$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Wednesday, 03/20/13 at 15:38 ============================================================================= Run Date: APR 04, 2013 Designation: LEX*2*90 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #80 Status: Released Compliance Date: APR 11, 2013 ============================================================================= Associated patches: (v)LEX*2*89 <<= must be installed BEFORE `LEX*2*90' Subject: Code Set FY13 3rd Qtr Update Category: - Routine - Other - Data Dictionary - Enhancement (Mandatory) Description: ============ This patch contains the FY13 3rd Quarter Code Set distribution with 3 changes effective Apr 01, 2013. This patch also contains 401 changes from FY13 2nd Qtr (effective Jan 01, 2013). This patch installs the data for the following Informational patch: ICPT*6.0*63 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 ============ FY13 3rd Quarter Update CPT Procedure Additions ----------------------- Effective Jan 01, 2013 (56 Codes) 0319T 0320T 0321T 0322T 0323T 0324T 0325T 0326T 0327T 0328T 0329T 0330T 0331T 0332T 0333T 0580F 0581F 0582F 0583F 0584F 1500F 1501F 1502F 1503F 1504F 1505F 3751F 3752F 3753F 3754F 3755F 3756F 3757F 3758F 3759F 3760F 3761F 3762F 3763F 4540F 4541F 4550F 4551F 4552F 4553F 4554F 4555F 4556F 4557F 4558F 4559F 4560F 4561F 4562F 4563F 81161 CPT Procedure Revisions ----------------------- Effective Jan 01, 2013 (3 Codes) 0182T 71034 87631 HCPCS Procedure Additions (163 Codes) ------------------------- Effective Jan 01, 2013 (FY13 2nd Qtr) (160 Codes) A4435 A9586 C9294 C9295 C9296 C9600 C9601 C9602 C9603 C9604 C9605 C9606 C9607 C9608 E2378 G0452 G0453 G0454 G0455 G0456 G0457 G0458 G8919 G8920 G8921 G8922 G8923 G8924 G8925 G8926 G8927 G8928 G8929 G8930 G8931 G8932 G8933 G8934 G8935 G8936 G8937 G8938 G8939 G8940 G8941 G8942 G8943 G8944 G8945 G8946 G8947 G8948 G8949 G8950 G8951 G8952 G8953 G8954 G8955 G8956 G8957 G8958 G8959 G8960 G8961 G8962 G8963 G8964 G8965 G8966 G8967 G8968 G8969 G8970 G8971 G8972 G8973 G8974 G8975 G8976 G8977 G8978 G8979 G8980 G8981 G8982 G8983 G8984 G8985 G8986 G8987 G8988 G8989 G8990 G8991 G8992 G8993 G8994 G8995 G8996 G8997 G8998 G8999 G9148 G9149 G9150 G9151 G9152 G9153 G9157 G9158 G9159 G9160 G9161 G9162 G9163 G9164 G9165 G9166 G9167 G9168 G9169 G9170 G9171 G9172 G9173 G9174 G9175 G9176 G9186 J0178 J0485 J0716 J1744 J2212 J7178 J7527 J9002 J9019 J9042 L5859 L7902 Q4131 Q4132 Q4133 Q4134 Q4135 Q4136 Q9969 S9110 V5281 V5282 V5283 V5284 V5285 V5286 V5287 V5288 V5289 V5290 Effective Apr 01, 2013 (3 Codes) Q0507 Q0508 Q0509 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2013 (6 Codes) E0670 J0890 J1050 J1741 J7315 L8605 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2013 (167 Codes) A6021 A6022 A6023 C9290 C9724 E0300 E1020 E2368 E2369 E2370 G0416 G0446 G0909 G0921 G0922 G8400 G8417 G8418 G8419 G8427 G8428 G8430 G8431 G8432 G8433 G8450 G8452 G8475 G8478 G8483 G8484 G8485 G8490 G8494 G8495 G8499 G8509 G8510 G8511 G8532 G8536 G8539 G8541 G8542 G8543 G8553 G8558 G8563 G8568 G8577 G8578 G8592 G8594 G8599 G8602 G8604 G8607 G8610 G8613 G8616 G8619 G8622 G8625 G8632 G8635 G8650 G8654 G8658 G8662 G8666 G8670 G8674 G8682 G8683 G8685 G8697 G8698 G8707 G8714 G8717 G8720 G8722 G8724 G8726 G8728 G8732 G8733 G8735 G8736 G8737 G8740 G8751 G8752 G8753 G8754 G8755 G8756 G8757 G8758 G8759 G8763 G8769 G8773 G8775 G8776 G8778 G8779 G8782 G8783 G8784 G8785 G8796 G8801 G8807 G8808 G8810 G8811 G8812 G8815 G8817 G8833 G8838 G8841 G8843 G8844 G8849 G8850 G8854 G8855 G8858 G8859 G8860 G8862 G8863 G8867 G8873 G8876 G8877 G8879 G8880 G8887 G8889 G8894 G8895 G8896 G8897 G8898 G8899 G8900 G8904 J1561 J1569 J9020 J9280 L5972 L6000 L6010 L6020 L8000 L8001 L8002 Q4119 Q4126 Q4128 S0353 S0354 V5267 CPT Modifier Additions ---------------------- Effective Jan 01, 2013 (8 Codes) CH CI CJ CK CL CM CN LM CPT Modifiers Re-Used --------------------- Effective Jan 01, 2013 (1 Code) RI REMEDY TICKETS: ============== 820887 - Activate CPT code 71034 809831 - Modifiers LT/RT for V2100-V2599 812051 - Modifier GT for Mental Health (SDO) 816218 - Modifiers AH/AJ for Mental Health 816331 - Modifiers AH/AJ for Mental Health 816690 - Modifiers AH/AJ for Mental Health 816302 - Add Missing J* HCPCS codes (SDO) 817585 - Add Missing J* HCPCS codes (SDO) 817594 - Modifier 25 Description 820104 - Modifier 25 Description 820197 - Modifier 25 Description 821293 - Modifier 25 Description 819559 - Missing HCPCS/Pairings (SDO) 821456 - New HCPCS code G0452 with modifier 26 (SDO) FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_90.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*90. 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 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_90.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_90.GBL Parameters? "RS" => Globals were saved on 20 Mar 2013 4:16 PM Cache with description: LEX*2.0*90/ICPT*6.0*63 Install 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*90. 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 LEX2090 and the Post-Install routine LEX2090P 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 7 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2090 Before: n/a After:B144876859 **90** Routine Name: LEX2090P Before: n/a After: B21913515 **90** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : FEB 12, 2013 Completed By: LEE,ROBERT Date Completed: APR 02, 2013 Released By : SCHWARTZ,VIKIE Date Released : APR 04, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT