$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 01/21/26 at 16:35 ============================================================================= Run Date: JAN 28, 2026 Designation: LEX*2*158 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #149 Status: Released Compliance Date: JAN 30, 2026 ============================================================================= Associated patches: (v)LEX*2*157 <<= must be installed BEFORE `LEX*2*158' Subject: CODE SET FY26 2ND QTR INTERIM UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY26 2nd Quarter Code Set distribution with 805 changes effective Jan 01, 2026. This patch also contains one change from FY20 4th Qtr (effective Jul 01, 2020), one change from FY24 4th Qtr (effective Jul 01, 2024), two changes from FY25 2nd Qtr (effective Jan 01, 2025), two changes from FY25 3rd Qtr (effective Apr 01, 2025), five changes from FY25 4th Qtr (effective Jul 01, 2025) and one change from FY26 1st Qtr (effective Oct 01, 2025). This patch installs the data for the following Informational patch: ICPT*6.0*123 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 ------------------ ---------------------- -------------------- #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 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: CHG0687514 UNY: CHG0686974 FHM: CHG0687075 FY26 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2026 (177 Codes) 0600U 0601U 0602U 0603U 0604U 0605U 0606U 0607U 0608U 0609U 0610U 0611U 0612U 0613U 0988T 0989T 0990T 0991T 0992T 0993T 0994T 0995T 0996T 0997T 0998T 0999T 1000T 1001T 1002T 1003T 1004T 1005T 1006T 1007T 1008T 1009T 1010T 1011T 1012T 1013T 1014T 1015T 1016T 1017T 1018T 1019T 1020T 1021T 1022T 1023T 1024T 1025T 27458 27713 33882 35602 37254 37255 37256 37257 37258 37259 37260 37261 37262 37263 37264 37265 37266 37267 37268 37269 37270 37271 37272 37273 37274 37275 37276 37277 37278 37279 37280 37281 37282 37283 37284 37285 37286 37287 37288 37289 37290 37291 37292 37293 37294 37295 37296 37297 37298 37299 43889 47384 52443 52597 55707 55708 55709 55710 55711 55712 55713 55714 55715 55868 55869 55877 62330 62331 63032 64567 64654 64655 64656 64657 64658 64659 64728 70471 70472 70473 75577 77436 77437 77438 77439 81354 81524 87182 87183 87494 87627 87812 90481 90482 90483 90484 90631 91124 91125 92288 92628 92629 92631 92632 92634 92635 92636 92637 92638 92639 92641 92642 92930 92945 93145 93146 97007 97008 97009 98979 98984 98985 98986 99445 99470 CPT Procedure Revisions (640 Codes) ----------------------- Effective Jul 01, 2020 (FY20 4th Qtr) (1 Code) 0601T Effective Jul 01, 2024 (FY24 4th Qtr) (1 Code) 0020M Effective Jan 01, 2025 (FY25 2nd Qtr) (2 Codes) 0365U 98975 Effective Apr 01, 2025 (FY25 3rd Qtr) (2 Codes) 0537U 0543U Effective Jul 01, 2025 (FY25 4th Qtr) (5 Codes) 0565U 0568U 0569U 0950T 0982T Effective Oct 01, 2025 (FY26 1st Qtr) (1 Code) 0596U Effective Jan 01, 2026 (628 Codes) 00100 00102 00103 00104 00120 00124 00126 00140 00142 00144 00145 00147 00148 00160 00162 00164 00170 00172 00174 00176 00190 00192 00210 00211 00212 00214 00215 00216 00218 00220 00222 00300 00320 00322 00326 00350 00352 00400 00402 00404 00406 00410 00450 00454 00470 00472 00474 00500 00520 00522 00524 00528 00529 00530 00532 00534 00537 00539 00540 00541 00542 00546 00548 00550 00560 00561 00562 00563 00566 00567 00580 00600 00604 00620 00625 00626 00630 00632 00635 00640 00670 00700 00702 00730 00800 00802 00820 00830 00832 00834 00836 00840 00842 00844 00846 00848 00851 00860 00862 00864 00865 00866 00868 00870 00872 00873 0087U 00880 00882 0088U 00902 00904 00908 00910 00912 00914 00916 00918 00920 00921 00922 00924 00926 00928 00930 00932 00934 00936 00938 00940 00942 00944 00948 00950 00952 01112 01120 01130 01140 01150 01160 01170 01173 01200 01202 01210 01212 01214 01215 01220 01230 01232 01234 01250 01260 01270 01272 01274 01320 01340 01360 01380 01382 01390 01392 01400 01402 01404 01420 01430 01432 01440 01442 01444 01462 01464 01470 01472 01474 01480 01482 01484 01486 01490 01500 01502 01520 01522 01610 01620 01622 01630 01634 01636 01638 01650 01652 01654 01656 01670 01680 01710 01712 01714 01716 01730 01732 01740 01742 01744 01756 01758 01760 01770 01772 01780 01782 01810 01820 01829 01830 01832 01840 01842 01844 01850 01852 01860 01916 01920 01922 01924 01925 01926 01930 01931 01932 01933 01990 01991 01992 01996 0274T 0600T 10040 11730 11732 11740 11750 11765 11770 11771 11772 11950 11951 11952 11954 15860 16035 16036 17106 17107 17108 17110 17111 20500 20501 20520 20525 20527 20550 20551 20552 20553 20950 20974 20975 20979 21141 21142 21143 21145 21146 21147 21150 21151 21154 21155 21159 21160 21172 21175 21179 21180 21181 21610 21615 21616 21620 23000 23020 23030 23031 23035 23040 23044 23077 23078 23100 23101 23105 23106 23107 23170 23172 23174 23180 23182 23184 23190 23195 23200 23210 23220 24400 24410 24420 24430 24435 24470 24495 24498 24500 24505 24515 24516 24530 24535 24538 24545 24546 24560 24565 24566 24575 24576 24577 24579 24582 24586 24587 24600 24605 24615 24620 24635 24640 24650 24655 24665 24666 24670 24675 24685 24800 24802 25028 25031 25035 25040 26499 27000 27001 27003 27005 27006 27025 27027 27030 27033 27036 27278 27279 28400 28405 28406 28415 28420 28430 28435 28436 28445 28446 28450 28455 28456 28465 28470 28475 28476 28485 29000 29010 29015 29035 29040 29044 29046 29049 29055 29058 29065 29075 29085 29086 29105 29125 29126 29130 29131 29305 29325 29355 29358 29365 29405 29425 29435 29440 29445 29450 29515 29540 29581 29584 29700 29705 29710 29720 29870 29871 29873 29874 29875 29876 29877 29879 29880 29881 29882 29883 29884 29885 29886 29887 29888 29889 29891 29892 29893 33880 33881 33883 33886 35601 35606 35612 35616 35621 35623 35626 35631 35632 35633 35634 35636 35637 35638 35642 35645 35646 35647 35650 35654 35656 35661 35663 35665 35666 35671 42700 42720 42725 43840 43842 43843 43846 43847 43848 43860 43865 43870 43880 43881 43882 43886 43887 43888 44900 46040 46045 46050 46060 46080 46083 52400 52402 52441 52442 52450 52500 54015 54700 55705 55706 55866 56405 56420 60000 61623 61624 61626 61630 62287 63020 63030 63035 64722 64726 64727 76805 76810 77402 77407 77412 78264 78265 78266 78267 78268 78282 78290 78291 80047 80048 81504 83015 83018 87181 87184 87185 87186 87187 87188 87190 87197 87230 87905 90480 90882 90887 92284 92920 92924 92928 92933 92937 92941 92943 92973 93015 93016 93017 93018 93571 93572 94450 94452 94453 94610 94644 94645 94660 94664 94667 94668 94680 94681 94690 94726 94727 94729 94760 94761 94762 94772 94774 94775 94776 94777 96931 96932 96933 96934 96935 96936 98976 98977 98978 98980 98981 99453 99454 99457 99458 99478 99479 99480 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, 1983-2026 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_158.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*158. 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 93 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, 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 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_158.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 93 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_158.GBL Parameter: "RS" => Globals were saved on 21 Jan 2026 21:42 PM IRIS with description: LEX*2.0*158/ICPT*6.0*123 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 LEX2158 and the Post-Install routine LEX2158P 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: LEX2158 Before: n/a After: B91273999 **158** Routine Name: LEX2158P Before: n/a After: B21696710 **158** ============================================================================= User Information: Entered By : Date Entered : JAN 19, 2026 Completed By: Date Completed: JAN 27, 2026 Released By : Date Released : JAN 28, 2026 ============================================================================= Packman Mail Message: ===================== $END TXT