$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 12/03/23 at 21:11 ============================================================================= Run Date: DEC 19, 2023 Designation: LEX*2*147 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #138 Status: Released Compliance Date: DEC 29, 2023 ============================================================================= Associated patches: (v)LEX*2*146 <<= must be installed BEFORE `LEX*2*147' Subject: CODE SET FY24 2ND QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY24 2nd Quarter Code Set distribution with 1007 changes effective Jan 01, 2024. This patch also contains one change from FY19 4th Qtr (effective Jul 01, 2019), one change from FY21 2nd Qtr (effective Jan 01, 2021), six changes from FY22 1st Qtr (effective Oct 01, 2021), one change from FY22 3rd Qtr (effective Apr 01, 2022), four changes from FY23 1st Qtr (effective Oct 01, 2022), six changes from FY23 2nd Qtr (effective Jan 01, 2023), four changes from FY23 3rd Qtr (effective Apr 01, 2023), five changes from FY23 4th Qtr (effective Jul 01, 2023), five changes from FY24 1st Qtr (effective Oct 01, 2023) and 10 projected changes for FY24 2nd Qtr (effective Jan 02, 2024). Additionally, this patch exports 937 changes to the SNOMED CT coding system, and 948 changes to the VSE coding system. This patch installs the data for the following Informational patch: ICPT*6.0*113 Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #81 CPT Modified #81.1 CPT CATEGORY Modified #81.2 CPT COPYRIGHT 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: CHG0436464 UNY: CHG0436328 FHM: CHG0436351 ENHANCEMENTS: ============ FY24 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2024 (100 Codes) 0044A 0420U 0421U 0422U 0423U 0424U 0425U 0426U 0427U 0428U 0429U 0430U 0431U 0432U 0433U 0434U 0435U 0436U 0437U 0438U 0784T 0785T 0786T 0787T 0788T 0789T 0790T 0816T 0817T 0818T 0819T 0859T 0860T 0861T 0862T 0863T 22836 22837 22838 27278 31242 31243 33276 33277 33278 33279 33280 33281 33287 33288 52284 58580 61889 61891 61892 64596 64597 64598 67516 75580 76984 76987 76988 76989 81457 81458 81459 81462 81463 81464 81517 82166 86041 86042 86043 86366 87523 91314 91315 91316 91317 92622 92623 92972 93150 93151 93152 93153 93584 93585 93586 93587 93588 96547 96548 97037 97550 97551 97552 99459 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2024 (40 Codes) 0014M 0404T 0424T 0425T 0426T 0427T 0428T 0429T 0430T 0431T 0432T 0433T 0434T 0435T 0436T 0465T 0499T 0501T 0502T 0503T 0504T 0508T 0533T 0534T 0535T 0536T 0641T 0642T 0715T 0768T 0769T 0775T 0809T 74710 90480 91318 91319 91320 91321 91322 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2024 (11 Codes) 0094A 0121A 0124A 0134A 0144A 0154A 0164A 0171A 0172A 91312 91313 CPT Procedure Revisions (364 Codes) ----------------------- Effective Jul 01, 2019 (FY19 4th Qtr) (1 Code) 0095U Effective Oct 01, 2021 (FY22 1st Qtr) (6 Codes) 0269U 0271U 0272U 0274U 0277U 0278U Effective Apr 01, 2022 (FY22 3rd Qtr) (1 Code) 0311U Effective Oct 01, 2022 (FY23 1st Qtr) (4 Codes) 0332U 0338U 0351U 0352U Effective Jan 01, 2023 (FY23 2nd Qtr) (2 Codes) 0356U 0362U Effective Apr 01, 2023 (FY23 3rd Qtr) (4 Codes) 0365U 0366U 0367U 0368U Effective Jul 01, 2023 (FY23 4th Qtr) (3 Codes) 0389U 0398U 0401U Effective Oct 01, 2023 (FY24 1st Qtr) (4 Codes) 0406U 0412U 0414U 0417U Effective Jan 01, 2024 (339 Codes) 0072T 00750 00752 00754 00756 00770 00790 00792 00794 00796 00797 01958 01960 01961 01962 01963 01965 01966 01967 01968 01969 01999 0517T 0518T 0519T 0520T 0540F 0587T 0588T 0589T 0590T 0640T 0656T 0657T 0766T 0767T 0791T 0796T 0797T 0798T 0799T 0800T 0801T 0802T 0803T 0806T 0808T 0811T 0812T 0815T 0821T 0822T 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 0866T 10030 10035 10036 10060 10061 10080 10081 10120 10121 10140 10160 10180 1066F 11000 11001 11004 11005 11006 11008 11042 11043 11044 11045 11046 11047 11055 11056 11057 1119F 11200 11201 1121F 11450 11451 11462 11463 11470 11471 12020 12021 13160 15050 15200 15201 15220 15221 15240 15241 15260 15261 17260 17261 17262 17263 17264 17266 17270 17271 17272 17273 17274 17276 17280 17281 17282 17283 17284 17286 19000 19001 19020 19030 20200 20206 20220 20225 20250 20251 2060F 20661 20662 20663 20664 20665 20670 20680 20690 20692 20693 20694 20696 20697 27284 27286 28292 28295 28296 28297 28298 28299 30540 30545 30560 3095F 3096F 31237 31238 31239 31240 31241 3216F 3284F 3455F 36416 36420 36425 36430 36440 36450 36455 36460 40650 40652 40654 42180 62140 62141 62142 62143 62146 62147 63685 63688 64585 64590 64595 64885 64890 64891 64892 64893 64895 64896 64897 64898 67850 81171 81172 81243 81244 81401 81403 81404 81406 81407 81445 81449 81450 81451 81455 81456 81490 87467 88321 88323 88325 88329 88331 88332 88333 88334 88341 88342 88344 88346 88348 88350 88355 89290 91304 92002 92004 92012 92014 92018 92019 92020 92025 92060 92072 92081 92082 92083 92100 92230 92235 92240 92242 92250 92260 92265 92270 92283 92285 92286 92287 92310 92311 92312 92313 92314 92315 92316 92317 92354 92355 92370 92371 93655 96440 96446 96920 96921 96922 97032 97033 97034 97035 97036 97597 97598 97605 97606 97607 97608 99100 99116 99135 99140 99202 99203 99204 99205 99212 99213 99214 99215 99306 99308 99401 99402 99403 99404 99601 99602 CPT Procedure Reactivations --------------------------- Effective Jan 01, 2024 (48 Codes) 0001A 0002A 0003A 0004A 0011A 0012A 0013A 0021A 0022A 0031A 0034A 0041A 0042A 0051A 0052A 0053A 0054A 0064A 0071A 0072A 0073A 0074A 0081A 0082A 0083A 0091A 0092A 0093A 0104A 0111A 0112A 0113A 0141A 0142A 0151A 0173A 0174A 91300 91301 91302 91303 91305 91306 91307 91308 91309 91310 91311 HCPCS Procedure Additions (344 Codes) ------------------------- Effective Jan 01, 2024 (336 Codes) A4287 A4457 A4468 A4540 A4541 A4542 A6520 A6521 A6522 A6523 A6524 A6525 A6526 A6527 A6528 A6529 A6552 A6553 A6554 A6555 A6556 A6557 A6558 A6559 A6560 A6561 A6562 A6563 A6564 A6565 A6566 A6567 A6568 A6569 A6570 A6571 A6572 A6573 A6574 A6575 A6576 A6577 A6578 A6579 A6580 A6581 A6582 A6583 A6584 A6585 A6586 A6587 A6588 A6589 A6593 A6594 A6595 A6596 A6597 A6598 A6599 A6600 A6601 A6602 A6603 A6604 A6605 A6606 A6607 A6608 A6609 A6610 A7023 A9608 A9609 C1600 C1601 C1602 C1603 C1604 C7556 C7557 C7558 C7560 C7561 C7903 C9159 C9160 C9161 C9162 C9163 C9164 C9165 C9793 C9794 C9795 E0492 E0493 E0530 E0678 E0679 E0680 E0681 E0682 E0732 E0733 E0734 E0735 E1301 E2001 E3000 G0017 G0018 G0019 G0022 G0023 G0024 G0136 G0137 G0140 G0146 G9886 G9887 G9888 J0184 J0217 J0391 J0402 J0576 J0688 J0873 J1105 J1246 J1304 J1412 J1413 J1596 J1939 J2404 J2508 J2679 J2799 J3401 J3425 J9052 J9072 J9172 J9255 J9258 J9286 J9324 J9333 J9334 L3161 L5615 L5926 M1211 M1212 M1213 M1214 M1215 M1216 M1217 M1218 M1219 M1220 M1221 M1222 M1223 M1224 M1225 M1226 M1227 M1228 M1229 M1230 M1231 M1232 M1233 M1234 M1235 M1236 M1237 M1238 M1239 M1240 M1241 M1242 M1243 M1244 M1245 M1246 M1247 M1248 M1249 M1250 M1251 M1252 M1253 M1254 M1255 M1256 M1257 M1258 M1259 M1260 M1261 M1262 M1263 M1264 M1265 M1266 M1267 M1268 M1269 M1270 M1271 M1272 M1273 M1274 M1275 M1276 M1277 M1278 M1279 M1280 M1281 M1282 M1283 M1284 M1285 M1286 M1287 M1288 M1289 M1290 M1291 M1292 M1293 M1294 M1295 M1296 M1297 M1298 M1299 M1300 M1301 M1302 M1303 M1304 M1305 M1306 M1307 M1308 M1309 M1310 M1311 M1312 M1313 M1314 M1315 M1316 M1317 M1318 M1319 M1320 M1321 M1322 M1323 M1324 M1325 M1326 M1327 M1328 M1329 M1330 M1331 M1332 M1333 M1334 M1335 M1336 M1337 M1338 M1339 M1340 M1341 M1342 M1343 M1344 M1345 M1346 M1347 M1348 M1349 M1350 M1351 M1352 M1353 M1354 M1355 M1356 M1357 M1358 M1359 M1360 M1361 M1362 M1363 M1364 M1365 M1366 M1367 M1368 M1369 M1370 Q4279 Q4287 Q4288 Q4289 Q4290 Q4291 Q4292 Q4293 Q4294 Q4295 Q4296 Q4297 Q4298 Q4299 Q4300 Q4301 Q4302 Q4303 Q4304 Q5132 Effective Jan 02, 2024 (8 Codes) G0011 G0012 G0013 J0751 J0799 Q0516 Q0517 Q0518 HCPCS Procedure Inactivations (74 Codes) ----------------------------- Effective Oct 01, 2023 (FY24 1st Qtr) (1 Code) S0166 Effective Jan 01, 2024 (73 Codes) C9152 C9153 C9154 C9155 C9156 C9157 C9158 C9770 C9771 C9788 C9803 G0056 G2066 G2108 G2109 G2110 G8506 G8818 G8825 G8852 G8883 G8884 G8885 G8941 G8963 G8964 G9192 G9229 G9451 G9453 G9454 G9596 G9612 G9613 G9614 G9697 G9715 G9725 G9852 G9853 G9854 G9927 G9995 J9160 K1001 K1002 K1003 K1005 K1006 K1009 K1013 K1014 K1015 K1016 K1017 K1018 K1019 K1020 K1021 K1022 K1023 K1024 K1025 K1026 K1028 K1029 K1031 K1032 K1033 M1156 M1157 M1158 S0171 HCPCS Procedures Re-Used (2 Codes) ------------------------ Effective Jan 01, 2024 (1 Code) J9321 Effective Jan 02, 2024 (1 Code) J0750 HCPCS Procedure Revisions (67 Codes) ------------------------- Effective Jan 01, 2021 (FY21 2nd Qtr) (1 Code) D0703 Effective Jan 01, 2023 (FY23 2nd Qtr) (4 Codes) D0801 D0802 D0803 D0804 Effective Jul 01, 2023 (FY23 4th Qtr) (2 Codes) J2426 Q2052 Effective Jan 01, 2024 (59 Codes) A6531 A6532 A6535 A6538 A6541 A6545 A6549 C9757 G0129 G0176 G0177 G0323 G0410 G0411 G2137 G2139 G2141 G2147 G2174 G8474 G8535 G8601 G8807 G8851 G8854 G8855 G8924 G8936 G8942 G8968 G9380 G9382 G9452 G9696 G9698 G9703 G9717 G9771 G9772 G9773 G9779 G9780 G9914 G9938 G9990 G9991 G9998 M0005 M0201 M1174 M1176 M1197 M1198 M1205 M1206 M1207 M1208 Q4225 T1026 Effective Jan 02, 2024 (1 Code) J0739 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2023 * 3 -- -- 3 6 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2023 111 76 -- 26 213 SNOMED Terms Concepts 137 102 -- -- 239 Synonyms 160 113 -- -- 273 Fully Specified 136 76 -- -- 212 ----- ----- ----- ------ ----- 544 367 -- 26 937 SNOMED CT Version ID: 20230901 VSE Changes ----------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/15/2023 153 11 -- 37 201 SNOMED Terms Concepts 190 48 -- -- 238 Synonyms 249 56 -- -- 305 Fully Specified 193 11 -- -- 204 ----- ----- ----- ------ ----- 785 126 -- 37 948 VSE Version ID: 20230915 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, 1983-2024 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_147.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*147. 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 40 MB of data. The import global ^LEXM is about 100 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, CPT COPYRIGHT #81.2 ^DIC(81.2, 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(81.1, CPT CATEGORY ^DIC(81.2, CPT COPYRIGHT ^DIC(81.3, CPT MODIFIER INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_147.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 100 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_147.GBL Parameter: "RS" => Globals were saved on 03 Dec 2023 9:32 PM IRIS with description: LEX*2.0*147/ICPT*6.0*113 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 LEX2147 and the Post-Install routine LEX2147P 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 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2147 Before: n/a After: B91088376 **147** Routine Name: LEX2147P Before: n/a After: B21696594 **147** ============================================================================= User Information: Entered By : Date Entered : NOV 29, 2023 Completed By: Date Completed: DEC 18, 2023 Released By : Date Released : DEC 19, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT