$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 03/15/11 at 15:03 ============================================================================= Run Date: APR 06, 2011 Designation: LEX*2*76 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #68 Status: Released Compliance Date: APR 13, 2011 ============================================================================= Associated patches: (v)LEX*2*74 <<= must be installed BEFORE `LEX*2*76' Subject: Code Set FY11 3rd Qtr Update Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY11 3rd Quarter Code Set distribution with 20 changes effective Apr 01, 2011. This patch also contains 23 changes from FY11 2nd Qtr (effective Jan 01, 2011) and 14 projected changes for FY11 4th Qtr (effective Jul 01, 2011). This patch installs the data for the following Informational patch: ICPT*6.0*55 This patch writes to the following files: 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 3rd Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2011 (14 Codes) 0262T 0263T 0264T 0265T 0266T 0267T 0268T 0269T 0270T 0271T 0272T 0273T 0274T 0275T CPT Procedure Inactivations --------------------------- Effective Jan 01, 2011 (2 Codes) 90470 90663 CPT Procedure Revisions ----------------------- Effective Apr 01, 2011 (3 Codes) 65779 74176 74178 HCPCS Procedure Additions (13 Codes) ------------------------- Effective Jan 01, 2011 (FY11 2nd Qtr) (8 Codes) D1352 D3354 D5992 D5993 D6254 D6795 D7251 D7295 Effective Apr 01, 2011 (5 Codes) C9280 C9281 C9282 C9729 Q2040 HCPCS Procedure Inactivations ----------------------------- Effective Apr 01, 2011 (5 Codes) C9278 Q1003 S2270 S2344 S3905 HCPCS Procedure Revisions (16 Codes) ------------------------- Effective Jan 01, 2011 (FY11 2nd Qtr) (10 Codes) D0486 D2940 D3351 D3352 D6055 D7210 D7960 D9215 D9230 D9420 Effective Apr 01, 2011 (6 Codes) G0159 G0160 G0161 G0162 G0163 G0164 CPT Modifier Revisions ---------------------- Effective Apr 01, 2011 (1 Code) 27 CPT Modifier Range Changes -------------------------- Mod Effective Added Inact Rev Total --- ---------- ----- ----- --- ----- AZ 04/01/2011 1 -- -- 1 RA 04/01/2011 3 2 -- 5 TC 04/01/2011 1 -- -- 1 ----- ----- --- ----- 5 2 0 7 SNOMED CT changes: ----------------- Effective Added Inact React Re-Use Rev Total ---------- ----- ----- ----- ------ --- ----- 01/31/2011 1902 211 4 -- 130 2247 REMEDY TICKETS: ============== 449810 - CPT code 32422 w/modifiers LT, RT, 50 456830 - CPT code 32480 w/modifiers LT, RT, 50 461857 - CPT codes 92132/92134 w/modifiers TC and 26 462162 - CPT codes 92133/92134 w/modifiers TC and 26 464021 - CPT codes 99304/99305/99306 w/modifier AI 454057 - CVA/Stroke re-coded to ICD 434.91 456155 - E code E935.6 for NSAID Allergy FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_76.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*76. It is recommended that this patch be installed during non-peak hours. This patch should take from 20 to 71 minutes to install depending on the system. Create a backup 10-50 minutes Load the Global 2-3 minutes Kids Install 8-18 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 1.18 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: ------ -------------------------- ^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_76.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 109 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 2 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_76.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_76.GBL Parameters? "RS" => Globals were saved on 11 Mar 2011 9:34 AM Cache with description: LEX*2.0*76 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*76. 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 8-18 minutes 7) Cleanup a) The Environment Check routine LEX2076 and the Post-Install routine LEX2076P 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: LEX2076 Before: n/a After:B108072114 **76** Routine Name: LEX2076P Before: n/a After: B32310342 **76** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : JAN 12, 2011 Completed By: CARTER,BRUCE C Date Completed: APR 05, 2011 Released By : SCHWARTZ,VIKIE Date Released : APR 06, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT