$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 06/09/09 at 10:09 ============================================================================= Run Date: JUL 07, 2009 Designation: LEX*2*66 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #60 Status: Released Compliance Date: JUL 14, 2009 ============================================================================= Associated patches: (v)LEX*2*62 <<= must be installed BEFORE `LEX*2*66' (v)LEX*2*65 <<= must be installed BEFORE `LEX*2*66' Subject: Code Set FY09 4th Qtr Update Category: - Data Dictionary Description: ============ This patch contains the FY09 4th Quarter Code Set distribution with 19 changes effective Jul 01, 2009. This patch also contains 13 changes to previous updates and 6 data fixes reported on Remedy. This patch installs the data for the following Informational patch: ICPT*6*48 Code Set Version Update 4th Quarter 2009 This patch writes to the following files: CPT/HCPCS Procedure #81 ^ICPT( ICR 4489 CPT Category #81.1 ^DIC(81.1, ICR 4490 CPT Modifier #81.3 ^DIC(81.3, ICR 4492 Lexicon Files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY09 4th Quarter Update CPT Procedure Inactivations --------------------------- Effective Jul 01, 2006 (1 Code) 0018T HCPCS Procedure Additions (13 Codes) ------------------------- Effective Apr 01, 2009 (FY09 3rd Qtr) (1 Code) C9249 Effective Jul 01, 2009 (12 Codes) C9250 C9251 C9252 C9253 C9360 C9361 C9362 C9363 C9364 Q2023 Q4115 Q4116 HCPCS Procedure Inactivations (3 Codes) ----------------------------- Effective Jan 01, 2003 (FY03 2nd Qtr) (1 Code) C1207 Effective Apr 01, 2004 (FY04 3rd Qtr) (1 Code) A9525 Effective Apr 01, 2009 (FY09 3rd Qtr) (1 Code) E1340 HCPCS Procedure Revisions (7 Codes) ------------------------- Effective Jan 01, 2001 (FY01 2nd Qtr) (2 Codes) G0179 G0180 Effective Apr 06, 2009 (FY09 3rd Qtr) (3 Codes) G0248 G0249 G0250 Effective Jul 01, 2009 (2 Codes) C9358 C9359 CPT Modifier Additions ---------------------- Effective Jul 01, 2009 (3 Codes) PA PB PC CPT Modifier Inactivations -------------------------- Effective Apr 01, 1999 (3 Codes) AK AL AN CPT Modifiers Re-Used --------------------- Effective Jul 01, 2009 (2 Codes) PI PS SNOMED CT Updates ----------------- Jul 31, 2007 Jan 31, 2008 Jul 31, 2008 Total Activations 2315 2065 5119 9499 Inactivations 907 1071 889 2867 Reactivations 10 8 7 25 Revisions 1243 529 602 2374 FSN Changes 1163 995 314 2472 5638 4668 6931 17237 Defense Medical Information System (DMIS) Identifier (ID) --------------------------------------------------------- 24 additions effective date 1st July 2008 REMEDY TICKETS: ============== 217323 Fix Concept Mapping Errors 263636 Coronary Vasospasm Incorrect ICD code 294898 G0179/G0180 Updated Descriptions 304333 CPT 67900 with Modifier 50 304439 CPT/Modifier Pairing 305942 GY Modifier with 99605, 99606 and 99607 FTP SOFTWARE RETRIEVAL: ====================== Global Host File: LEX_2_66.GBL (ASCII) The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. The files may also be downloaded directly from a particular FTP location at the following locations. Hines ftp.fo-hines.med.va.gov Albany ftp.fo-albany.med.va.gov Salt Lake ftp.fo-slc.med.va.gov Files are available in the ANONYMOUS.SOFTWARE directory. INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*66. It is recommended that this patch be installed during non-peak hours. This patch should take from 12 to 53 minutes to install depending on the system. Create a backup 15 to 40 minutes Load the Global 1 to 3 minutes Kids Install 6 to 10 minutes 2) Create a backup of the following global files before continuing: CPT/HCPCS Procedure #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 1.17 gigabytes. Make sure space is available before proceeding. It should take from 15 to 40 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/HCPCS Procedure ^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 3) Make sure that the remnants of a previous import global do not exist on your system. If the global ^LEXM does exist, you will need to kill this global before proceeding. On a Cache system, the prevention of unsubscripted global kills is a system wide setting, but it can be allowed for a particular process using the $ZU command. The command for enabling unsubscripted global kills is: VAH>S X=$ZU(68,28,0) VAH>K ^LEXM The command for disabling unsubscripted kills for a process is S X=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_66.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 50 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 1 to 3 minutes. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_66.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_66_V1.GBL Parameters: RS=> Globals were saved on 09 Jun 2009 8:53 AM Cache with description: LEX*2*66/ICPT*6*48 Data Input option: A ^LEXM 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*66. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Schedule Options, Menu Options, and Protocols?" prompt. The KIDS install should take from 6-10 minutes 8) Cleanup The Environment Check routine LEX2066 and the Post-Install routine LEX2066P 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 package. You do not need to wait for these background jobs to complete to delete the Environment Check and Post-Install routines. 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: LEX2066 Before: n/a After: B84786223 **66** Routine Name: LEX2066P Before: n/a After: B3853220 **66** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : APR 14, 2009 Completed By: LEE,ROBERT Date Completed: JUL 06, 2009 Released By : SCHWARTZ,VIKIE Date Released : JUL 07, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT