$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 12/10/24 at 20:39 ============================================================================= Run Date: DEC 23, 2024 Designation: LEX*2*152 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #143 Status: Released Compliance Date: DEC 31, 2024 ============================================================================= Associated patches: (v)LEX*2*151 <<= must be installed BEFORE `LEX*2*152' Subject: CODE SET FY25 2ND QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY25 2nd Quarter Code Set distribution with 1103 changes effective Jan 01, 2025. This patch also contains one change from FY04 2nd Qtr (effective Jan 01, 2004), seven changes from FY15 2nd Qtr (effective Jan 01, 2015), two changes from FY21 2nd Qtr (effective Jan 01, 2021), one change from FY22 3rd Qtr (effective Apr 01, 2022), four changes from FY23 2nd Qtr (effective Jan 01, 2023), six changes from FY24 2nd Qtr (effective Jan 01, 2024), one change from FY24 2nd Qtr (effective Jan 02, 2024), one change from FY24 3rd Qtr (effective Apr 01, 2024) and three changes from FY25 1st Qtr (effective Oct 01, 2024). Additionally, this patch exports 832 changes to the SNOMED CT coding system and 1542 changes to the VA SNOMED Extension coding system. This patch installs the data for the following Informational patch: ICPT*6.0*118 Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #81 CPT 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: CHG0554578 UNY: CHG0554431 FHM: Waived ENHANCEMENTS: ============ FY25 2nd Quarter Update CPT Procedure Additions (122 Codes) ----------------------- Effective Jan 01, 2025 (122 Codes) 0901T 0902T 0903T 0904T 0905T 0906T 0907T 0908T 0909T 0910T 0911T 0912T 0913T 0914T 0915T 0916T 0917T 0918T 0919T 0920T 0921T 0922T 0923T 0924T 0925T 0926T 0927T 0928T 0929T 0930T 0931T 0932T 0933T 0934T 0935T 0936T 0937T 0938T 0939T 0940T 0941T 0942T 0943T 0944T 0945T 0946T 0947T 15011 15012 15013 15014 15015 15016 15017 15018 25448 38225 38226 38227 38228 49186 49187 49188 49189 49190 51721 53865 53866 55881 55882 60660 60661 61715 64466 64467 64468 64469 64473 64474 66683 76014 76015 76016 76017 76018 76019 81195 81515 81558 82233 82234 83884 84393 84394 86581 87513 87564 87594 87626 90695 92137 93896 93897 93898 96041 98000 98001 98002 98003 98004 98005 98006 98007 98008 98009 98010 98011 98012 98013 98014 98015 98016 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2025 (40 Codes) 0398T 0500T 0537T 0538T 0539T 0540T 0553T 0564T 0567T 0568T 0616T 0617T 0618T 15819 21632 33471 33737 33813 47802 49203 49204 49205 50135 51030 54438 58957 81433 81436 81438 86327 86490 88388 90630 90654 93890 96003 96040 99441 99442 99443 CPT Procedure Revisions (646 Codes) ----------------------- Effective Jan 01, 2021 (FY21 2nd Qtr) (2 Codes) 93241 95070 Effective Jan 01, 2024 (FY24 2nd Qtr) (6 Codes) 0420U 0424U 0656T 0657T 97550 97551 Effective Apr 01, 2024 (FY24 3rd Qtr) (1 Code) 0440U Effective Oct 01, 2024 (FY25 1st Qtr) (1 Code) 0248U Effective Jan 01, 2025 (31 Codes) 0615T 21630 25447 33814 51020 58958 81432 81435 81437 87624 88387 92132 92133 92134 93656 93893 97811 97814 98960 98961 98962 98966 98967 98968 98970 98971 98972 98975 98976 98977 98978 Effective Jan 02, 2025 (605 Codes) 00906 01951 01952 01953 15100 15101 15110 15111 15115 15116 15120 15121 15130 15131 15135 15136 15150 15151 15152 15155 15156 15157 15200 15201 15220 15221 15240 15241 15260 15261 15788 15789 15792 15793 15820 15821 15822 15823 15824 15825 15826 15828 15829 15830 15832 15833 15834 15835 15836 15837 15838 15839 15920 15922 15931 15933 15934 15935 15936 15937 15940 15941 15944 15945 15946 15950 15951 15952 15953 15956 15958 17340 17360 17380 19300 19316 19350 20100 20101 20102 20103 20150 21076 21077 21079 21080 21081 21082 21083 21084 21085 21086 21087 21088 21120 21121 21122 21123 21125 21127 21137 21138 21139 21280 21282 21421 21422 21423 21431 21432 21433 21435 21436 21440 21445 21450 21451 21452 21453 21454 21461 21462 21465 21470 21480 21485 21490 21497 21501 21502 21510 23120 23125 23130 25335 25440 25441 25442 25443 25444 25445 25446 25449 25450 25455 25490 25491 25492 25500 25505 25515 25520 25525 25526 25530 25535 25545 25560 25565 25574 25575 25600 25605 25606 25607 25608 25609 25622 25624 25628 25630 25635 25645 25650 25651 25652 25660 25670 25671 25675 25676 25680 25685 25690 25695 25800 25805 25810 25820 25825 25830 26550 26580 27705 27707 27709 27712 27715 27889 28705 28715 28725 29200 29580 30150 30160 31420 31600 31601 31603 31605 31610 31611 31612 31613 31614 31615 31750 31755 31760 31766 33120 33130 33681 33684 33688 33690 33692 33694 33697 33750 33755 33762 33764 33766 33767 33768 33770 33771 33774 33775 33776 33777 33778 33779 33780 33781 33802 33803 33820 33822 33824 33840 33845 33851 33852 33853 35180 35182 35184 35188 35189 35190 35201 35206 35207 35211 35216 35221 35226 35231 35236 35241 35246 35251 35256 35261 35266 35271 35276 35281 35286 36400 36405 36406 36410 36415 36835 37565 37600 37605 37606 37607 37609 37615 37616 37617 37618 37650 37660 37700 37718 37722 37735 37760 41870 41872 41874 42890 43030 43045 43800 43810 43820 43825 43830 43831 43832 45108 46030 46070 47000 47001 47010 47015 47600 47605 50010 50020 50240 50250 50280 50290 50340 50360 50365 50370 50380 50760 52000 52001 52005 52007 54200 54205 54220 54230 54235 54240 54250 55600 55605 56440 56441 56620 56625 56630 56631 56632 56633 56634 56637 56640 56700 56740 56800 56805 56810 56820 56821 57000 57010 57020 57022 57023 57061 57065 57100 57105 57106 57107 57109 57110 57111 57120 57130 57135 58974 59030 59840 59841 59850 59851 59852 59855 59856 59857 61105 61107 61108 61120 61140 61150 61151 61154 61156 61210 61215 61250 61253 61304 61305 61312 61313 61314 61315 61316 61320 61321 61322 61323 61330 61333 61340 61343 61345 61450 61458 61460 61500 61501 61510 61512 61514 61516 61517 64804 64809 64818 64821 64822 65760 65765 65767 65770 65820 65850 65860 67700 67710 67715 67810 68100 68110 68115 68130 68135 68400 68420 68440 69000 69005 69020 69090 69540 69550 69552 69554 69601 69602 69603 69604 69610 69620 69650 74018 74019 74021 74022 74150 74160 74170 74174 74175 74177 74178 74181 74182 74183 74185 74190 77071 77072 77073 77074 77075 77076 77081 77084 77085 77086 77261 77262 77263 77280 77285 77290 77373 77401 77402 77407 77412 77417 77600 77605 77610 77615 77620 78122 78191 78201 78202 78215 78216 78231 78232 78258 78262 80081 81434 82009 82010 87164 87166 88309 91122 92507 92508 92571 92575 92576 92590 92591 92592 92593 93024 93224 93225 93226 93227 93320 93321 93325 93505 93609 93613 93616 93618 93619 93620 93621 93622 93623 93624 93631 93640 93641 93642 93644 93650 93724 93770 93797 93798 94681 94690 95004 95012 95017 95018 95027 95028 95044 95052 95056 95060 95065 95860 95861 95863 95864 95865 95866 95867 95868 95869 95870 95872 96900 96902 96910 96912 96913 97810 97813 HCPCS Procedure Additions ------------------------- Effective Jan 01, 2025 (163 Codes) A9615 C1735 C1736 C1737 C1738 C1739 C7562 C7563 C7564 C7565 C8001 C8002 C8003 C9173 C9610 C9804 C9806 C9807 C9808 C9809 E1803 E1804 E1807 E1808 E1813 E1814 E1822 E1823 E1826 E1827 E1828 E1829 G0532 G0533 G0534 G0535 G0536 G0537 G0538 G0539 G0540 G0541 G0542 G0543 G0544 G0545 G0546 G0547 G0548 G0549 G0550 G0551 G0552 G0553 G0554 G0555 G0559 G0560 G0561 G0562 G0563 G0564 G0565 H0052 H0053 J0139 J0601 J0602 J0603 J0605 J0607 J0608 J0609 J0615 J0666 J0901 J1307 J1414 J1552 J2472 J2802 J3392 J7514 J7601 J9026 J9028 J9076 J9292 M1371 M1372 M1373 M1374 M1375 M1376 M1377 M1378 M1379 M1380 M1381 M1382 M1383 M1384 M1385 M1386 M1387 M1388 M1390 M1391 M1392 M1393 M1394 M1395 M1396 M1397 M1398 M1399 M1400 M1401 M1402 M1403 M1404 M1405 M1406 M1407 M1408 M1409 M1410 M1411 M1412 M1413 M1414 M1415 M1416 M1417 M1418 M1419 M1420 M1421 M1422 M1423 M1424 M1425 Q0155 Q0521 Q4346 Q4347 Q4348 Q4349 Q4350 Q4351 Q4352 Q4353 Q5139 Q5140 Q5141 Q5142 Q5143 Q5144 Q5145 Q5146 Q9996 Q9997 Q9998 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2025 (83 Codes) C7558 C9169 C9170 C9171 C9172 C9290 C9769 C9786 C9794 C9795 G0106 G0120 G0122 G1001 G1002 G1003 G1004 G1007 G1008 G1010 G1011 G1012 G1013 G1014 G1015 G1016 G1017 G1018 G1019 G1020 G1021 G1022 G1023 G1024 G2012 G2070 G2071 G2072 G8482 G8483 G8484 G8965 G8966 G9402 G9403 G9404 G9405 G9406 G9407 G9458 G9459 G9460 G9707 G9751 G9760 G9892 G9893 G9919 G9920 G9921 G9974 G9975 G9990 G9991 J0135 J0570 J2796 J2806 J9058 J9059 J9259 M0003 M1154 M1155 M1219 M1264 Q0516 Q0517 Q0518 Q0519 Q0520 Q5131 Q5132 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2025 (2 Codes) J0870 J2290 HCPCS Procedure Revisions (68 Codes) ------------------------- Effective Jan 01, 2015 (FY15 2nd Qtr) (2 Codes) G6003 G6011 Effective Apr 01, 2022 (FY22 3rd Qtr) (1 Code) C9783 Effective Jan 01, 2023 (FY23 2nd Qtr) (4 Codes) C7537 C7538 C7547 C7550 Effective Jan 02, 2024 (FY24 2nd Qtr) (1 Code) G0011 Effective Oct 01, 2024 (FY25 1st Qtr) (2 Codes) E0721 L8720 Effective Jan 01, 2025 (58 Codes) E1005 E1800 E1805 E1810 E1815 E1825 E1830 G2069 G2076 G2077 G2091 G2099 G2101 G2107 G2116 G2126 G8577 G8578 G8694 G8842 G8843 G8844 G8923 G8934 G9246 G9247 G9254 G9255 G9321 G9322 G9659 G9660 G9999 J0138 J2468 J9033 J9056 J9072 M0004 M1150 M1176 M1177 M1179 M1211 M1212 M1259 M1260 M1267 M1268 M1272 M1292 M1343 M1344 M1345 M1346 M1347 M1348 M1349 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/01/2024 88 103 -- 15 206 SNOMED Terms Concepts 103 118 -- -- 221 Synonyms 92 106 -- -- 198 Fully Specified 104 103 -- -- 207 ----- ----- ----- ------ ----- 387 430 -- 15 832 SNOMED CT Version ID: 20240901 VSE Changes ----------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 09/15/2024 335 1 -- -- 336 SNOMED Terms Concepts 335 1 -- -- 336 Synonyms 534 -- -- -- 534 Fully Specified 335 1 -- -- 336 ----- ----- ----- ------ ----- 1539 3 -- -- 1542 VSE Version ID: 20240915 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, 1983-2025 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. 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, 1983-2025 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_152.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*152. 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, and CPT globals will result in a combined growth of about 30 MB of data. The import global ^LEXM is about 212 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( 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 10 to 60 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 INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_152.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 10 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_152.GBL Parameter: "RS" => Globals were saved on 15 Dec 2024 6:42 PM IRIS with description: LEX*2.0*152/ICPT*6.0*118 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 LEX2152 and the Post-Install routine LEX2152P 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: LEX2152 Before: n/a After: B90828618 **152** Routine Name: LEX2152P Before: n/a After: B21697071 **152** ============================================================================= User Information: Entered By : Date Entered : DEC 10, 2024 Completed By: Date Completed: DEC 20, 2024 Released By : Date Released : DEC 23, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT