$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 06/22/26 at 14:25 ============================================================================= Run Date: JUL 09, 2026 Designation: LEX*2*159 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #150 Status: Released Compliance Date: JUL 13, 2026 ============================================================================= Associated patches: (v)LEX*2*158 <<= must be installed BEFORE `LEX*2*159' Subject: LEX*2.0*159 Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY26 3rd Quarter Code Set distribution with 238 changes effective Apr 01, 2026. This patch also contains eight changes from FY26 2nd Qtr (effective Jan 01, 2026), one change from FY26 2nd Qtr (effective Jan 23, 2026), one change from FY26 2nd Qtr (effective Feb 01, 2026) and 66 projected changes for FY26 4th Qtr (effective Jul 01, 2026). Additionally, this patch exports 41685 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*129 ICPT*6.0*124 New SNOMED Problem List mappings have been added in this patch; however, the display of their mapping Order may be more general. The mapping Orders will be corrected in LEX*2.0*160. 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 ------------------ ----------------------- -------------------- #80.1 ICD OPERATION/PROCEDURE Modified (Data only) #81 CPT Modified (Data only) #81.1 CPT CATEGORY Modified (Data only) #81.3 CPT MODIFIER Modified (Data only) #757-757.41 LEXICON files Modified (Data only) 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: CHG0754080 UNY: CHG0753225 FHM: CHG0753198 FY26 3rd Quarter Update CPT Procedure Additions (76 Codes) ----------------------- Effective Apr 01, 2026 (17 Codes) 0614U 0615U 0616U 0617U 0618U 0619U 0620U 0621U 0622U 0623U 0624U 0625U 0626U 0627U 0628U 0629U 0630U Effective Jul 01, 2026 (projected FY26 4th Qtr) (59 Codes) 0631U 0632U 0633U 0634U 0635U 0636U 0637U 0638U 0639U 0640U 0641U 0642U 0643U 0644U 0645U 0646U 0647U 0648U 0649U 0650U 0651U 0652U 0653U 0654U 0655U 0656U 0657U 0658U 0659U 1026T 1027T 1028T 1029T 1030T 1031T 1032T 1033T 1034T 1035T 1036T 1037T 1038T 1039T 1040T 1041T 1042T 1043T 1044T 1045T 1046T 1047T 1048T 1049T 1050T 1051T 1052T 1053T 90616 90639 CPT Procedure Inactivations --------------------------- Effective Apr 01, 2026 (71 Codes) 0042T 0266T 0267T 0268T 0269T 0270T 0271T 0272T 0273T 0275T 0394T 0421T 0619T 0623T 0624T 0625T 0626T 0631T 0662T 0663T 0720T 27445 27468 33884 33889 33891 37220 37221 37222 37223 37224 37225 37226 37227 37228 37229 37230 37231 37232 37233 37234 37235 37500 52647 55700 75842 75956 75957 75958 75959 77014 77385 77386 77401 91120 91122 92590 92591 92592 92593 92594 92595 92921 92925 92929 92934 92938 92944 92975 92977 94662 CPT Procedure Revisions (9 Codes) ----------------------- Effective Apr 01, 2026 (2 Codes) 0256U 0580U Effective Jul 01, 2026 (projected FY26 4th Qtr) (7 Codes) 0034U 0522U 0598U 0805T 0806T 0882T 0883T HCPCS Procedure Additions (62 Codes) ------------------------- Effective Jan 01, 2026 (FY26 2nd Qtr) (6 Codes) C8007 C8008 C8009 C8011 C8012 C8013 Effective Jan 23, 2026 (FY26 2nd Qtr) (1 Code) C9818 Effective Apr 01, 2026 (55 Codes) A2040 A2041 A2042 A2043 A2044 A2045 A4318 A4479 A6548 A8005 A8006 A9294 C1743 C8010 C9309 G0680 G0681 G0682 G0683 G0684 J0463 J1098 J1164 J1553 J3404 J8502 J9003 J9183 J9277 J9278 J9601 L2221 L5992 M0233 M0234 Q0238 Q4418 Q4419 Q4421 Q4422 Q4423 Q4424 Q4425 Q4426 Q4427 Q4428 Q4429 Q4435 Q4436 Q4437 Q4438 Q4439 Q4440 Q5161 Q5162 HCPCS Procedure Inactivations ----------------------------- Effective Apr 01, 2026 (6 Codes) C9145 C9307 C9308 L6000 L6010 L6020 HCPCS Procedure Revisions (7 Codes) ------------------------- Effective Jan 01, 2026 (FY26 2nd Qtr) (2 Codes) C7567 G2211 Effective Feb 01, 2026 (FY26 2nd Qtr) (1 Code) C9814 Effective Apr 01, 2026 (4 Codes) A2014 A2037 J0174 L6028 ICD-10 Procedure Additions -------------------------- Effective Apr 01, 2026 (80 Codes) 02HM3JZ 02HM3KZ 02HM3MZ 02HM3NZ 02HM3YZ 0DDU0ZZ 0DDU4ZZ 0DDV0ZZ 0DDV4ZZ 0F9480D 0F9480E 0F9580D 0F9580E 0F9680D 0F9680E 0F9780D 0F9780E 0F9880D 0F9880E 0F9980D 0F9980E 0F9C80D 0F9C80E 0F9D80D 0F9D80E 0F9F80D 0F9F80E 0F9G80D 0F9G80E 0TXB0Z6 0TXB0Z7 0TXB4Z6 0TXB4Z7 0VT00ZE 0VT04ZE 0VT07ZE 0VT08ZE 3E033AZ 3E043AZ 4A0FXEJ 5A0221E F07DYD0 F07EYD0 F07FYD0 F07GYD0 F07HYD0 F08E5AZ F08E5BZ F08E5CZ F08E5DZ F08E5EZ F08E5FZ F08E5UZ F08E5YZ F08E5ZZ F08P5AZ F08P5BZ F08P5CZ F08P5DZ F08P5EZ F08P5FZ F08P5UZ F08P5YZ F08P5ZZ X2723CB X2HM3GB X2HV3GB X2K00FB X2KG0FB X9HD01B X9HE01B X9HF01B XU7G71B XW0330B XW0331B XW0430B XW0431B XW0534B XW0632B XW0E33B ICD-10 Procedure Inactivations ------------------------------ Effective Apr 01, 2026 (2 Codes) 30233AZ 30243AZ ICD-10 Procedure Revisions -------------------------- Effective Apr 01, 2026 (1 Code) X2H03BB CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective May 01, 1999 * -- -- -- 1 1 Effective Jan 01, 2003 * 1 -- -- 15 16 Effective Jan 01, 2004 * 1 -- -- -- 1 Effective Oct 01, 2004 * 1 -- -- -- 1 Effective Jan 01, 2006 * 1 -- -- -- 1 Effective Jan 01, 2008 * 1 -- -- 1 2 Effective Jan 01, 2009 * 1 -- -- -- 1 Effective Jul 01, 2009 * 2 -- -- -- 2 Effective Jan 01, 2012 * -- -- -- 1 1 Effective Jul 01, 2013 * 1 -- -- -- 1 Effective Jan 01, 2018 * -- -- -- 1 1 ----- ----- ----- ------ ----- Total 9 -- -- 19 28 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/01/2026 5383 1529 13 769 7694 SNOMED Terms Concepts 6154 2298 -- -- 8452 Synonyms 13498 4263 -- -- 17761 Fully Specified 6249 1529 -- -- 7778 ----- ----- ----- ------ ----- 31284 9619 13 769 41685 SNOMED CT Version ID: 20270131 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_159.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*159. 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 133 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, CPT Modifier #81.3 ^DIC(81.3, 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 ^DIC(81.3, CPT Modifier INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_159.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 133 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_159.GBL Parameter: "RS" => Globals were saved on 22 Jun 2026 2:02 PM IRIS with description: LEX*2.0*159/ICD*18.0*129/ICPT*6.0*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. 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 LEX2159 and the Post-Install routine LEX2159P 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: LEX2159 Before: n/a After: B91279922 **159** Routine Name: LEX2159P Before: n/a After: B21761081 **159** ============================================================================= User Information: Entered By : Date Entered : JUN 09, 2026 Completed By: Date Completed: JUL 09, 2026 Released By : Date Released : JUL 09, 2026 ============================================================================= Packman Mail Message: ===================== $END TXT