$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Friday, 09/04/15 at 13:22 ============================================================================= Run Date: SEP 30, 2015 Designation: LEX*2*101 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #93 Status: Released Compliance Date: OCT 07, 2015 ============================================================================= Associated patches: (v)LEX*2*100 <<= must be installed BEFORE `LEX*2*101' Subject: Code Set FY16 1st Qtr Update Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY16 1st Quarter Code Set distribution with 51 changes effective Oct 01, 2015. This patch also contains 297 changes from FY15 4th Qtr (effective Jul 01, 2015) and 74 projected changes for FY16 2nd Qtr (effective Jan 01, 2016). Additionally, this patch exports 5016 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*83 ICPT*6.0*73 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 ICD OPERATION/PROCEDURE #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 ============ FY16 1st Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2015 (9 Codes) 3513F 3514F 9001F 9002F 9003F 9004F 9005F 9006F 9007F CPT Procedure Inactivations --------------------------- Effective Jul 01, 2015 (3 Codes) 45355 50021 75676 CPT Procedure Revisions ----------------------- Effective Jul 01, 2015 (283 Codes) 0340T 0341T 0342T 0364T 0365T 0521F 1031F 1040F 1065F 1134F 1135F 1136F 1137F 11719 11770 11771 11772 11950 11951 11954 11976 13100 13101 13120 13121 1400F 14350 15570 15600 15750 15775 15776 15781 15782 15850 15851 15876 15877 15878 15879 19301 20553 21011 21310 21315 21320 21325 21336 21337 21338 21339 21343 21386 21387 21401 21406 21407 22305 27760 3015F 3037F 3044F 3046F 3050F 3055F 3060F 3061F 3062F 31530 31535 31560 31570 3160F 3200F 3250F 3271F 3272F 3273F 3281F 3290F 3291F 3322F 3330F 3331F 33967 3451F 3498F 35501 35506 35508 35509 35511 35515 35516 35518 35521 35523 35526 35531 35533 35535 35536 35537 35538 35539 35540 35556 35558 35560 35563 35565 35583 35587 35601 35606 35612 35616 35621 35623 35632 35633 35634 35637 35638 35642 35645 35646 35647 35650 35654 35656 35661 35663 35665 35671 35691 35693 35694 35695 4064F 4065F 4142F 4148F 43247 45400 49590 50548 55870 59070 59072 6101F 6102F 63185 63190 63191 63200 64802 64820 64821 64823 70100 70110 71010 71015 71020 71030 71100 71110 71120 72020 72069 72070 72072 72074 72080 72100 72110 72120 72200 72202 72220 72240 72255 72265 74176 75872 78075 80321 82746 82777 82985 83001 83002 83150 83491 83498 83499 83775 83880 84081 84402 84445 85210 85220 85230 85240 85244 85245 85246 85247 85250 85260 85270 85280 85290 85291 85292 85300 85301 85302 85303 85305 85306 85345 85347 85348 85384 85385 85390 85475 86146 86147 86148 86225 86308 86309 86329 86376 86403 86406 86430 86651 86652 86653 86654 86664 86665 86671 86677 86689 86692 86694 86695 86696 86698 86701 86702 86703 86707 86708 86709 86723 87015 87046 91020 92015 92340 92341 92352 92353 92354 93880 93882 93886 93888 98925 98926 98927 98928 98929 98940 98941 98942 HCPCS Procedure Additions (20 Codes) ------------------------- Effective Oct 01, 2015 (1 Code) Q9979 Effective Jan 01, 2016 (projected FY16 2nd Qtr) (19 Codes) D0251 D0422 D0423 D1354 D4283 D4285 D5221 D5222 D5223 D5224 D7881 D8681 D9223 D9243 D9932 D9933 D9934 D9935 D9943 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2016 (8 Codes) D0260 D0421 D2970 D9220 D9221 D9241 D9242 D9931 HCPCS Procedure Revisions (49 Codes) ------------------------- Effective Jul 01, 2015 (FY15 4th Qtr) (2 Codes) L7900 L7902 Effective Jan 01, 2016 (projected FY16 2nd Qtr) (47 Codes) D0250 D0340 D2630 D2652 D4273 D4275 D4277 D4278 D5630 D5660 D5993 D6103 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 D6794 D9248 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2015 (50 Codes) 047K041 047K0D1 047K0Z1 047K341 047K3D1 047K3Z1 047K441 047K4D1 047K4Z1 047L041 047L0D1 047L0Z1 047L341 047L3D1 047L3Z1 047L441 047L4D1 047L4Z1 047M041 047M0D1 047M0Z1 047M341 047M3D1 047M3Z1 047M441 047M4D1 047M4Z1 047N041 047N0D1 047N0Z1 047N341 047N3D1 047N3Z1 047N441 047N4D1 047N4Z1 X2C0361 X2C1361 X2C2361 X2C3361 XR2G021 XR2H021 XW03321 XW03331 XW03341 XW03351 XW04321 XW04331 XW04341 XW04351 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/31/2015 2134 208 -- 25 2367 SNOMED Terms Concepts 07/01/2005 -- 177 -- -- 177 Synonyms 07/01/2005 -- 9 -- -- 9 Fully Specified 07/01/2005 9 177 -- -- 186 Concepts 01/01/2006 -- 3 -- -- 3 Fully Specified 01/01/2006 -- 3 -- -- 3 Synonyms 07/01/2006 -- 1 -- -- 1 Fully Specified 07/01/2006 1 -- -- -- 1 Concepts 07/31/2007 -- 1 -- -- 1 Fully Specified 07/31/2007 -- 1 -- -- 1 Concepts 07/31/2008 -- 4 -- -- 4 Fully Specified 07/31/2008 -- 4 -- -- 4 Concepts 07/31/2010 -- 2 -- -- 2 Fully Specified 07/31/2010 -- 2 -- -- 2 Concepts 01/31/2013 -- 1 -- -- 1 Fully Specified 01/31/2013 -- 1 -- -- 1 Concepts 09/01/2014 -- 11 -- -- 11 Synonyms 09/01/2014 -- 2 -- -- 2 Fully Specified 09/01/2014 2 11 -- -- 13 Concepts 01/31/2015 -- 9 -- -- 9 Fully Specified 01/31/2015 -- 9 -- -- 9 Concepts 07/31/2015 2159 -- -- -- 2159 Synonyms 07/31/2015 -- 50 -- -- 50 ----- ----- ----- ------ ----- 4305 686 -- 25 5016 REMEDY TICKETS: ============== 1272601 - Re-activate CPT range L5692-L5990 for Modifier 50 1301440 - Spelling error file 80, code 305.90, Description FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_101.GBL (ASCII) The host file is 92 MB in size and could take up to 3 to 5 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*101. It is recommended that this patch be installed during non-peak hours. This patch should take from 75 to 98 minutes to install depending on the system. Create a backup 70 to 90 minutes Load the Global 1 to 2 minutes Kids Install 4 to 6 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 9.4 MB of data. The import global ^LEXM is about 73.5 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: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( CPT #81 ^ICPT( CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 2.4 gigabytes. Make sure space is available before proceeding. It should take from 70 to 90 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^ICD0 ICD Operation/Procedure ^ICPT CPT ^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 4) Install the data from the global host file LEX_2_101.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 73.5 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 1 to 2 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_101.GBL Parameter: RS=> Globals were saved on 01 Sep 2015 3:10 PM Cache with description: LEX*2.0*101/ICPT*6.0*73/ICD*18.0*83 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*101. 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 4-6 minutes 8) Cleanup a) The Environment Check routine LEX2101 and the Post-Install routine LEX2101P 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2101 Before: n/a After:B152664265 **101** Routine Name: LEX2101P Before: n/a After: B20996091 **101** ============================================================================= User Information: Entered By : Date Entered : JUN 30, 2015 Completed By: Date Completed: SEP 30, 2015 Released By : Date Released : SEP 30, 2015 ============================================================================= Packman Mail Message: ===================== $END TXT