$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 09/25/25 at 18:04 ============================================================================= Run Date: SEP 30, 2025 Designation: LEX*2*155 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #146 Status: Released Compliance Date: OCT 01, 2025 ============================================================================= Associated patches: (v)LEX*2*154 <<= must be installed BEFORE `LEX*2*155' Subject: CODE SET FY26 1ST QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY26 1st Quarter Code Set distribution with 856 changes effective Oct 01, 2025. This patch also contains one change from FY14 3rd Qtr (effective Apr 01, 2014), one change from FY25 2nd Qtr (effective Jan 01, 2025), three changes from FY25 2nd Qtr (effective Jan 24, 2025), one change from FY25 3rd Qtr (effective Jun 18, 2025), one change from FY25 4th Qtr (effective Jul 01, 2025) and 2 projected changes for FY26 2nd Qtr (effective Jan 01, 2026). Additionally, this patch exports 40161 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*127 ICPT*6.0*121 EHRM Impact Statement: ---------------------- This patch should have no EHRM impact and can be installed at all sites, including EHRM converted sites. Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ---------------------- -------------------- #80.0 ICD DIAGNOSIS Modified #80.1 ICD OPERATION/PROCEDURE Modified #81 CPT Modified #81.1 CPT CATEGORY Modified #757-757.4 LEXICON files Modified #757.2 SUBSET DEFINITIONS 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: CHG0657014 UNY: CHG0656349 FHM: CHG0656512 ENHANCEMENTS: ============ FY26 1st Quarter Update CPT Procedure Additions ----------------------- Effective Oct 01, 2025 (25 Codes) 0575U 0576U 0577U 0578U 0579U 0580U 0581U 0582U 0583U 0584U 0585U 0586U 0587U 0588U 0589U 0590U 0591U 0592U 0593U 0594U 0595U 0596U 0597U 0598U 0599U CPT Procedure Inactivations --------------------------- Effective Oct 01, 2025 (2 Codes) 0450U 0451U CPT Procedure Revisions (4 Codes) ----------------------- Effective Jan 01, 2025 (FY25 2nd Qtr) (1 Code) 0365U Effective Jul 01, 2025 (FY25 4th Qtr) (1 Code) 0948T Effective Jan 01, 2026 (projected FY26 2nd Qtr) (2 Codes) 0598T 0599T HCPCS Procedure Additions (73 Codes) ------------------------- Effective Jan 24, 2025 (FY25 2nd Qtr) (3 Codes) M0237 M0238 Q0237 Effective Oct 01, 2025 (70 Codes) A2036 A2037 A2038 A2039 A4288 A9612 A9616 C1740 C1741 C1742 C8006 C9305 C9306 E0658 E0659 J0163 J0164 J0458 J0462 J0525 J0582 J0614 J0668 J0675 J0681 J0738 J0752 J0759 J1612 J1807 J1809 J1834 J2151 J2291 J3402 J3403 J7173 J7174 J9011 L1007 L5657 L6034 L6035 L6036 L6038 L6039 M0235 M0236 Q0235 Q4383 Q4384 Q4385 Q4386 Q4387 Q4388 Q4389 Q4390 Q4391 Q4392 Q4393 Q4394 Q4395 Q4396 Q4397 Q5154 Q5155 Q5156 Q5157 Q5158 Q5159 HCPCS Procedure Inactivations ----------------------------- Effective Oct 01, 2025 (7 Codes) C9088 C9174 C9175 C9248 J2150 J2503 S0074 HCPCS Procedures Re-Used ------------------------ Effective Oct 01, 2025 (3 Codes) E0150 J1370 J3290 HCPCS Procedure Revisions (14 Codes) ------------------------- Effective Apr 01, 2014 (FY14 3rd Qtr) (1 Code) E1005 Effective Jun 18, 2025 (FY25 3rd Qtr) (1 Code) J1961 Effective Oct 01, 2025 (12 Codes) C1739 C1982 E0765 E0986 J7300 J9072 J9333 L5673 L5679 L5783 L6028 L7406 HCPCS Procedure Reactivations ----------------------------- Effective Oct 01, 2025 (1 Code) J0570 ICD-10 Diagnosis Additions -------------------------- Effective Oct 01, 2025 (487 Codes) B88.01 B88.09 C50.A0 C50.A1 C50.A2 D71.1 D71.8 D71.9 E11.A E72.530 E72.538 E72.539 E72.540 E72.541 E72.548 E72.549 E78.010 E78.011 E78.019 E83.820 E83.821 E83.822 E83.823 E83.824 E83.825 E88.10 E88.11 E88.12 E88.13 E88.14 E88.19 G31.87 G35.A G35.B0 G35.B1 G35.B2 G35.C0 G35.C1 G35.C2 G35.D G71.036 H01.81 H01.82 H01.83 H01.84 H01.85 H01.86 H01.89 H01.8A H01.8B H05.831 H05.832 H05.833 H05.839 H40.841 H40.842 H40.843 H40.849 I27.840 I27.841 I27.848 I27.849 L02.217 L02.227 L03.31A L03.32A L98.431 L98.432 L98.433 L98.434 L98.435 L98.436 L98.438 L98.439 L98.441 L98.442 L98.443 L98.444 L98.445 L98.446 L98.448 L98.449 L98.451 L98.452 L98.453 L98.454 L98.455 L98.456 L98.458 L98.459 L98.461 L98.462 L98.463 L98.464 L98.465 L98.466 L98.468 L98.469 L98.471 L98.472 L98.473 L98.474 L98.475 L98.476 L98.478 L98.479 L98.A111 L98.A112 L98.A113 L98.A114 L98.A115 L98.A116 L98.A118 L98.A119 L98.A121 L98.A122 L98.A123 L98.A124 L98.A125 L98.A126 L98.A128 L98.A129 L98.A191 L98.A192 L98.A193 L98.A194 L98.A195 L98.A196 L98.A198 L98.A199 L98.A211 L98.A212 L98.A213 L98.A214 L98.A215 L98.A216 L98.A218 L98.A219 L98.A221 L98.A222 L98.A223 L98.A224 L98.A225 L98.A226 L98.A228 L98.A229 L98.A291 L98.A292 L98.A293 L98.A294 L98.A295 L98.A296 L98.A298 L98.A299 L98.A311 L98.A312 L98.A313 L98.A314 L98.A315 L98.A316 L98.A318 L98.A319 L98.A321 L98.A322 L98.A323 L98.A324 L98.A325 L98.A326 L98.A328 L98.A329 L98.A391 L98.A392 L98.A393 L98.A394 L98.A395 L98.A396 L98.A398 L98.A399 M05.A N00.B1 N00.B2 N04.B1 N04.B2 N07.B Q87.87 Q87.88 Q89.81 Q89.89 Q99.811 Q99.812 Q99.813 Q99.818 Q99.819 Q99.89 QA0.0101 QA0.0102 QA0.0109 QA0.011 QA0.012 QA0.0131 QA0.0139 QA0.0141 QA0.0142 QA0.0149 QA0.0151 QA0.0159 QA0.8 R10.20 R10.21 R10.22 R10.23 R10.24 R10.85 R10.8A1 R10.8A2 R10.8A3 R10.8A9 R10.A0 R10.A1 R10.A2 R10.A3 R11.16 R39.851 R39.852 R39.853 R39.859 R76.81 R76.89 S30.11XA S30.11XD S30.11XS S30.12XA S30.12XD S30.12XS S30.13XA S30.13XD S30.13XS S30.81AA S30.81AD S30.81AS S30.82AA S30.82AD S30.82AS S30.84AA S30.84AD S30.84AS S30.85AA S30.85AD S30.85AS S30.86AA S30.86AD S30.86AS S30.87AA S30.87AD S30.87AS S30.9AXA S30.9AXD S30.9AXS S31.106A S31.106D S31.106S S31.107A S31.107D S31.107S S31.10AA S31.10AD S31.10AS S31.116A S31.116D S31.116S S31.117A S31.117D S31.117S S31.11AA S31.11AD S31.11AS S31.126A S31.126D S31.126S S31.127A S31.127D S31.127S S31.12AA S31.12AD S31.12AS S31.136A S31.136D S31.136S S31.137A S31.137D S31.137S S31.13AA S31.13AD S31.13AS S31.146A S31.146D S31.146S S31.147A S31.147D S31.147S S31.14AA S31.14AD S31.14AS S31.156A S31.156D S31.156S S31.157A S31.157D S31.157S S31.15AA S31.15AD S31.15AS S31.606A S31.606D S31.606S S31.607A S31.607D S31.607S S31.60AA S31.60AD S31.60AS S31.616A S31.616D S31.616S S31.617A S31.617D S31.617S S31.61AA S31.61AD S31.61AS S31.626A S31.626D S31.626S S31.627A S31.627D S31.627S S31.62AA S31.62AD S31.62AS S31.636A S31.636D S31.636S S31.637A S31.637D S31.637S S31.63AA S31.63AD S31.63AS S31.646A S31.646D S31.646S S31.647A S31.647D S31.647S S31.64AA S31.64AD S31.64AS S31.656A S31.656D S31.656S S31.657A S31.657D S31.657S S31.65AA S31.65AD S31.65AS T36.AX1A T36.AX1D T36.AX1S T36.AX2A T36.AX2D T36.AX2S T36.AX3A T36.AX3D T36.AX3S T36.AX4A T36.AX4D T36.AX4S T36.AX5A T36.AX5D T36.AX5S T36.AX6A T36.AX6D T36.AX6S T65.841A T65.841D T65.841S T65.842A T65.842D T65.842S T65.843A T65.843D T65.843S T65.844A T65.844D T65.844S T75.830A T75.830D T75.830S T75.838A T75.838D T75.838S T78.070A T78.070D T78.070S T78.071A T78.071D T78.071S T78.079A T78.079D T78.079S T78.080A T78.080D T78.080S T78.081A T78.081D T78.081S T78.089A T78.089D T78.089S T78.110A T78.110D T78.110S T78.111A T78.111D T78.111S T78.119A T78.119D T78.119S T78.120A T78.120D T78.120S T78.121A T78.121D T78.121S T78.129A T78.129D T78.129S T78.19XA T78.19XD T78.19XS W44.H9XA W44.H9XD W44.H9XS W45.3XXA W45.3XXD W45.3XXS Y36.A1XA Y36.A1XD Y36.A1XS Y36.A2XA Y36.A2XD Y36.A2XS Y37.A1XA Y37.A1XD Y37.A1XS Y37.A2XA Y37.A2XD Y37.A2XS Y93.L1 Y93.L9 Z15.05 Z15.060 Z15.068 Z15.07 Z15.3 Z40.81 Z40.82 Z40.89 Z59.861 Z59.868 Z59.869 Z77.31 Z77.39 Z80.44 Z84.11 Z84.19 Z84.A Z85.4A Z86.00A Z91.0110 Z91.0111 Z91.0112 Z91.0120 Z91.0121 Z91.0122 Z91.B ICD-10 Diagnosis Inactivations ------------------------------ Effective Oct 01, 2025 (28 Codes) B88.0 D71. E72.53 E78.01 E88.1 G35. H01.8 Q89.8 Q99.8 R10.2 R76.8 S30.1XXA S30.1XXD S30.1XXS T78.07XA T78.07XD T78.07XS T78.08XA T78.08XD T78.08XS T78.1XXA T78.1XXD T78.1XXS Z40.8 Z59.86 Z84.1 Z91.011 Z91.012 ICD-10 Diagnosis Revisions -------------------------- Effective Oct 01, 2025 (38 Codes) L02.212 L02.222 M21.159 M24.076 M61.129 P09.6 Q75.001 Q75.002 Q75.009 Q75.021 Q75.022 Q75.029 S62.90XA S62.90XB S62.90XD S62.90XG S62.90XK S62.90XP S62.90XS S62.91XA S62.91XB S62.91XD S62.91XG S62.91XK S62.91XP S62.91XS S62.92XA S62.92XB S62.92XD S62.92XG S62.92XK S62.92XP S62.92XS S74.21XA S74.21XD S74.21XS Y07.435 Z83.718 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2025 (156 Codes) 00H033J 00P207Z 00P20JZ 00P20KZ 00PT07Z 00PT0JZ 00PT0KZ 00W207Z 00W20JZ 00W20KZ 00WT07Z 00WT0JZ 00WT0KZ 02UW3LZ 031209Y 03120AY 03120JY 03120KY 03120ZY 04U03LZ 09XK0Z1 09XK0Z2 09XK0Z3 09XK0Z4 09XL0Z1 09XL0Z2 09XL0Z3 09XL0Z4 09XM0Z1 09XM0Z2 09XM0Z3 09XM0Z4 0C1S0E4 0C1S0F4 0C1S0Z4 0C1S3E4 0C1S3F4 0C1S3Z4 0F198D3 0F198Z3 0RRJ008 0RRJ0J8 0RRK008 0RRK0J8 0SRC07D 0SRC07E 0SRC0KD 0SRC0KE 0SRD07D 0SRD07E 0SRD0KD 0SRD0KE 5A05A6M 5A05A6N 5A05A6P 5A05A6Q 6A4T00A 8E0ZXGP F08D5AZ F08F5AZ F08G5AZ F08H5AZ F08J5AZ F08K5AZ F08L5AZ F08M5AZ X05233B X053X4B X27339B X27439B X27535B X27635B X27735B X27835B X27935B X27A35B X27B35B X27C35B X27D35B X27E35B X27W39B X27X39B X28F3WB X2AH34B X2AJ34B X2AK34B X2AL34B X2H03BB X2H13XB X2HN37B X2HP38B X2HQ38B X2HR38B X2HS38B X2HT38B X2HU38B X2VY06B XDJ07LB XHH80HB XNH60HB XNH63HB XNH70HB XNH73HB XNSN0HB XNSN3HB XNSP0HB XNSP3HB XRG10RB XRG13RB XRG14RB XRG20RB XRG23RB XRG24RB XRG40RB XRG43RB XRG44RB XRGE0HB XRGE3HB XRGF0HB XRGF3HB XRH10GB XRH13GB XRH14GB XRH20GB XRH23GB XRH24GB XRH40GB XRH43GB XRH44GB XRH60GB XRH63GB XRH64GB XW013TB XW033FB XW033PB XW033QB XW033RB XW033WB XW043FB XW043PB XW043QB XW043RB XW043WB XW0DXVB XW0U0XB XW0U3XB XW0U4XB XW133SB XW133YB XW143SB XW143YB XX2KXDB XXA539B XXE5XBB XXEZXAB XXEZXCB ICD-10 Procedure Inactivations ------------------------------ Effective Oct 01, 2025 (27 Codes) X2A5312 X2A6325 X2AH336 X2AJ336 XW03306 XW03326 XW03336 XW03366 XW033A6 XW033B6 XW033C6 XW033D6 XW033E6 XW033F6 XW04306 XW04326 XW04336 XW04366 XW043A6 XW043B6 XW043C6 XW043D6 XW043E6 XW043F6 XW0DX66 XXE5XN6 XXEBXQ6 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2016 * 1 -- -- -- 1 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/01/2025 4653 1015 22 1691 7381 SNOMED Terms Concepts 6348 2706 -- -- 9054 Synonyms 11625 4727 -- -- 16352 Fully Specified 6359 1015 -- -- 7374 ----- ----- ----- ------ ----- 28985 9463 22 1691 40161 SNOMED CT Version ID: 20240731 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_155.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*155. 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 15 MB of data. The import global ^LEXM is about 51 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 Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( 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 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_155.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 51 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_155.GBL Parameter: "RS" => Globals were saved on 25 Sep 2025 4:25 PM IRIS with description: LEX*2.0*155/ICPT*6.0*121/ICD*18.0*127 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 LEX2155 and the Post-Install routine LEX2155P 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: LEX2155 Before: n/a After: B91281720 **155** Routine Name: LEX2155P Before: n/a After: B21760537 **155** ============================================================================= User Information: Entered By : Date Entered : SEP 09, 2025 Completed By: Date Completed: SEP 30, 2025 Released By : Date Released : SEP 30, 2025 ============================================================================= Packman Mail Message: ===================== $END TXT