$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 08/11/26 at 14:44 ============================================================================= Run Date: SEP 02, 2026 Designation: LEX*2*160 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #151 Status: Released Compliance Date: SEP 04, 2026 ============================================================================= Associated patches: (v)LEX*2*159 <<= must be installed BEFORE `LEX*2*160' Subject: CODE SET FY26 4TH QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY26 4th Quarter Code Set distribution with 27 changes effective Jul 01, 2026. This patch also contains 64 projected changes for FY27 2nd Qtr (effective Jan 01, 2027). Additionally, this patch exports 659 changes to the SNOMED CT coding system and 255 changes to the VSE coding system. This patch installs the data for the following Informational patch: ICPT*6.0*125 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 (Data only) #81.2 CPT COPYRIGHT NAME 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: CHG0774919 UNY: CHG0774192 FHM: CHG0774129 ENHANCEMENTS: ============ FY26 4th Quarter Update HCPCS Procedure Additions (49 Codes) ------------------------- Effective Jul 01, 2026 (22 Codes) J0528 J1289 J1577 J2361 J2374 J2789 J3386 J3405 J7176 J9053 J9232 M0231 M0232 Q0234 Q5164 Q5165 Q5166 Q5167 Q5168 Q5169 Q5170 Q5171 Effective Jan 01, 2027 (projected FY27 2nd Qtr) (27 Codes) D1209 D4324 D4325 D4326 D4327 D5521 D5522 D5859 D5950 D5961 D5998 D6108 D6109 D6124 D6125 D6126 D7882 D8689 D9127 D9132 D9134 D9136 D9138 D9140 D9142 D9937 D9958 HCPCS Procedures Re-Used (2 Codes) ------------------------ Effective Jul 01, 2026 (1 Code) J9062 Effective Jan 01, 2027 (projected FY27 2nd Qtr) (1 Code) D9998 HCPCS Procedure Revisions (39 Codes) ------------------------- Effective Jul 01, 2026 (3 Codes) J1569 J2787 J3375 Effective Jan 01, 2027 (projected FY27 2nd Qtr) (36 Codes) D0423 D0802 D1206 D1208 D1354 D1355 D2390 D4273 D5511 D5512 D5867 D5942 D5943 D5944 D5945 D5982 D5993 D5995 D5996 D5999 D6055 D6091 D6110 D6111 D6112 D6113 D6191 D6280 D8210 D8220 D8696 D8697 D9130 D9910 D9913 D9959 CPT Modifiers Re-Used --------------------- Effective Jul 01, 2026 (1 Code) AC CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2018 * -- -- -- 11 11 Effective Jan 01, 2026 * 8 -- -- 1 9 Effective Jul 01, 2026 -- -- -- 1 1 ----- ----- ----- ------ ----- Total 8 -- -- 13 21 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2026 109 36 1 13 159 SNOMED Terms Concepts 122 49 -- -- 171 Synonyms 113 50 -- -- 163 Fully Specified 130 36 -- -- 166 ----- ----- ----- ------ ----- 474 171 1 13 659 SNOMED CT Version ID: 20260301 VSE Changes ----------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/15/2026 227 7 -- -- 234 SNOMED Terms Concepts 227 7 -- -- 234 Synonyms 124 -- -- -- 124 Fully Specified 227 7 -- -- 234 ----- ----- ----- ------ ----- 1539 7 -- -- 1542 VSE Version ID: 20260315 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_160.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*160. 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 96 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 Copyright #81.2 ^DIC(81.2, 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: ------ -------------------------- ^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(81.2, CPT Copyright ^DIC(81.3, CPT Modifier INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_160.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 96 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_160.GBL Parameter: "RS" => Globals were saved on 11 Aug 2026 1:38 PM IRIS with description: LEX*2.0*160/ICPT*6.0*125 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 LEX2160 and the Post-Install routine LEX2160P 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: LEX2160 Before: n/a After: B91277441 **160** Routine Name: LEX2160P Before: n/a After: B21696857 **160** ============================================================================= User Information: Entered By : Date Entered : AUG 07, 2026 Completed By: Date Completed: SEP 01, 2026 Released By : Date Released : SEP 02, 2026 ============================================================================= Packman Mail Message: ===================== $END TXT