$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 03/13/24 at 13:41 ============================================================================= Run Date: MAR 28, 2024 Designation: LEX*2*149 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #140 Status: Released Compliance Date: APR 01, 2024 ============================================================================= Associated patches: (v)LEX*2*148 <<= must be installed BEFORE `LEX*2*149' Subject: CODE SET FY24 3RD QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY24 3rd Quarter Code Set distribution with 165 changes effective Apr 01, 2024. This patch also contains one change from FY23 4th Qtr (effective Aug 14, 2023), two changes from FY24 1st Qtr (effective Oct 06, 2023), eight changes from FY24 2nd Qtr (effective Jan 01, 2024) and 37 projected changes for FY24 4th Qtr (effective Jul 01, 2024). Additionally, this patch exports 45371 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*119 ICPT*6.0*115 Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #80.1 ICD OPERATION/PROCEDURE Modified #81 CPT Modified #81.1 CPT CATEGORY 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: CHG0465014 UNY: CHG0465218 FHM: CHG0465278 ENHANCEMENTS: ============= FY24 3rd Quarter Update CPT Procedure Additions (49 Codes) ----------------------- Effective Oct 06, 2023 (FY24 1st Qtr) (2 Codes) 96380 96381 Effective Apr 01, 2024 (11 Codes) 0439U 0440U 0441U 0442U 0443U 0444U 0445U 0446U 0447U 0448U 0449U Effective Jul 01, 2024 (projected FY24 4th Qtr) (36 Codes) 0867T 0868T 0869T 0870T 0871T 0872T 0873T 0874T 0875T 0876T 0877T 0878T 0879T 0880T 0881T 0882T 0883T 0884T 0885T 0886T 0887T 0888T 0889T 0890T 0891T 0892T 0893T 0894T 0895T 0896T 0897T 0898T 0899T 0900T 90637 90638 CPT Procedure Inactivations --------------------------- Effective Apr 01, 2024 (2 Codes) 0354U 0416U CPT Procedure Revisions (14 Codes) ----------------------- Effective Aug 14, 2023 (FY23 4th Qtr) (1 Code) 91304 Effective Jan 01, 2024 (FY24 2nd Qtr) (1 Code) 0356U Effective Apr 01, 2024 (11 Codes) 0026U 1130F 20550 3340F 3341F 3342F 3343F 3344F 3345F 3350F 99450 Effective Jul 01, 2024 (projected FY24 4th Qtr) (1 Code) 0714T HCPCS Procedure Additions (59 Codes) ------------------------- Effective Jan 01, 2024 (FY24 2nd Qtr) (2 Codes) C9796 C9797 Effective Apr 01, 2024 (57 Codes) A2026 A4271 A4438 A4564 A4593 A4594 A9293 C9166 C9167 C9168 E0468 E0736 E0738 E0739 E2104 E2298 G0138 H0051 J0177 J0209 J0577 J0578 J0589 J0651 J0652 J1202 J1203 J1323 J1434 J2277 J2782 J2801 J2919 J3055 J3424 J7165 J7354 J9073 J9074 J9075 J9248 J9249 J9376 K1037 L1320 L5783 L5841 Q4305 Q4306 Q4307 Q4308 Q4309 Q4310 Q5133 Q5134 S4988 S9002 HCPCS Procedure Inactivations ----------------------------- Effective Apr 01, 2024 (19 Codes) C9159 C9160 C9161 C9162 C9163 C9164 C9165 E2300 J0576 J1020 J1030 J1040 J1840 J1850 J2920 J2930 J9070 J9250 Q4244 HCPCS Procedures Re-Used ------------------------ Effective Apr 01, 2024 (3 Codes) E0152 J0650 J1010 HCPCS Procedure Revisions (17 Codes) ------------------------- Effective Jan 01, 2024 (FY24 2nd Qtr) (5 Codes) A6593 C7900 C7901 D0396 J9029 Effective Apr 01, 2024 (12 Codes) A4561 A4562 E2001 J0208 J0612 J0613 J3380 J3425 J7516 J9071 J9072 J9260 ICD-10 Procedure Additions -------------------------- Effective Apr 01, 2024 (41 Codes) 00H005Z 02583ZF 07TP4ZG 097N0ZZ 097N7ZZ 097N8ZZ 0DBF4ZG 0DBG4ZG 0DBJ4ZG 0DBL4ZG 0DBM4ZG 0DBN4ZG 0DTF4ZG 0DTG4ZG 0DTJ4ZG 0DTL4ZG 0DTM4ZG 0DTN4ZG 0DXU0ZV 0DXU0ZW 0DXU0ZX 0DXU0ZY 0DXU4ZV 0DXU4ZW 0DXU4ZX 0DXU4ZY 0FB04ZG 0FB14ZG 0FB24ZG 0FBG4ZG 0FT04ZG 0FT14ZG 0FT24ZG 0FT44ZG 0FTG4ZG 0TT04ZG 0TT14ZG 0TT24ZG 3E0L317 XW01329 XX2KXP9 ICD-10 Procedure Inactivations ------------------------------ Effective Apr 01, 2024 (6 Codes) 0X6L0Z2 0X6M0Z2 0Y6P0Z2 0Y6Q0Z2 GZB1ZZZ GZB3ZZZ ICD-10 Procedure Revisions -------------------------- Effective Apr 01, 2024 (3 Codes) 5A0935A 5A0945A 5A0955A SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/01/2024 3738 1337 29 3634 8738 SNOMED Terms Concepts 7377 4971 -- -- 12348 Synonyms 9039 7998 -- -- 17037 Fully Specified 5911 1337 -- -- 7248 ----- ----- ----- ------ ----- 26065 15643 29 3634 45371 SNOMED CT Version ID: 20240101 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_149.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*149. 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 20 MB of data. The import global ^LEXM is about 140 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 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: ------ -------------------------- ^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_149.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 140 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_149.GBL Parameter: "RS" => Globals were saved on 14 Mar 2024 9:40 PM IRIS with description: LEX*2.0*149/ICD*18.0*119/ICPT*6.0*115 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 LEX2149 and the Post-Install routine LEX2149P 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: LEX2149 Before: n/a After: B91088335 **149** Routine Name: LEX2149P Before: n/a After: B21696814 **149** ============================================================================= User Information: Entered By : Date Entered : MAR 12, 2024 Completed By: Date Completed: MAR 28, 2024 Released By : Date Released : MAR 28, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT