$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Thursday, 09/09/10 at 08:42 ============================================================================= Run Date: OCT 06, 2010 Designation: LEX*2*72 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #66 Status: Released Compliance Date: OCT 14, 2010 ============================================================================= Associated patches: (v)LEX*2*70 <<= must be installed BEFORE `LEX*2*72' Subject: Code Set FY11 1st Qtr Update Category: - Enhancement (Mandatory) - Other - Data Dictionary - Routine Description: ============ This patch contains the FY11 1st Quarter Code Set distribution with 219 changes effective Oct 01, 2010. This patch also contains one change from FY10 4th Qtr (effective Jul 01, 2010), two changes from FY10 4th Qtr (effective Aug 01, 2010), 36 projected changes for FY11 2nd Qtr (effective Jan 01, 2011) and 23381 changes to the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT, effective Jul 31, 2010). This patch installs the data for the following Informational patches: ICD*18.0*51 ICPT*6.0*53 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 ============ FY11 1st Quarter Update CPT Procedure Additions (38 Codes) ----------------------- Effective Oct 01, 2010 (10 Codes) 1400F 3700F 3720F 4324F 4325F 4326F 4328F 4400F 6080F 6090F Effective Jan 01, 2011 (projected FY11 2nd Qtr) (28 Codes) 0234T 0235T 0236T 0237T 0238T 0239T 0240T 0241T 0242T 0243T 0244T 0245T 0246T 0247T 0248T 0249T 0250T 0251T 0252T 0253T 0254T 0255T 0256T 0257T 0258T 0259T 0260T 0261T CPT Procedures Re-Used ---------------------- Effective Jan 01, 2011 (1 Code) 90654 CPT Procedure Revisions ----------------------- Effective Jan 01, 2011 (6 Codes) 0184T 0191T 0219T 0220T 0221T 0222T HCPCS Procedure Additions ------------------------- Effective Oct 01, 2010 (3 Codes) Q5010 S0148 S0169 HCPCS Procedure Inactivations ----------------------------- Effective Oct 01, 2010 (3 Codes) S0146 S0161 S0196 HCPCS Procedures Re-Used ------------------------ Effective Aug 01, 2010 (2 Codes) G0428 G0429 HCPCS Procedure Revisions ------------------------- Effective Jul 01, 2010 (1 Code) G0435 CPT Modifiers Re-Used --------------------- Effective Jan 01, 2011 (1 Code) AY ICD Diagnosis Additions ----------------------- Effective Oct 01, 2010 (130 Codes) 237.73 237.79 275.01 275.02 275.03 275.09 276.61 276.69 278.03 287.41 287.49 315.35 447.70 447.71 447.72 447.73 488.01 488.02 488.09 488.11 488.12 488.19 560.32 724.03 752.31 752.32 752.33 752.34 752.35 752.36 752.39 752.43 752.44 752.45 752.46 752.47 780.33 780.66 784.52 784.92 786.30 786.31 786.39 787.60 787.61 787.62 787.63 799.51 799.52 799.53 799.54 799.55 799.59 970.81 970.89 999.60 999.61 999.62 999.63 999.69 999.70 999.71 999.72 999.73 999.74 999.75 999.76 999.77 999.78 999.79 999.80 999.83 999.84 999.85 E000.2 V11.4 V13.23 V13.24 V13.62 V13.63 V13.64 V13.65 V13.66 V13.67 V13.68 V15.53 V25.11 V25.12 V25.13 V49.86 V49.87 V62.85 V85.41 V85.42 V85.43 V85.44 V85.45 V88.11 V88.12 V90.01 V90.09 V90.10 V90.11 V90.12 V90.2 V90.31 V90.32 V90.33 V90.39 V90.81 V90.83 V90.89 V90.9 V91.00 V91.01 V91.02 V91.03 V91.09 V91.10 V91.11 V91.12 V91.19 V91.20 V91.21 V91.22 V91.29 V91.90 V91.91 V91.92 V91.99 ICD Diagnosis Inactivations --------------------------- Effective Oct 01, 2010 (13 Codes) 275.0 276.6 287.4 488.0 488.1 752.3 786.3 787.6 970.8 999.6 999.7 V25.1 V85.4 ICD Diagnosis Revisions ----------------------- Effective Oct 01, 2010 (15 Codes) 307.0 629.81 646.30 646.31 646.33 724.02 E017.0 V07.51 V07.52 V07.59 V07.8 V07.9 V13.61 V13.69 V26.35 ICD Procedure Additions ----------------------- Effective Oct 01, 2010 (21 Codes) 00.60 01.20 01.29 17.71 32.27 35.97 37.37 38.97 39.82 39.83 39.84 39.85 39.86 39.87 39.88 39.89 81.88 84.94 85.55 86.87 86.90 ICD Procedure Inactivations --------------------------- Effective Oct 01, 2010 (1 Code) 39.8 ICD Procedures Re-Used ---------------------- Effective Oct 01, 2010 (1 Code) 39.81 ICD Procedure Revisions ----------------------- Effective Oct 01, 2010 (22 Codes) 00.55 35.96 37.34 81.02 81.03 81.04 81.05 81.06 81.07 81.08 81.32 81.33 81.34 81.35 81.36 81.37 81.38 81.80 83.21 86.11 88.59 99.14 Systematized Nomenclature of Medicine, Clinical Terms ----------------------------------------------------- SNOMED CT Version: 20100731 Effective Jul 31, 2010 (23381 Codes) Additions 1148 Inactivations 21217 Reactivations 9 Revisions 432 FSN Changes 575 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_72.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*72. It is recommended that this patch be installed during non-peak hours. This patch should take from 41 to 91 minutes to install depending on the system. Create a backup 35-75 minutes Load the Global .5- 1 minute Kids Install 6-15 minutes 2) Create a backup of the following global files before continuing: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( 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 1.6 gigabytes. Make sure space is available before proceeding. It should take from 35 to 75 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/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) Install the data from the global host file LEX_2_72.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 24.6 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 30 seconds to 1 minute. 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_72.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_72.GBL Parameter: RS=> Globals were saved on SEP 08, 2010 6:22 PM with description: LEX*2.0*72/ICD*18.0*51/ICPT*6.0*53 DATA Input option: A ^LEXM 4) Set up user and IO variables (D ^XUP) for programmer access. 5) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 6) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*72. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Scheduled Options, Menu Options, and Protocols?" prompt. The KIDs install should take from 6-15 minutes 7) Cleanup a) The Environment Check routine LEX2072 and the Post-Install routine LEX2072P 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2072 Before: n/a After:B108997561 **72** Routine Name: LEX2072P Before: n/a After: B23005747 **72** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : JUN 28, 2010 Completed By: LEE,ROBERT Date Completed: OCT 04, 2010 Released By : SCHMIT,BECKY Date Released : OCT 06, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT