$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 03/25/25 at 15:41 ============================================================================= Run Date: MAR 31, 2025 Designation: LEX*2*153 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #144 Status: Released Compliance Date: APR 03, 2025 ============================================================================= Associated patches: (v)LEX*2*152 <<= must be installed BEFORE `LEX*2*153' Subject: CODE SET FY25 3RD QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY25 3rd Quarter Code Set distribution with 209 changes effective Apr 01, 2025. This patch also contains two changes from FY16 2nd Qtr (effective Jan 01, 2016), three changes from FY24 1st Qtr (effective Dec 14, 2023), one change from FY24 3rd Qtr (effective Jun 27, 2024), 16 changes from FY25 1st Qtr (effective Dec 13, 2024), 17 changes from FY25 2nd Qtr (effective Jan 01, 2025) and 40 projected changes for FY25 4th Qtr (effective Jul 01, 2025). Additionally, this patch exports 39717 changes to the SNOMED CT coding system. This patch installs the data for the following informational patches: ICD*18.0*124 ICPT*6.0*119 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 #757-757.4 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: CHG0587574 UNY: CHG0587518 FHM: Waived ENHANCEMENTS: ============ FY25 3rd Quarter Update CPT Procedure Additions (71 Codes) ----------------------- Effective Jan 01, 2025 (FY25 2nd Qtr) (10 Codes) 0521U 0522U 0523U 0524U 0525U 0526U 0527U 0528U 0529U 0530U Effective Apr 01, 2025 (21 Codes) 0531U 0532U 0533U 0534U 0535U 0536U 0537U 0538U 0539U 0540U 0541U 0542U 0543U 0544U 0545U 0546U 0547U 0548U 0549U 0550U 0551U Effective Jul 01, 2025 (projected FY25 4th Qtr) (40 Codes) 0948T 0949T 0950T 0951T 0952T 0953T 0954T 0955T 0956T 0957T 0958T 0959T 0960T 0961T 0962T 0963T 0964T 0965T 0966T 0967T 0968T 0969T 0970T 0971T 0972T 0973T 0974T 0975T 0976T 0977T 0978T 0979T 0980T 0981T 0982T 0983T 0984T 0985T 0986T 0987T CPT Procedure Inactivations --------------------------- Effective Jan 01, 2025 (5 Codes) 0346U 0380U 0428U 0448U 0456U CPT Procedure Revisions ----------------------- Effective Jan 01, 2025 (2 Codes) 0095U 0365U HCPCS Procedure Additions (81 Codes) ------------------------- Effective Jun 27, 2024 (FY24 3rd Qtr) (1 Code) G0567 Effective Apr 01, 2025 (80 Codes) A2030 A2031 A2032 A2033 A2034 A2035 A6515 A6516 A6517 A6518 A6519 A6611 A9154 A9611 C8004 C8005 C9300 C9301 C9302 C9303 C9304 E0201 E1022 E1023 E1032 E1033 E1034 E1832 G0566 J0281 J1072 J1271 J1299 J1308 J1808 J1938 J2351 J2428 J2804 J2865 J7521 J9024 J9038 J9054 J9161 L0720 L1933 L1952 L5827 L6028 L6029 L6030 L6031 L6032 L6033 L6037 L7406 Q2057 Q4354 Q4355 Q4356 Q4357 Q4358 Q4359 Q4360 Q4361 Q4362 Q4363 Q4364 Q4365 Q4366 Q4367 Q5147 Q5148 Q5149 Q5150 Q5151 Q5152 Q9999 S4024 HCPCS Procedure Inactivations (37 Codes) ----------------------------- Effective Dec 14, 2023 (FY24 1st Qtr) (3 Codes) M0245 M0246 Q0245 Effective Dec 13, 2024 (FY25 1st Qtr) (16 Codes) M0220 M0221 M0222 M0223 M0240 M0241 M0243 M0244 M0247 Q0220 Q0221 Q0222 Q0240 Q0243 Q0244 Q0247 Effective Apr 01, 2025 (18 Codes) A9155 G0564 G0565 J1094 J1300 J1810 J1890 J1940 J9037 J9247 L8010 Q4231 Q5139 S0017 S0028 S0032 S0039 S4988 HCPCS Procedures Re-Used ------------------------ Effective Apr 01, 2025 (2 Codes) G0183 L6700 HCPCS Procedure Revisions (26 Codes) ------------------------- Effective Jan 01, 2016 (FY16 2nd Qtr) (2 Codes) G6012 G6014 Effective Apr 01, 2025 (24 Codes) A4453 A4459 A6549 A6583 A6585 A6586 A6587 A6588 C1739 C9793 E1028 E1801 E1811 E1816 E1818 E1841 J9073 L1932 L1951 L1971 L6692 L6698 S4020 S4021 ICD-10 Procedure Additions -------------------------- Effective Apr 01, 2025 (50 Codes) 0B118D6 0CYS0Z0 0CYS0Z1 0DX80Z7 0DX84Z7 0TT00Z0 0TT00Z1 0TT00Z2 0TT10Z0 0TT10Z1 0TT10Z2 0U7C7DJ 10D10ZZ 3E0U0GC D228DZZ X2KA30A X2U93YA XNS40GA XNS43GA XNS50GA XNS53GA XNS60GA XNS63GA XNS70GA XNS73GA XNS80GA XNS83GA XNS90GA XNS93GA XNSA0GA XNSA3GA XNSB0GA XNSB3GA XNSC0GA XNSC3GA XNSD0GA XNSD3GA XNSE0GA XNSE3GA XNSF0GA XNSF3GA XNSG0GA XNSG3GA XNSH0GA XNSH3GA XW033MA XW033NA XW043MA XW043NA XXE5X5A ICD-10 Procedure Inactivations ------------------------------ Effective Apr 01, 2025 (12 Codes) 0SG604Z 0SG607Z 0SG60JZ 0SG60KZ 0SG634Z 0SG637Z 0SG63JZ 0SG63KZ 0SG644Z 0SG647Z 0SG64JZ 0SG64KZ ICD-10 Procedure Revisions -------------------------- Effective Apr 01, 2025 (2 Codes) XW133G8 XW143G8 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/01/2025 4046 1502 17 1678 7243 SNOMED Terms Concepts 5726 3180 -- -- 8906 Synonyms 10987 5820 -- -- 16807 Fully Specified 5259 1502 -- -- 6761 ----- ----- ----- ------ ----- 26018 12004 17 1678 39717 SNOMED CT Version ID: 20250101 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_153.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*153. 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 20 MB of data. The import global ^LEXM is about 105 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 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: ------ -------------------------- ^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_153.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 105 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_153.GBL Parameter: "RS" => Globals were saved on 18 Mar 2025 8:07 PM IRIS with description: LEX*2.0*153/ICPT*6*119/ICD*18*124 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. LEX*2.0*153) 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 LEX2153 and the Post-Install routine LEX2153P 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2153 Before: n/a After: B90824373 **153** Routine Name: LEX2153P Before: n/a After: B21760927 **153** ============================================================================= User Information: Entered By : Date Entered : MAR 18, 2025 Completed By: Date Completed: MAR 31, 2025 Released By : Date Released : MAR 31, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT