 (FY10 4th Qtr) (1 Code) C9367 Effective Dec 31, 2017 (FY18 1st Qtr) (1 Code) G0364 Effective Jan 02, 2018 (FY18 2nd Qtr) (2 Codes) G9976 G9977 Effective Jan 02, 2022 (FY22 2nd Qtr) (31 Codes) A2003 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 Effective Jul 02, 2023 (FY23 4th Qtr) (1 Code) J9321 Effective Oct 01, 2023 (2 Codes) C9151 J0800 HCPCS Procedures Re-Used ------------------------ Effective Oct 01, 2023 (1 Code) A9603 HCPCS Procedure Revisions (7 Codes) ------------------------- Effective Jul 01, 2023 (FY23 4th Qtr) (3 Codes) G0460 G0465 J9323 Effective Oct 01, 2023 (4 Codes) A4344 J1921 K1004 K1028 CPT Modifier Additions ---------------------- Effective Jan 01, 2023 (4 Codes) JZ N1 N2 N3 CPT Modifier Revisions ---------------------- Effective Jan 01, 2003 (1 Code) JW ICD-10 Diagnosis Additions -------------------------- Effective Oct 01, 2023 (395 Codes) A41.54 B96.83 D13.91 D13.99 D48.110 D48.111 D48.112 D48.113 D48.114 D48.115 D48.116 D48.117 D48.118 D48.119 D48.19 D57.04 D57.214 D57.414 D57.434 D57.454 D57.814 D61.02 D89.84 E20.810 E20.811 E20.812 E20.818 E20.819 E20.89 E74.05 E75.27 E75.28 E79.81 E79.82 E79.89 E88.43 E88.810 E88.811 E88.818 E88.819 E88.A G11.5 G11.6 G20.A1 G20.A2 G20.B1 G20.B2 G20.C G23.3 G31.80 G31.86 G37.81 G37.89 G40.C01 G40.C09 G40.C11 G40.C19 G43.E01 G43.E09 G43.E11 G43.E19 G90.B G93.42 G93.43 G93.44 H36.811 H36.812 H36.813 H36.819 H36.821 H36.822 H36.823 H36.829 H36.89 H50.621 H50.622 H50.629 H50.631 H50.632 H50.639 H50.641 H50.642 H50.649 H50.651 H50.652 H50.659 H50.661 H50.662 H50.669 H50.671 H50.672 H50.679 H50.681 H50.682 H50.689 H57.8A1 H57.8A2 H57.8A3 H57.8A9 I1A.0 I20.81 I20.89 I21.B I24.81 I24.89 I25.85 I47.10 I47.11 I47.19 J15.61 J15.69 J44.81 J44.89 J4A.0 J4A.8 J4A.9 K35.200 K35.201 K35.209 K35.210 K35.211 K35.219 K63.8211 K63.8212 K63.8219 K63.822 K63.829 K68.2 K68.3 K90.821 K90.822 K90.829 K90.83 M80.0B1A M80.0B1D M80.0B1G M80.0B1K M80.0B1P M80.0B1S M80.0B2A M80.0B2D M80.0B2G M80.0B2K M80.0B2P M80.0B2S M80.0B9A M80.0B9D M80.0B9G M80.0B9K M80.0B9P M80.0B9S M80.8B1A M80.8B1D M80.8B1G M80.8B1K M80.8B1P M80.8B1S M80.8B2A M80.8B2D M80.8B2G M80.8B2K M80.8B2P M80.8B2S M80.8B9A M80.8B9D M80.8B9G M80.8B9K M80.8B9P M80.8B9S N02.B1 N02.B2 N02.B3 N02.B4 N02.B5 N02.B6 N02.B9 N04.20 N04.21 N04.22 N04.29 N06.20 N06.21 N06.22 N06.29 O26.641 O26.642 O26.643 O26.649 O90.41 O90.49 Q44.70 Q44.71 Q44.79 Q75.001 Q75.002 Q75.009 Q75.01 Q75.021 Q75.022 Q75.029 Q75.03 Q75.041 Q75.042 Q75.049 Q75.051 Q75.052 Q75.058 Q75.08 Q87.83 Q87.84 Q87.85 Q93.52 R09.A0 R09.A1 R09.A2 R09.A9 R40.2A R92.30 R92.311 R92.312 R92.313 R92.321 R92.322 R92.323 R92.331 R92.332 R92.333 R92.341 R92.342 R92.343 T56.821A T56.821D T56.821S T56.822A T56.822D T56.822S T56.823A T56.823D T56.823S T56.824A T56.824D T56.824S W44.8XXA W44.8XXD W44.8XXS W44.9XXA W44.9XXD W44.9XXS W44.A0XA W44.A0XD W44.A0XS W44.A1XA W44.A1XD W44.A1XS W44.A9XA W44.A9XD W44.A9XS W44.B0XA W44.B0XD W44.B0XS W44.B1XA W44.B1XD W44.B1XS W44.B2XA W44.B2XD W44.B2XS W44.B3XA W44.B3XD W44.B3XS W44.B4XA W44.B4XD W44.B4XS W44.B5XA W44.B5XD W44.B5XS W44.B9XA W44.B9XD W44.B9XS W44.C0XA W44.C0XD W44.C0XS W44.C1XA W44.C1XD W44.C1XS W44.C2XA W44.C2XD W44.C2XS W44.D0XA W44.D0XD W44.D0XS W44.D1XA W44.D1XD W44.D1XS W44.D2XA W44.D2XD W44.D2XS W44.D3XA W44.D3XD W44.D3XS W44.D4XA W44.D4XD W44.D4XS W44.D9XA W44.D9XD W44.D9XS W44.E0XA W44.E0XD W44.E0XS W44.E1XA W44.E1XD W44.E1XS W44.E2XA W44.E2XD W44.E2XS W44.E3XA W44.E3XD W44.E3XS W44.E4XA W44.E4XD W44.E4XS W44.E9XA W44.E9XD W44.E9XS W44.F0XA W44.F0XD W44.F0XS W44.F1XA W44.F1XD W44.F1XS W44.F2XA W44.F2XD W44.F2XS W44.F3XA W44.F3XD W44.F3XS W44.F4XA W44.F4XD W44.F4XS W44.F9XA W44.F9XD W44.F9XS W44.G0XA W44.G0XD W44.G0XS W44.G1XA W44.G1XD W44.G1XS W44.G2XA W44.G2XD W44.G2XS W44.G3XA W44.G3XD W44.G3XS W44.G9XA W44.G9XD W44.G9XS W44.H0XA W44.H0XD W44.H0XS W44.H1XA W44.H1XD W44.H1XS W44.H2XA W44.H2XD W44.H2XS Z02.84 Z05.81 Z05.89 Z16.13 Z22.340 Z22.341 Z22.349 Z22.350 Z22.358 Z22.359 Z29.81 Z29.89 Z62.23 Z62.24 Z62.823 Z62.831 Z62.832 Z62.833 Z62.892 Z83.710 Z83.711 Z83.718 Z83.719 Z91.85 Z91.A41 Z91.A48 Z91.A51 Z91.A58 Z91.A91 Z91.A98 ICD-10 Diagnosis Inactivations ------------------------------ Effective Oct 01, 2023 (25 Codes) D13.9 D48.1 E20.8 E79.8 E88.81 G20. G37.8 H36. I20.8 I24.8 I47.1 J15.6 K35.20 K35.21 N04.2 N06.2 O90.4 Q44.7 Q75.0 Z05.8 Z29.8 Z83.71 Z91.A4 Z91.A5 Z91.A9 ICD-10 Diagnosis Revisions -------------------------- Effective Oct 01, 2023 (22 Codes) I25.112 I71.51 I71.52 I71.61 I71.62 M32.15 N07.1 N07.3 N07.4 N13.721 N13.722 N13.731 N13.732 N14.2 N35.812 P19.9 Q85.81 Q87.40 Q87.410 Q87.418 Q87.42 Q87.43 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2023 (78 Codes) 02HW3RZ 02PW3RZ 02WW3RZ 0CSS0ZZ 0CSS7ZZ 0CSS8ZZ 0DH17JZ 0DH27JZ 0DH37JZ 0WHC0GZ 0WHC3GZ 0WHC4GZ 0WPC0GZ 0WPC3GZ 0WPC4GZ 0WPCXGZ 0WWC0GZ 0WWC3GZ 0WWC4GZ 0WWCXGZ 5A09B5K 5A09C5K 5A09D5K 8E0U0EN 8E0U3EN 8E0U4EN 8E0U7EN 8E0U8EN 8E0W0EN 8E0W3EN 8E0W4EN 8E0W7EN 8E0W8EN X051329 X2H03R9 X2H13R9 X2H20R9 X2H30R9 X2H63V9 X2HK3V9 X2HL0F9 X2HM0F9 X2HX0F9 X2KH3D9 X2KH3E9 X2KJ3D9 X2KJ3E9 X2U4079 X2UQ0P9 X2UR0P9 XNHG0F9 XNHH0F9 XNR80D9 XNRL099 XNRM099 XRGJ0B9 XRGK0B9 XRGL0B9 XRGM0B9 XW013L9 XW013S9 XW033K9 XW033P9 XW033Q9 XW033R9 XW043K9 XW043P9 XW043Q9 XW043R9 XW053T9 XW0DXJ9 XW0DXN9 XW133H9 XW143H9 XX20X89 XX2F3W9 XXE2X19 XXE5XY9 ICD-10 Procedure Inactivations ------------------------------ Effective Oct 01, 2023 (5 Codes) XV508A4 XW033G4 XW033H4 XW043G4 XW043H4 ICD-10 Procedure Revisions -------------------------- Effective Oct 01, 2023 (14 Codes) XRGA0R7 XRGA3R7 XRGA4R7 XRGB0R7 XRGB3R7 XRGB4R7 XRGC0R7 XRGC3R7 XRGC4R7 XRGD0R7 XRGD3R7 XRGD4R7 XW00X27 XW01X27 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2016 * -- -- -- 1 1 Effective Jan 01, 2017 * 1 -- -- -- 1 Effective Jan 01, 2018 * -- -- -- 3 3 Effective Jan 01, 2023 * 6 -- -- -- 6 ----- ----- ----- ------ ----- Total 7 -- -- 4 11 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 06/30/2023 4350 2861 28 1246 8485 SNOMED Terms Concepts 5599 4106 -- -- 9705 Synonyms 9527 7616 -- -- 17143 Fully Specified 5664 2861 -- -- 8525 ----- ----- ----- ------ ----- 25140 17444 28 1246 43858 SNOMED CT Version ID: 20230731 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. 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_145.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*145. 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 45 MB of data. The import global ^LEXM is about 129 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(81.1, 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(81.3, CPT Modifier ^DIC(81.1, CPT Category INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_145.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 129 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_145.GBL Parameter: "RS" => Globals were saved on 07 Sep 2023 5:35 PM IRIS with description: LEX*2.0*145/ICD*18.0*116/ICPT*6.0*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 LEX2145 and the Post-Install routine LEX2145P 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: LEX2145 Before: n/a After: B90860297 **145** Routine Name: LEX2145P Before: n/a After: B21760224 **145** ============================================================================= User Information: Entered By : Date Entered : SEP 07, 2023 Completed By: Date Completed: SEP 25, 2023 Released By : Date Released : SEP 25, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT