$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Wednesday, 09/16/09 at 13:47 ============================================================================= Run Date: OCT 15, 2009 Designation: LEX*2*67 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #62 Status: Released Compliance Date: OCT 22, 2009 ============================================================================= Associated patches: (v)ICD*18*34 <<= must be installed BEFORE `LEX*2*67' (v)ICD*18*39 <<= must be installed BEFORE `LEX*2*67' (v)LEX*2*66 <<= must be installed BEFORE `LEX*2*67' Subject: Code Set FY10 1st Qtr Update Category: - Data Dictionary - Routine - Other - Enhancement (Mandatory) Description: ============ This patch contains the FY10 1st Quarter Code Set distribution with 414 changes effective Oct 01, 2009. This patch also makes changes to 2 HCPCS codes (effective Sep 01, 2009), 19489 SNOMED CT codes and 3 Defense Medical Information System (DMIS) Identifiers. This patch installs the data for the following Informational patches: ICD*18.0*44 ICPT*6.0*49 This patch has a shortened compliance date because the patch represents an update to the HIPAA mandated Code Sets. There is a legal requirement to comply, with monetary fines that may be imposed. This patch writes to the following files: ICD Diagnosis #80 ^ICD9( ICR 4485 ICD Operation/Procedure #80.1 ^ICD0( ICR 4486 CPT #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 ============ FY10 1st Quarter Update CPT Procedure Additions ----------------------- Effective Oct 01, 2009 (1 Code) 90644 HCPCS Procedure Additions (3 Codes) ------------------------- Effective Oct 01, 2009 (1 Code) Q2024 Effective Sep 01, 2009 (2 Codes) G9141 G9142 HCPCS Procedure Revisions ------------------------- Effective Oct 01, 2009 (1 Code) S0605 ICD Diagnosis Additions ----------------------- Effective Oct 01, 2009 (313 Codes) 209.31 209.32 209.33 209.34 209.35 209.36 209.70 209.71 209.72 209.73 209.74 209.75 209.79 239.81 239.89 274.00 274.01 274.02 274.03 277.88 279.41 279.49 285.3 348.81 348.89 359.71 359.79 372.06 416.2 438.13 438.14 453.50 453.51 453.52 453.6 453.71 453.72 453.73 453.74 453.75 453.76 453.77 453.79 453.81 453.82 453.83 453.84 453.85 453.86 453.87 453.89 488.0 488.1 569.71 569.79 569.87 621.34 621.35 670.10 670.12 670.14 670.20 670.22 670.24 670.30 670.32 670.34 670.80 670.82 670.84 756.72 756.73 768.70 768.71 768.72 768.73 779.31 779.32 779.33 779.34 784.42 784.43 784.44 784.51 784.59 787.04 789.7 793.82 799.21 799.22 799.23 799.24 799.25 799.29 799.82 813.46 813.47 832.2 969.00 969.01 969.02 969.03 969.04 969.05 969.09 969.70 969.71 969.72 969.73 969.79 995.24 E000.0 E000.1 E000.8 E000.9 E001.0 E001.1 E002.0 E002.1 E002.2 E002.3 E002.4 E002.5 E002.6 E002.7 E002.8 E002.9 E003.0 E003.1 E003.2 E003.3 E003.9 E004.0 E004.1 E004.2 E004.3 E004.4 E004.9 E005.0 E005.1 E005.2 E005.3 E005.4 E005.9 E006.0 E006.1 E006.2 E006.3 E006.4 E006.5 E006.6 E006.9 E007.0 E007.1 E007.2 E007.3 E007.4 E007.5 E007.6 E007.7 E007.8 E007.9 E008.0 E008.1 E008.2 E008.3 E008.4 E008.9 E009.0 E009.1 E009.2 E009.3 E009.4 E009.5 E009.9 E010.0 E010.1 E010.2 E010.3 E010.9 E011.0 E011.1 E011.9 E012.0 E012.1 E012.2 E012.9 E013.0 E013.1 E013.2 E013.3 E013.4 E013.5 E013.8 E013.9 E014.0 E014.1 E014.9 E015.0 E015.1 E015.2 E015.9 E016.0 E016.1 E016.2 E016.9 E017.0 E017.9 E018.0 E018.1 E018.2 E018.3 E019.0 E019.1 E019.2 E019.9 E029.0 E029.1 E029.2 E029.9 E030. E830.7 E831.7 E832.7 E833.7 E834.7 E835.7 E836.7 E837.7 E838.7 E876.6 E876.7 E928.7 E990.1 E990.2 E990.3 E991.4 E991.5 E991.6 E991.7 E991.8 E992.0 E992.1 E992.2 E992.3 E992.8 E992.9 E993.0 E993.1 E993.2 E993.3 E993.4 E993.5 E993.6 E993.7 E993.8 E993.9 E994.0 E994.1 E994.2 E994.3 E994.8 E994.9 E995.0 E995.1 E995.2 E995.3 E995.4 E995.8 E995.9 E996.0 E996.1 E996.2 E996.3 E996.8 E996.9 E997.3 E998.0 E998.1 E998.8 E998.9 V10.90 V10.91 V15.52 V15.80 V15.83 V20.31 V20.32 V26.42 V26.82 V53.50 V53.51 V53.59 V60.81 V60.89 V61.07 V61.08 V61.23 V61.24 V61.25 V61.42 V72.60 V72.61 V72.62 V72.63 V72.69 V80.01 V80.09 V87.32 V87.43 V87.44 V87.45 V87.46 ICD Diagnosis Inactivations --------------------------- Effective Oct 01, 2009 (23 Codes) 239.8 274.0 279.4 348.8 453.8 488. 768.7 779.3 784.5 799.2 969.0 969.7 E992. E993. E994. E995. E996. E998. V10.9 V53.5 V60.8 V72.6 V80.0 ICD Diagnosis Revisions ----------------------- Effective Oct 01, 2009 (45 Codes) 008.65 041.3 041.86 453.2 453.40 453.41 453.42 572.2 584.5 584.6 584.7 584.8 584.9 639.3 669.30 669.32 669.34 670.00 670.02 670.04 757.6 772.0 776.9 784.40 784.49 793.0 793.1 793.2 793.3 793.4 793.5 793.6 793.7 793.89 793.99 813.45 996.43 E876.5 V15.06 V15.84 V15.85 V15.86 V57.3 V61.29 V65.11 ICD Procedure Additions ----------------------- Effective Oct 01, 2009 (14 Codes) 17.51 17.52 17.61 17.62 17.63 17.69 17.70 33.73 38.24 38.25 39.75 39.76 46.86 46.87 ICD Procedure Revisions ----------------------- Effective Oct 01, 2009 (16 Codes) 00.56 00.57 33.71 39.72 39.79 39.90 80.00 80.01 80.02 80.03 80.04 80.05 80.06 80.07 80.08 80.09 Other Coding System Updates SNOMED CT --------- SNOMED CT Version: 20090131 Effective Jan 31, 2009 (13525 Codes) Additions 3735 Inactivations 9221 Reactivations 10 Revisions 467 FSN Changes 92 SNOMED CT Version: 20090731 Effective Jul 31, 2009 (5964 Codes) Additions 1325 Inactivations 3657 Reactivations 13 Revisions 550 FSN Changes 419 DMIS IDs -------- Effective Aug 01, 2008 (3 Codes) Additions 3 REMEDY TICKETS: ============== 217323 Overlapping Concepts (continued) 326010 Diabetic Foot Ulcer 707.15 326013 Diabetic Foot Ulcer 707.15 (Duplicate) 334075 Ulnar Neuropathy should be 354.2 336044 Fix AVA Cross-Reference STANDARDS DEVELOPMENT ORGANIZATION (SDO) CHANGES: ================================================ Remove duplicate modifier range pairs Fix CPT modifier descriptions for oxygen Fix Identifier/Major O.R. Proc for code 32.41 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_67.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*67. It is recommended that this patch be installed during non-peak hours. This patch should take from 34 minutes to 2 hours and 53 minutes depending on the system and system activity. Create a backup 20 to 83 minutes Load the Global 4 to 20 minutes Kids Install 10 to 70 minutes 2) Create a backup of the following global files before continuing: ICD Diagnosis #80 ^ICD9( 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 1.15 gigabytes. Make sure space is available before proceeding. It should take from 20 to 83 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^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 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=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_67.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 159 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 4 to 20 minutes. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_67.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_67.GBL Parameter: RS=> Globals were saved on 18 Sep 2009 11:50 AM Cache with description: LEX*2*67/ICD*18*44/ICPT*6*49 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*67. 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 10 to 70 minutes. 8) Cleanup a) The Environment Check routine LEX2067 and the Post-Install routine LEX2067P 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. b) This patch inactivates codes that may reside on Encounter Form Selection Lists. To update your Encounter Forms, please have the appropriate specialist run the [IBDF UTIL MAINTENANCE UTILITY] option. If inactive codes on the Encounter Form Selection List are not fixed it will be possible to apply an inactive code to an encounter resulting in the encounter being rejected at Austin. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2067 Before: n/a After: B86254176 **67** Routine Name: LEX2067P Before: n/a After: B36251318 **67** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : JUN 23, 2009 Completed By: PETRUSKA,BETH Date Completed: OCT 14, 2009 Released By : SCHWARTZ,VIKIE Date Released : OCT 15, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT