$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 01/08/13 at 18:39 ============================================================================= Run Date: FEB 06, 2013 Designation: LEX*2*89 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #79 Status: Released Compliance Date: FEB 13, 2013 ============================================================================= Associated patches: (v)LEX*2*51 <<= must be installed BEFORE `LEX*2*89' (v)LEX*2*84 <<= must be installed BEFORE `LEX*2*89' Subject: Code Set FY13 2nd Qtr Update Category: - Routine - Other - Data Dictionary - Enhancement (Mandatory) Description: ============ This patch contains the FY13 2nd Quarter Code Set distribution with 749 changes effective Jan 01, 2013. This patch also contains two changes from FY12 3rd Qtr (effective Apr 01, 2012). This patch installs the data for the following Informational patch: ICPT*6.0*62 This patch writes to the following files: 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 ============ FY13 2nd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2013 (157 Codes) 0309T 0310T 0311T 0312T 0313T 0314T 0315T 0316T 0317T 0318T 22586 23473 23474 24370 24371 31647 31648 31649 31660 31661 32554 32555 32556 32557 32701 33361 33362 33363 33364 33365 33367 33368 33369 33990 33991 33992 33993 36221 36222 36223 36224 36225 36226 36227 36228 37197 37211 37212 37213 37214 38243 43206 43252 44705 52287 64615 78012 78013 78014 78071 78072 81201 81202 81203 81235 81252 81253 81254 81321 81322 81323 81324 81325 81326 81479 81500 81503 81506 81508 81509 81510 81511 81512 81599 82777 86152 86153 86711 86828 86829 86830 86831 86832 86833 86834 86835 87631 87632 87633 87910 87912 88375 90672 90739 90785 90791 90792 90832 90833 90834 90836 90837 90838 90839 90840 90863 91112 92920 92921 92924 92925 92928 92929 92933 92934 92937 92938 92941 92943 92944 93653 93654 93655 93656 93657 95076 95079 95782 95783 95907 95908 95909 95910 95911 95912 95913 95924 95940 95941 95943 99485 99486 99487 99488 99489 99495 99496 CPT Procedure Inactivations --------------------------- Effective Jan 01, 2013 (118 Codes) 0030T 0048T 0050T 0173T 0242T 0250T 0251T 0252T 0256T 0257T 0258T 0259T 0276T 0277T 0279T 0280T 29590 31656 31715 32420 32421 32422 37201 37203 37209 43234 65805 71034 71040 71060 75650 75660 75662 75665 75671 75680 75685 75900 75961 78000 78001 78003 78006 78007 78010 78011 83890 83891 83892 83893 83894 83896 83897 83898 83900 83901 83902 83903 83904 83905 83906 83907 83908 83909 83912 83913 83914 88384 88385 88386 90665 90701 90718 90801 90802 90804 90805 90806 90807 90808 90809 90810 90811 90812 90813 90814 90815 90816 90817 90818 90819 90821 90822 90823 90824 90826 90827 90828 90829 90857 90862 92980 92981 92982 92984 92995 92996 93651 93652 95010 95015 95075 95900 95903 95904 95920 95934 95936 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2013 (4 Codes) 31651 90653 95017 95018 CPT Procedure Revisions ----------------------- Effective Jan 01, 2013 (261 Codes) 0195T 0196T 01991 01992 0206T 1005F 15740 2060F 20665 22522 28890 32551 33225 36400 36405 36406 36410 38240 38241 38242 4240F 5010F 5020F 5100F 59300 62370 64561 64612 64614 65800 67810 72040 72050 72052 75896 75898 76000 76001 76376 76377 76885 76886 77051 77052 77071 78070 81400 81401 81402 81403 81404 81405 81406 81407 81408 82009 82010 87498 87521 87522 87535 87536 87538 87539 87901 90655 90656 90657 90658 90660 90746 90875 90876 90889 90935 90945 90947 90951 90952 90953 90954 90955 90956 90957 90958 90959 90960 90961 90962 91110 91111 92286 92287 92613 92615 92617 92973 93015 93016 93224 93227 93228 93229 93268 93272 93279 93280 93281 93282 93283 93284 93285 93286 93287 93288 93289 93290 93291 93292 93293 93294 93295 93297 93298 93351 93745 93750 93790 93797 93798 94014 94016 94452 94453 94610 94774 94777 95004 95024 95027 95120 95125 95130 95131 95132 95133 95134 95808 95810 95811 95830 95954 95961 95962 95991 96004 96020 97530 97532 97533 97535 97537 97755 98969 99000 99001 99002 99070 99071 99078 99091 99143 99144 99145 99148 99149 99150 99174 99183 99201 99202 99203 99204 99205 99211 99212 99213 99214 99215 99217 99218 99219 99220 99221 99222 99223 99224 99225 99226 99231 99232 99233 99234 99235 99236 99241 99242 99243 99244 99245 99251 99252 99253 99254 99255 99281 99282 99283 99284 99285 99288 99304 99305 99306 99307 99308 99309 99310 99318 99324 99325 99326 99327 99328 99334 99335 99336 99337 99341 99342 99343 99344 99345 99347 99348 99349 99350 99360 99374 99375 99377 99378 99379 99380 99441 99442 99443 99444 99464 99466 99467 HCPCS Procedure Additions ------------------------- Effective Jan 01, 2013 (35 Codes) D0190 D0191 D0364 D0365 D0366 D0367 D0368 D0369 D0370 D0371 D0380 D0381 D0382 D0383 D0384 D0385 D0386 D0391 D1208 D2929 D2981 D2982 D2983 D2990 D4212 D4277 D4278 D6051 D6101 D6102 D6103 D6104 D7921 D7952 D9975 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2013 (12 Codes) D0360 D0362 D1203 D1204 D4271 D6254 D6795 D6970 D6972 D6973 D6976 D6977 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2013 (117 Codes) D0145 D0210 D0220 D0240 D0250 D0260 D0270 D0272 D0273 D0274 D0290 D0321 D0330 D0340 D0363 D0486 D1206 D1555 D2970 D2980 D3310 D3320 D3330 D3351 D3352 D4230 D4231 D5281 D6010 D6012 D6040 D6050 D6055 D6058 D6059 D6060 D6061 D6062 D6063 D6064 D6065 D6066 D6067 D6068 D6069 D6070 D6071 D6072 D6073 D6074 D6075 D6076 D6077 D6078 D6079 D6091 D6092 D6093 D6205 D6210 D6211 D6212 D6240 D6241 D6242 D6245 D6250 D6251 D6252 D6253 D6545 D6548 D6600 D6601 D6602 D6603 D6604 D6605 D6606 D6607 D6608 D6609 D6610 D6611 D6612 D6613 D6614 D6615 D6624 D6634 D6710 D6720 D6721 D6722 D6740 D6750 D6751 D6752 D6780 D6781 D6782 D6783 D6790 D6791 D6792 D6793 D6794 D6980 D7210 D7250 D7530 D7680 D8693 D9120 D9230 D9242 D9612 CPT Modifier Inactivations -------------------------- Effective Apr 01, 2012 (2 Codes) V8 V9 CPT Modifier Revisions ---------------------- Effective Jan 01, 2013 (45 Codes) 22 23 24 25 26 27 32 33 47 50 51 52 53 54 55 56 57 58 59 62 63 66 73 74 76 77 78 79 80 81 82 90 91 92 99 E1 E2 E3 E4 LC LD LT QM QN RT REMEDY TICKETS: ============== 725282 - Inactive Modifiers V8/V9 (CMS TR 2423) 757785 - Fix Modifier 33 Effective Date 726495 - Modifier 50 with codes 64633-64636 522573 - Cephalgia added as synonym to Headache 784.0 614994 - Dystrophy of toenails coded as 703.8 717720 - Update/Code selected terms in the Lexicon 725690 - 1527* series CPT codes with Modifier 51 529936 - 992** CPT codes with Modifier GV FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_89.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*89. It is recommended that this patch be installed during non-peak hours. This patch should take from 24 to 57 minutes to install depending on the system. Create a backup 20 - 47 minutes Load the Global .5 - 3 minutes Kids Install 3 - 7 minutes Total 24 - 57 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 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 1.2 gigabytes. Make sure space is available before proceeding. It should take from 20 to 47 minutes to create the backup files. Before you begin backing up the data in the ^LEX global, first clear out the UNRESOLVED NARRATIVE file 757.06. This will prevent the backup procedure from encountering a control character and aborting in error. At the programmer prompt, issue the following MUMPS command to remove the control characters: >D CLR^LEXAR7 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(81.2, CPT Copyright ^DIC(81.3, CPT Modifier 3) Install the data from the global host file LEX_2_89.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 12 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 3 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_89.GBL Parameters? "RS" => Globals were saved on 10 Jan 2013 2:34 PM Cache with description: LEX*2.0*89/ICPT*6.0*62 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*89. 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 3 to 7 minutes 7) Cleanup a) The Environment Check routine LEX2089 and the Post-Install routine LEX2089P 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: LEX2089 Before: n/a After:B130286789 **89** Routine Name: LEX2089P Before: n/a After: B23289215 **89** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : OCT 23, 2012 Completed By: LEE,ROBERT Date Completed: FEB 05, 2013 Released By : SCHWARTZ,VIKIE Date Released : FEB 06, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT