$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 06/01/15 at 10:11 ============================================================================= Run Date: JUN 30, 2015 Designation: LEX*2*100 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #92 Status: Released Compliance Date: JUL 08, 2015 ============================================================================= Associated patches: (v)LEX*2*99 <<= must be installed BEFORE `LEX*2*100' Subject: Code Set FY15 4th Qtr Update Category: - Enhancement (Mandatory) - Other - Data Dictionary - Routine Description: ============ This patch contains the FY15 4th Quarter Code Set distribution with 3 changes effective Jul 01, 2015. This patch also contains one change from FY94 3rd Qtr (effective Jun 01, 1994), one change from FY13 2nd Qtr (effective Jan 01, 2013), 20 changes from FY15 2nd Qtr (effective Jan 01, 2015), one change from FY15 2nd Qtr (effective Mar 31, 2015), 11 changes from FY15 3rd Qtr (effective Apr 01, 2015) and one change from FY15 3rd Qtr (effective Jun 30, 2015). Additionally, this patch exports 4071 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*72 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 SUBSET DEFINITIONS #757.2 ^LEXT( N/A ENHANCEMENTS ============ FY15 4th Quarter Update CPT Procedure Additions (13 Codes) ----------------------- Effective Jan 01, 2015 (FY15 2nd Qtr) (11 Codes) 0381T 0382T 0383T 0384T 0385T 0386T 0387T 0388T 0389T 0390T 0391T Effective Jul 01, 2015 (2 Codes) 0392T 0393T CPT Procedure Inactivations --------------------------- Effective Jan 01, 2015 (8 Codes) 80440 82000 82003 82055 82101 82145 82205 82520 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2015 (1 Code) 90620 HCPCS Procedure Additions ------------------------- Effective Apr 01, 2015 (11 Codes) C2623 C9445 C9448 C9449 C9450 C9451 C9452 Q5101 Q9976 Q9977 Q9978 HCPCS Procedure Inactivations (3 Codes) ----------------------------- Effective Jun 01, 1994 (FY94 3rd Qtr) (1 Code) E1020 Effective Mar 31, 2015 (FY15 2nd Qtr) (1 Code) C9136 Effective Jul 01, 2015 (1 Code) S8262 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2013 (1 Code) J7315 CPT Modifier Inactivations -------------------------- Effective Jun 30, 2015 (1 Code) JF CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2015 * 45 -- -- -- 45 Effective Apr 01, 2015 * 68 -- -- -- 68 Effective Jul 01, 2015 56 -- -- -- 56 ----- ----- ----- ------ ----- Total 169 -- -- -- 169 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2015 839 -- -- 2 841 SNOMED Terms Synonyms 07/01/2005 16 345 -- -- 361 Synonyms 07/01/2006 -- 2 -- -- 2 Synonyms 01/31/2007 -- 33 -- -- 33 Synonyms 07/31/2007 -- 136 -- -- 136 Synonyms 01/31/2008 -- 2 -- -- 2 Synonyms 07/31/2008 3 2 -- -- 5 Synonyms 01/31/2009 -- 2 -- -- 2 Synonyms 07/31/2009 -- 1 -- -- 1 Synonyms 07/31/2010 -- 3 -- -- 3 Synonyms 01/31/2012 -- 1 -- -- 1 Synonyms 01/31/2013 -- 2 -- -- 2 Synonyms 01/31/2014 -- 1 -- -- 1 Synonyms 09/01/2014 4 22 -- -- 26 Synonyms 01/31/2015 50 630 -- -- 680 Concepts 03/01/2015 841 -- -- -- 841 Synonyms 03/01/2015 289 4 -- -- 293 Fully Specified 03/01/2015 841 -- -- -- 841 ----- ----- ----- ------ ----- 2883 1186 -- 2 4071 REMEDY TICKETS: ============== 1226385 - Inactive Lab CPT codes 80440/82000/82055 1224746 - Re-Activate HCPCS codes E1018/E1020/E1028/E1029 1229707 - Re-Activate HCPCS codes E1018/E1020/E1028/E1029 (Dupe) 1234418 - Fix HCPCS code J7315 Name/Description spelling errors 1245922 - Modifiers AU/AV/AW with A4217/A5120/A6531/A6532/A6545 1250053 - Inactivate Lab Codes 82000-82742 and Reuse CPT code 90620 OTHER CHANGES: ============= Code G8739 was incorrectly identified as a CPT code Numerous alpha modifiers identified as CPT vs. HCPCS Update the SNOMED CT version number in file 757.03 Update Hierarchies; Linkage Concept, Link Assertion & Racial Groups Fix duplicate CPT Modifier JE (ambulance code JE discontinued) Removed restrictive keywords from the Excluded Words file #757.04 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_100.GBL (ASCII) The host file is 98 MB in size and could take up to 3 to 4 minutes to FTP. 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.domain.ext Albany ftp.domain.ext Salt Lake ftp.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*100. It is recommended that this patch be installed during non-peak hours. This patch should take from 59 to 82 minutes to install depending on the system. Create a backup 50 - 70 minutes Load the Global 2 - 3 minutes Kids Install 7 - 9 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 15 MB of data. The import global ^LEXM is about 75 MB in size. Make sure there is sufficient space for the growth to the VistA globals and the import global before continuing. 3) Create a backup of the following global files before continuing: CPT #81 ^ICPT( CPT Category #81.1 ^DIC(81.1, CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( These backup files may get as large as 1.8 gigabytes. Make sure space is available before proceeding. It should take from 50 to 70 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 ^LEX Lexicon Files ^LEXT Lexicon Subsets 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 4) Install the data from the global host file LEX_2_100.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 75 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. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_100.GBL Parameters? "RS" => Globals were saved on 04 Jun 2015 6:07 PM Cache with description: LEX*2.0*100/ICPT*6.0*72 Data Input option: A ^LEXM 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*100. 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 7 to 9 minutes 8) Cleanup a) The Environment Check routine LEX2100 and the Post-Install routine LEX2100P 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: LEX2100 Before: n/a After:B152642792 **100** Routine Name: LEX2100P Before: n/a After: B20895599 **100** ============================================================================= User Information: Entered By : Date Entered : JUN 01, 2015 Completed By: Date Completed: JUN 26, 2015 Released By : Date Released : JUN 30, 2015 ============================================================================= Packman Mail Message: ===================== $END TXT