$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 12/08/09 at 12:18 ============================================================================= Run Date: JAN 08, 2010 Designation: LEX*2*68 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #63 Status: Released Compliance Date: JAN 15, 2010 ============================================================================= Associated patches: (v)LEX*2*55 <<= must be installed BEFORE `LEX*2*68' (v)LEX*2*62 <<= must be installed BEFORE `LEX*2*68' (v)LEX*2*67 <<= must be installed BEFORE `LEX*2*68' (v)ICD*18*45 <<= must be installed BEFORE `LEX*2*68' Subject: Code Set FY10 2nd Qtr Update Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Other Description: ============ This patch contains the FY10 2nd Quarter Code Set distribution with 836 changes effective Jan 1, 2010, 2 changes effective Oct 1, 2009, 2 changes effective Sep 28, 2009 and 1 change effective Aug 3, 2009. This patch installs the data for the following Informational patches: ICD*18.0*47 Code Set FY10 2nd Qtr Update ICPT*6.0*50 Code Set FY10 2nd Qtr Update The following patches are required to be installed before this patch: Patch Package Subject ---------- --------------- ------------------------------ ICD*18.0*45 DGR GROUPER Annual DRG Grouper Update FY10 LEX*2.0*67 LEXICON Code Set FY10 1st Qtr Update LEX*2.0*55 LEXICON Adding BI-RADS and AAA codes LEX*2.0*62 LEXICON Code Set Lookup Options 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 COPYRIGHT #81.2 ^DIC(81.2, ICR 4491 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 Lexicon Files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY10 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2010 (152 Codes) 0203T 0204T 0205T 0206T 0207T 0208T 0209T 0210T 0211T 0212T 0213T 0214T 0215T 0216T 0217T 0218T 0219T 0220T 0221T 0222T 0545F 1200F 1205F 14301 14302 2060F 21012 21013 21014 21016 21552 21554 21558 21931 21932 21933 21936 22901 22902 22903 22904 22905 23071 23073 23078 24071 24073 24079 25071 25073 25078 26111 26113 26118 27043 27045 27059 27337 27339 27364 27616 27632 27634 28039 28041 28047 29581 3008F 3015F 3038F 32552 32553 32561 32562 3293F 3294F 3323F 3324F 3328F 33981 33982 33983 36147 36148 3650F 37761 4004F 4063F 4255F 4256F 43281 43282 4330F 4340F 43775 45171 45172 46707 49411 51727 51728 51729 5200F 53855 57426 6070F 63661 63662 63663 63664 64490 64491 64492 64493 64494 64495 74261 74262 74263 75565 75571 75572 75573 75574 75791 77338 78451 78452 78453 78454 83987 84145 84431 86352 86780 86825 86826 87150 87153 87493 88387 88388 88738 89398 92540 92550 92570 93750 94011 94012 94013 95905 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2010 (66 Codes) 0062T 0063T 0064T 0066T 0067T 0068T 0069T 0070T 0077T 0084T 0086T 0087T 0140T 0144T 0145T 0146T 0147T 0148T 0149T 0150T 0151T 01632 0170T 0194T 1127F 1128F 14300 23221 23222 24151 24153 26255 26261 27079 29220 36145 36834 45170 46210 46211 46937 46938 51772 51795 63660 64470 64472 64475 64476 75558 75560 75562 75564 75790 78460 78461 78464 78465 78478 78480 82307 86781 90379 92569 99185 99186 CPT Procedures Re-Used (7 Codes) ---------------------- Effective Sep 28, 2009 (FY09 4th Qtr) (1 Code) 90470 Effective Jan 01, 2010 (6 Codes) 21011 31626 31627 33782 33783 86305 CPT Procedure Revisions (384 Codes) ----------------------- Effective Sep 28, 2009 (FY09 4th Qtr) (1 Code) 90663 Effective Jan 01, 2010 (383 Codes) 00528 00529 00541 00625 00626 0188T 0196T 0199T 0200T 0201T 0202T 0505F 0507F 0509F 0520F 1040F 1060F 1100F 1101F 1110F 1119F 1121F 15787 16030 16036 19120 19295 2024F 2028F 2031F 20690 20692 20696 20697 21015 21555 21556 21557 21930 21935 22206 22207 22208 22210 22212 22214 22216 22325 22326 22327 22328 22520 22521 22522 22523 22524 22525 22527 22840 22900 23075 23076 23077 23200 23210 23220 24075 24076 24077 24150 24152 25075 25076 25077 25170 25210 25660 25670 26115 26116 26117 26250 26260 26262 26498 27047 27048 27049 27075 27076 27077 27078 27327 27328 27329 27365 27391 27394 27486 27496 27497 27615 27618 27619 27640 27641 27645 27646 27647 28043 28045 28046 28171 28173 28175 29044 29305 29325 29876 3022F 3027F 3035F 3042F 3073F 30801 30802 3085F 3093F 31090 3110F 3111F 3112F 3132F 3140F 3141F 31580 31601 31622 31623 31624 31625 31628 31629 31630 31631 31632 31633 31635 31636 31637 31638 31640 31641 31643 31645 31646 31656 32482 3250F 32560 3290F 3291F 3292F 32998 3301F 3319F 33216 33217 33220 33223 3325F 3343F 3344F 33511 33512 33513 33514 33516 33518 33519 33521 33522 33523 33530 33534 33535 33536 33766 3455F 34802 34803 35390 35500 35572 35600 35682 35683 35700 3570F 36565 36566 37760 37765 37766 37785 4005F 4006F 4009F 4014F 4040F 4047F 4048F 4052F 4053F 4055F 4056F 4060F 4062F 4064F 4067F 40701 40702 4110F 4120F 4124F 41530 4158F 4165F 4176F 4178F 42508 4274F 42894 43600 43761 44100 44110 44111 46200 46220 46221 46230 46250 46255 46257 46258 46260 46261 46262 46270 46275 46280 46285 46320 46945 46946 47010 47011 47144 47145 47370 47371 47380 47381 47382 50200 50205 50540 5060F 5062F 51726 51797 52282 53415 54322 54324 54326 54328 54332 54336 55873 55876 56605 59850 59851 59852 59855 59856 59857 59897 6030F 61460 61531 61886 63050 63051 64834 64835 64836 66982 7010F 70160 7020F 72291 72292 77003 78290 78483 80055 82306 82652 82784 82785 82787 82951 82952 83516 83518 83519 83520 83986 85046 85240 86592 86593 87149 88045 88312 88313 88314 90378 90471 90473 90669 92533 92543 92568 93279 93280 93281 93282 93283 93284 93285 93286 93287 93540 93701 95806 95860 95870 95921 95923 95937 96570 96571 96913 97032 97033 97034 97035 97036 97110 97112 97113 97116 97124 97140 99304 99305 99306 99307 99308 99309 99310 99318 99358 99359 99466 99467 99468 99469 99477 HCPCS Procedure Additions (135 Codes) ------------------------- Effective Aug 03, 2009 (FY09 4th Qtr) (1 Code) G9143 Effective Oct 01, 2009 (FY10 1st Qtr) (1 Code) S3713 Effective Jan 01, 2010 (133 Codes) A4264 A4336 A4456 A4466 A9581 A9582 A9583 A9604 C9254 C9255 C9256 C9257 E0433 G0420 G0421 G0422 G0423 G0424 G0425 G0426 G0427 G0430 G0431 G8545 G8546 G8547 G8548 G8549 G8550 G8551 G8552 G8553 G8556 G8557 G8558 G8559 G8560 G8561 G8562 G8563 G8564 G8565 G8566 G8567 G8568 G8569 G8570 G8571 G8572 G8573 G8574 G8575 G8576 G8577 G8578 G8579 G8580 G8581 G8582 G8583 G8584 G8585 G8586 G8587 G8588 G8589 G8590 G8591 G8592 G8593 G8594 G8595 G8596 G8597 G8598 G8599 G8600 G8601 G8602 G8603 G8604 G8605 G8606 G8607 G8608 G8609 G8610 G8611 G8612 G8613 G8614 G8615 G8616 G8617 G8618 G8619 G8620 G8621 G8622 G8623 G8624 G8625 G8626 G8627 G8628 J0461 J0559 J0586 J0598 J0718 J0833 J0834 J2562 J2793 J2796 J7185 J7325 J9155 J9171 J9328 L2861 L3891 L5973 L8031 L8032 L8692 Q0138 Q0139 Q0506 Q4074 Q9968 S0280 S0281 HCPCS Procedure Inactivations (39 Codes) ----------------------------- Effective Oct 01, 2009 (FY10 1st Qtr) (1 Code) S0162 Effective Jan 01, 2010 (38 Codes) A4365 A6200 A6201 A6202 A6542 A6543 A9535 A9605 E2223 E2393 E2399 G0392 G0393 J0460 J0530 J0540 J0550 J0835 J1565 J7322 L0210 L1800 L1815 L1825 L1901 L2770 L3651 L3652 L3700 L3701 L3909 L3911 L6639 Q2024 Q4080 S0345 S0346 S0347 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2010 (6 Codes) A4360 E1036 J1680 L8627 L8628 L8629 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2010 (35 Codes) A6022 A6549 A9500 C9248 C9728 E0249 E0441 E0442 E0443 E0444 E0700 E1035 G0151 G0152 G0153 G0154 G0155 G0156 G0379 G8456 G8492 G8496 G8502 G9141 J0585 J0587 J7192 K0739 L4396 L8030 L8619 L8680 L8691 Q0496 Q2009 CPT Modifier Additions ---------------------- Effective Jan 01, 2010 (7 Codes) AI J4 V5 V6 V7 V8 V9 CPT Modifier Revisions ---------------------- Effective Jan 01, 2010 (10 Codes) 50 54 55 56 58 62 73 74 99 PI ROUTINES: ======== LEXQCM Fixes the counter in the loop that displays the parsed description array for CPT Modifiers. REMEDY TICKETS: ============== 322447 NU Modifier with E2601 356823 PI-PS Modifiers for Radiology 361124 PI, PS & Q0 Modifiers for Radiology (Dupe) 357131 90663 and 90470 H1N1 virus/immunization codes 351846 Wrong code for Adrenal Gland Neoplasms 334690 DRG ungroupable 999 with code 333.72 STANDARDS DEVELOPMENT ORGANIZATION (SDO) CHANGES ================================================ CPT Copyright Changed to January 1, 2010 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_68.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*68. It is recommended that this patch be installed during non-peak hours. This patch should take from 52 minutes to 2 hours and 28 minutes to install, depending on the system and system activity. Create a backup 45 to 85 minutes Load the Global 1 to 2 minutes Kids Install 6 to 60 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 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 1.3 gigabytes. Make sure space is available before proceeding. It should take from 45 to 85 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 (#80) ^ICD0 ICD OPERATION/PROCEDURE (#80.1) ^ICPT CPT File (#81) ^LEX Lexicon Files (#757-757.41) 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 File (#81.1) ^DIC(81.2, CPT COPYRIGHT File (#81.2) ^DIC(81.3, CPT MODIFIER File (#81.3) 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=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_68.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 4.8 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 1 to 3 minutes. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_68.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_68.GBL Parameter: RS=> Globals were saved on 08 Dec 2009 8:58 AM Cache with description: LEX*2.0*68/ICD*18.0*47/ICPT*6.0*50 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*68. 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 to 60 minutes. 8) Cleanup a) The Environment Check routine LEX2068 and the Post-Install routine LEX2068P 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. 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: LEX2068 Before: n/a After:B103074816 **68** Routine Name: LEX2068P Before: n/a After: B3703266 **68** Routine Name: LEXQCM Before: B66900998 After: B67014752 **62,68** Routine list of preceding patches: 62 ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : OCT 06, 2009 Completed By: LEE,ROBERT Date Completed: JAN 07, 2010 Released By : SCHWARTZ,VIKIE Date Released : JAN 08, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT