$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Monday, 12/13/10 at 13:03 ============================================================================= Run Date: JAN 06, 2011 Designation: LEX*2*74 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #67 Status: Released Compliance Date: JAN 13, 2011 ============================================================================= Associated patches: (v)LEX*2*72 <<= must be installed BEFORE `LEX*2*74' Subject: Code Set FY11 2nd Qtr Update Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Other Description: ============ This patch contains the FY11 2nd Quarter Code Set distribution with 3120 changes effective Jan 01, 2011. This patch also contains two changes from FY10 3rd Qtr (effective Apr 02, 2010), one change from FY10 4th Qtr (effective Jul 02, 2010), two changes from FY10 4th Qtr (effective Aug 25, 2010) and 12 changes from FY11 1st Qtr (effective Oct 01, 2010). This patch installs the data for the following Informational patches: ICD*18.0*52 ICPT*6.0*54 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 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 ============ FY11 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2011 (119 Codes) 11045 11046 11047 22551 29914 29915 29916 31295 31296 31297 31634 33620 33621 33622 37220 37221 37222 37223 37224 37225 37226 37227 37228 37229 37230 37231 37232 37233 37234 37235 38900 43283 43327 43328 43332 43333 43334 43335 43336 43337 43338 43753 43754 43755 43756 43757 49327 49412 49418 53860 57156 61781 61782 61783 64566 64568 64569 64570 64611 65778 65779 66174 66175 74176 74177 74178 76881 76882 80104 82930 84112 85598 86481 86902 87501 87502 87503 87906 88120 88121 88177 88363 88749 90461 90867 90868 91013 91117 92132 92133 92134 92227 92228 93451 93452 93453 93454 93455 93456 93457 93458 93459 93460 93461 93462 93463 93464 93563 93564 93565 93566 93567 93568 95800 95801 96446 99224 99225 99226 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2011 (107 Codes) 0016T 0017T 0104T 0105T 0130T 0160T 0161T 0176T 0177T 0187T 0193T 0203T 0204T 11040 11041 20000 33861 35454 35456 35459 35470 35473 35474 35480 35481 35482 35483 35484 35485 35490 35491 35492 35493 35494 35495 39502 39520 39530 39531 43324 43326 43600 49420 61795 64573 75992 75993 75994 75995 75996 76150 76350 76880 82926 82928 86903 89100 89105 89130 89132 89135 89136 89140 89141 89225 89235 90465 90466 90467 90468 91000 91011 91012 91052 91055 91105 91123 92135 93012 93014 93230 93231 93232 93233 93235 93236 93237 93501 93508 93510 93511 93514 93524 93526 93527 93528 93529 93539 93540 93541 93542 93543 93544 93545 93555 93556 96445 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2011 (5 Codes) 0058T 0059T 22552 83861 90460 CPT Procedure Revisions ----------------------- Effective Jan 01, 2011 (2375 Codes) 00100 00102 00103 00104 00120 00124 00126 00140 00142 00144 00145 00147 00148 0015F 00160 00162 00164 00170 00172 00174 00176 00190 00192 0019T 00210 00211 00212 00214 00215 00216 00218 00220 00222 00300 00320 00322 00326 00350 00352 00400 00402 00404 00406 00410 0042T 00450 00452 00454 00470 00472 00474 00500 00520 00522 00524 00528 00529 00530 00532 00534 00537 00539 00540 00541 00542 00546 00548 00550 00560 00561 00563 00566 00567 00580 00600 00604 00620 00622 00626 00630 00632 00635 00640 00670 00700 00702 00730 0073T 00740 00750 00752 00754 00756 00770 00790 00792 00794 00796 00797 00800 00802 00810 00820 00830 00832 00834 00840 00842 00844 00846 00848 00851 00860 00862 00864 00865 00866 00868 00870 00880 00882 00902 00904 00906 00908 00910 00912 00914 00916 00918 00920 00921 00922 00924 00926 00928 00930 00932 00934 00936 00938 00940 00942 00944 00948 00950 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0250T 0251T 0252T 0253T 0254T 0255T 0256T 0257T 0258T 0259T 10180 11010 11011 11012 11042 11043 11044 11056 11057 11100 11101 1111F 1123F 1124F 11450 11451 11462 11463 11470 11471 11720 11721 11732 11755 11765 1200F 12054 15002 15003 15004 15005 15100 15101 15130 15136 15155 15175 15176 15200 15300 15335 15360 15400 15420 15732 15734 15736 15738 15757 15758 15786 15787 15788 15789 15792 15793 15819 15845 16020 16025 16030 16035 16036 17003 17110 17111 17250 17311 17313 17314 17315 19101 19105 19125 19126 19290 19291 19295 19303 19304 19305 19306 19307 20005 20100 20101 20102 20103 20206 20220 20225 20240 20245 2030F 2031F 2050F 20526 20552 20553 20600 20605 20610 20660 20664 20802 20805 20808 20816 20822 20824 20827 20838 20930 20931 20950 20955 20956 20957 20962 20969 20970 20972 20973 20982 21012 21014 21016 21025 21031 21032 21116 21125 21127 21141 21142 21143 21145 21146 21147 21150 21151 21154 21155 21159 21160 21270 21275 21552 21554 21558 21931 21933 21936 22010 22015 22101 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G8654 G8655 G8656 G8657 G8658 G8659 G8660 G8661 G8662 G8663 G8664 G8665 G8666 G8667 G8668 G8669 G8670 G8671 G8672 G8673 G8674 G8675 G8676 G8677 G8678 G8679 G8680 G8681 G8682 G8683 G8684 G8685 G8686 G8687 G8688 G8689 G8690 G8691 G8692 G8693 J0171 J0558 J0561 J0597 J0638 J0775 J1559 J1599 J1786 J1826 J2358 J2426 J3095 J3262 J3357 J3385 J7184 J7309 J7312 J7335 J7686 J8562 J9302 J9307 J9315 J9351 L3674 L4631 L5961 L8693 Q0478 Q0479 Q2035 Q2036 Q2037 Q2038 Q2039 Q4117 Q4118 Q4119 Q4120 Q4121 T1505 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2011 (282 Codes) C9255 C9256 C9258 C9259 C9260 C9261 C9263 C9264 C9265 C9266 C9267 C9268 E0220 E0230 E0238 G0430 G8006 G8007 G8008 G8009 G8010 G8011 G8012 G8013 G8014 G8015 G8016 G8017 G8018 G8019 G8020 G8021 G8022 G8023 G8024 G8025 G8026 G8027 G8028 G8029 G8030 G8031 G8032 G8033 G8034 G8035 G8036 G8037 G8038 G8039 G8040 G8041 G8051 G8052 G8053 G8054 G8055 G8056 G8057 G8058 G8059 G8060 G8061 G8062 G8075 G8076 G8077 G8078 G8079 G8080 G8081 G8082 G8085 G8093 G8094 G8099 G8100 G8103 G8104 G8106 G8107 G8108 G8109 G8110 G8111 G8112 G8113 G8114 G8115 G8116 G8117 G8129 G8130 G8131 G8152 G8153 G8154 G8155 G8156 G8157 G8159 G8162 G8164 G8165 G8166 G8167 G8170 G8171 G8172 G8182 G8183 G8184 G8185 G8186 G8193 G8196 G8200 G8204 G8209 G8214 G8217 G8219 G8220 G8221 G8223 G8226 G8231 G8234 G8238 G8240 G8243 G8246 G8248 G8251 G8254 G8257 G8260 G8263 G8266 G8268 G8271 G8274 G8276 G8279 G8282 G8285 G8289 G8293 G8296 G8298 G8299 G8302 G8303 G8304 G8305 G8306 G8307 G8308 G8310 G8314 G8318 G8322 G8326 G8330 G8334 G8338 G8341 G8345 G8351 G8354 G8357 G8360 G8362 G8365 G8367 G8370 G8371 G8372 G8373 G8374 G8375 G8376 G8377 G8378 G8379 G8380 G8381 G8382 G8383 G8384 G8385 G8386 G8387 G8388 G8389 G8390 G8391 G8402 G8403 G8407 G8408 G8409 G8423 G8424 G8425 G8426 G8429 G8434 G8435 G8436 G8437 G8438 G8439 G8443 G8445 G8446 G8449 G8453 G8454 G8455 G8456 G8457 G8466 G8467 G8479 G8480 G8481 G8488 G8507 G8518 G8519 G8520 J0128 J0170 J0559 J0560 J0570 J0580 J0704 J0970 J1390 J1470 J1480 J1490 J1500 J1510 J1520 J1530 J1540 J1550 J1785 J1825 J2321 J2322 J9062 J9080 J9090 J9091 J9092 J9093 J9094 J9095 J9096 J9097 J9110 J9140 J9290 J9291 J9350 J9375 J9380 K0734 K0735 K0736 K0737 L3660 L3670 L3672 L3673 L3675 Q2025 Q4109 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2011 (8 Codes) A7020 G0159 G0160 G0161 G0163 G0164 J1290 J7196 HCPCS Procedure Revisions (67 Codes) ------------------------- Effective Apr 02, 2010 (FY10 3rd Qtr) (2 Codes) G0432 G0433 Effective Jul 02, 2010 (FY10 4th Qtr) (1 Code) G0435 Effective Jan 01, 2011 (64 Codes) A4399 A5112 A6011 A6248 A6260 A6261 A6262 A7013 B4034 B4035 B4036 C8923 C8924 C8928 G0151 G0152 G0153 G0154 G0423 G0424 G0425 G0426 G0427 G0429 G0431 G8427 G8428 G8440 G8441 G8447 G8448 G8473 G8474 G8475 G8508 G8509 J0598 J9060 K0899 L0450 L0460 L0464 L0470 L3671 L3677 Q0499 Q4101 Q4102 Q4103 Q4104 Q4105 Q4106 Q4107 Q4108 Q4110 Q4111 Q4112 Q4113 Q4115 Q4116 S3829 S3830 S3831 S9494 CPT Modifier Additions ---------------------- Effective Jan 01, 2011 (12 Codes) 4P 4Q 4R 4S 4T 4U AZ CS DA GU NB PT CPT Modifier Inactivations -------------------------- Effective Jan 01, 2011 (1 Code) 4D CPT Modifier Revisions ---------------------- Effective Jan 01, 2011 (15 Codes) 4A 4B 4C 4E 4F 4G 4Z 50 76 77 78 GA Q3 RA RB REMEDY TICKETS: ============== 445880 584.9 is MCC and should be CC for 2011 445881 584.9 is MCC and should be CC for 2011 (Dupe) 447266 584.9 is MCC and should be CC for 2011 (Dupe) 439942 584.9 is MCC and should be CC for 2011 (Dupe) 392918 Joint Instability coded as 718.8* FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_74.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*74. It is recommended that this patch be installed during non-peak hours. This patch should take from 14 to 65 minutes to install depending on the system. Create a backup 10-50 minutes Load the Global .5-1 minute Kids Install 3-14 minutes 2) Create a backup of the following global files before continuing: ICD Diagnosis #80 ^ICD9( CPT/HCPCS Procedure #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 1.17 gigabytes. Make sure space is available before proceeding. It should take from 10 to 50 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 ^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(81.2, CPT Copyright ^DIC(81.3, CPT Modifier 3) Install the data from the global host file LEX_2_74.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 4.2 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 .5 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_74.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_74_V1.GBL Parameters? "RS" => Globals were saved on 13 Dec 2010 10:49 AM Cache with description: LEX*2.0*74/ICD*18.0*52/ICPT*6.0*54 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*74. 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 LEX2074 and the Post-Install routine LEX2074P 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 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2074 Before: n/a After:B108082151 **74** Routine Name: LEX2074P Before: n/a After: B18905116 **74** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : OCT 12, 2010 Completed By: LEE,ROBERT Date Completed: JAN 04, 2011 Released By : SCHWARTZ,VIKIE Date Released : JAN 06, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT