$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 09/18/13 at 10:08 ============================================================================= Run Date: OCT 21, 2013 Designation: LEX*2*93 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #82 Status: Released Compliance Date: OCT 28, 2013 ============================================================================= Associated patches: (v)LEX*2*91 <<= must be installed BEFORE `LEX*2*93' Subject: Code Set FY14 1st Qtr Update Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY14 1st Quarter Code Set distribution with 8 changes effective Oct 1, 2013. This patch also contains 6 changes from FY13 2nd Qtr (effective Jan 1, 2013) and 14331 SNOMED CT changes (effective Jul 31, 2013). This patch installs the data for the following Informational patches: ICD*18.0*73 ICPT*6.0*65 This patch writes to the following files: ICD OPERATION/PROCEDURES #80.1 ^ICD0( ICR 4486 CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY14 1st Quarter Update ICD Procedure Additions ----------------------- Effective Oct 01, 2013 (4 Codes) 00.96 14.81 14.82 14.83 CPT Procedure Additions ----------------------- Effective Jan 01, 2013 (5 Codes) 90673 90685 90686 90687 90688 HCPCS Procedure Additions ------------------------- Effective Oct 01, 2013 (3 Codes) C1204 C1841 C9132 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2013 (1 Code) C9366 CPT Modifier Additions ---------------------- Effective Oct 01, 2013 (1 Code) AO SNOMED-CT Update ---------------- SNOMED CT designation codes have been added to the EXPRESSIONS file #757.01. REMEDY TICKETS: ============== 865226 - Reactivated HCPCS codes L3660 and L3675 856797 - Inactivate HCPCS code C9366 on Jan 2013 (Replaced by Q4131) 872782 - Inactivate HCPCS code C9366 on Jan 2013 (Duplicate) 878128 - Inactivate HCPCS code C9366 on Jan 2013 (Duplicate) 902111 - Inactivate HCPCS code C9366 on Jan 2013 (Duplicate) 907141 - Inactivate HCPCS code C9366 on Jan 2013 (Duplicate) 878732 - Modifier 50 for CPT range 36222-36228 900599 - Modifiers CH, CI, CJ, CK, CL, CM, and CN for HCPCS code G9186 FILE TRANSFER PROTOCOL (FTP) SOFTWARE RETRIEVAL: =============================================== Global Host File: LEX_2_93.GBL (ASCII) The preferred method is to FTP the files from download.vista.domain.ext, 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.domain.ext Albany ftp.fo-albany.domain.ext Salt Lake ftp.fo-slc.domain.ext Files are available in the ANONYMOUS.SOFTWARE directory. INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*93. 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: ICD Operation/Procedures #80.1 ^ICD0( CPT/HCPCS Procedure #81 ^ICPT( 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: ------ -------------------------- ^ICD0 ICD Operation/Procedures ^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(81.3, CPT Modifier 3) Install the data from the global host file LEX_2_93.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_93.GBL Parameters? "RS" => Globals were saved on 18 Sep 2013 10:02 AM Cache with description: LEX*2.0*93/ICD*18.0*73/ICPT*6.0*65 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*93. 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 LEX2093 and the Post-Install routines LEX2093P and LEX2093A 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 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2093 Before: n/a After:B170276146 **93** Routine Name: LEX2093A Before: n/a After: B35829700 **93** Routine Name: LEX2093P Before: n/a After: B19845993 **93** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : JUN 19, 2013 Completed By: CARTER,BRUCE C Date Completed: OCT 17, 2013 Released By : SCHWARTZ,VIKIE Date Released : OCT 21, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT