$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 09/09/08 at 14:05 ============================================================================= Run Date: OCT 15, 2008 Designation: LEX*2*61 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #56 Status: Released Compliance Date: OCT 22, 2008 ============================================================================= Associated patches: (v)LEX*2*59 <<= must be installed BEFORE `LEX*2*61' Subject: Code Set FY09 1st Qtr Update Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY09 1st Quarter Code Set distribution with 686 changes effective Oct 01, 2008. This patch also contains six changes for FY09 2nd Qtr (effective Jan 01, 2009). This patch installs the data for the following Informational patches: ICD*18.0*38 ICPT*6.0*44 This patch writes to the following files: ICD Diagnosis #80 ^ICD9( ICR 4485 ICD Operation/Procedure #80.1 ^ICD0( ICR 4486 CPT/HCPCS Procedure #81 ^ICPT( ICR 4489 CPT Category #81.1 ^DIC(81.1, ICR 4490 Lexicon Files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY09 1st Quarter Update CPT Procedure Additions (48 Codes) ----------------------- Effective Oct 01, 2008 (42 Codes) 0575F 1180F 1220F 3250F 3321F 3322F 3370F 3372F 3374F 3376F 3378F 3380F 3382F 3384F 3386F 3388F 3390F 3500F 3502F 3503F 3510F 3511F 3512F 3515F 3550F 3551F 3552F 3555F 3570F 3572F 3573F 4148F 4149F 4270F 4271F 4274F 4275F 4290F 4293F 4300F 4301F 4320F Effective Jan 01, 2009 (FY09 2nd Qtr) (6 Codes) 0193T 0194T 0195T 0196T 0197T 0198T CPT Procedure Inactivations --------------------------- Effective Oct 01, 2008 (14 Codes) 3302F 3303F 3304F 3305F 3306F 3307F 3308F 3309F 3310F 3311F 3312F 4152F 4154F 4156F CPT Procedure Revisions ----------------------- Effective Oct 01, 2008 (63 Codes) 0513F 0514F 0516F 0517F 0518F 0519F 0520F 0521F 0526F 1119F 1121F 1123F 1124F 1125F 1126F 1128F 3218F 3265F 3266F 3268F 3271F 3272F 3273F 3288F 3292F 3300F 3301F 3317F 3318F 3319F 3320F 3340F 3341F 3342F 3343F 3344F 3350F 4040F 4130F 4158F 4163F 4164F 4167F 4168F 4171F 4172F 4174F 4176F 4177F 4178F 4180F 4181F 4182F 4185F 4186F 4187F 4200F 4201F 4245F 4250F 5050F 5062F 6030F HCPCS Procedure Additions ------------------------- Effective Oct 01, 2008 (9 Codes) C9243 C9244 C9359 C9898 S2118 S2270 S3860 S3861 S3862 HCPCS Procedure Inactivations ----------------------------- Effective Oct 01, 2008 (1 Code) S0141 HCPCS Procedure Revisions ------------------------- Effective Oct 01, 2008 (1 Code) S0088 ICD Diagnosis Additions ----------------------- Effective Oct 01, 2008 (374 Codes) 038.12 041.12 046.11 046.19 046.71 046.72 046.79 051.01 051.02 059.00 059.01 059.09 059.10 059.11 059.12 059.19 059.20 059.21 059.22 059.8 059.9 078.12 136.21 136.29 199.2 203.02 203.12 203.82 204.02 204.12 204.22 204.82 204.92 205.02 205.12 205.22 205.32 205.82 205.92 206.02 206.12 206.22 206.82 206.92 207.02 207.12 207.22 207.82 208.02 208.12 208.22 208.82 208.92 209.00 209.01 209.02 209.03 209.10 209.11 209.12 209.13 209.14 209.15 209.16 209.17 209.20 209.21 209.22 209.23 209.24 209.25 209.26 209.27 209.29 209.30 209.40 209.41 209.42 209.43 209.50 209.51 209.52 209.53 209.54 209.55 209.56 209.57 209.60 209.61 209.62 209.63 209.64 209.65 209.66 209.67 209.69 238.77 249.00 249.01 249.10 249.11 249.20 249.21 249.30 249.31 249.40 249.41 249.50 249.51 249.60 249.61 249.70 249.71 249.80 249.81 249.90 249.91 259.50 259.51 259.52 275.5 279.50 279.51 279.52 279.53 289.84 337.00 337.01 337.09 339.00 339.01 339.02 339.03 339.04 339.05 339.09 339.10 339.11 339.12 339.20 339.21 339.22 339.3 339.41 339.42 339.43 339.44 339.81 339.82 339.83 339.84 339.85 339.89 346.02 346.03 346.12 346.13 346.22 346.23 346.30 346.31 346.32 346.33 346.40 346.41 346.42 346.43 346.50 346.51 346.52 346.53 346.60 346.61 346.62 346.63 346.70 346.71 346.72 346.73 346.82 346.83 346.92 346.93 349.31 349.39 362.20 362.22 362.23 362.24 362.25 362.26 362.27 364.82 372.34 414.3 482.42 511.81 511.89 530.13 535.70 535.71 558.41 558.42 569.44 571.42 599.70 599.71 599.72 611.81 611.82 611.83 611.89 612.0 612.1 625.70 625.71 625.79 649.70 649.71 649.73 678.00 678.01 678.03 678.10 678.11 678.13 679.00 679.01 679.02 679.03 679.04 679.10 679.11 679.12 679.13 679.14 695.10 695.11 695.12 695.13 695.14 695.15 695.19 695.50 695.51 695.52 695.53 695.54 695.55 695.56 695.57 695.58 695.59 707.20 707.21 707.22 707.23 707.24 707.25 729.90 729.91 729.92 729.99 733.96 733.97 733.98 760.61 760.62 760.63 760.64 777.50 777.51 777.52 777.53 780.60 780.61 780.62 780.63 780.64 780.65 780.72 788.91 788.99 795.07 795.10 795.11 795.12 795.13 795.14 795.15 795.16 795.18 795.19 796.70 796.71 796.72 796.73 796.74 796.75 796.76 796.77 796.78 796.79 997.31 997.39 998.30 998.33 999.81 999.82 999.88 999.89 E927.0 E927.1 E927.2 E927.3 E927.4 E927.8 E927.9 V02.53 V02.54 V07.51 V07.52 V07.59 V12.04 V13.51 V13.52 V13.59 V15.21 V15.22 V15.29 V15.51 V15.59 V23.85 V23.86 V28.81 V28.82 V28.89 V45.11 V45.12 V45.87 V45.88 V46.3 V51.0 V51.8 V61.01 V61.02 V61.03 V61.04 V61.05 V61.06 V61.09 V62.21 V62.22 V62.29 V87.01 V87.09 V87.11 V87.12 V87.19 V87.2 V87.31 V87.39 V87.41 V87.42 V87.49 V88.01 V88.02 V88.03 V89.01 V89.02 V89.03 V89.04 V89.05 V89.09 ICD Diagnosis Inactivations --------------------------- Effective Oct 01, 2008 (26 Codes) 046.1 051.0 136.2 259.5 337.0 511.8 599.7 611.8 695.1 729.9 760.6 777.5 780.6 788.9 795.1 997.3 999.8 E927. V13.5 V15.2 V15.5 V28.8 V45.1 V51. V61.0 V62.2 ICD Diagnosis Revisions ----------------------- Effective Oct 01, 2008 (58 Codes) 038.11 041.11 203.00 203.10 203.80 204.00 204.10 204.20 204.80 204.90 205.00 205.10 205.20 205.30 205.80 205.90 206.00 206.10 206.20 206.80 206.90 207.00 207.10 207.20 207.80 208.00 208.10 208.20 208.80 208.90 346.00 346.01 346.10 346.11 346.20 346.21 346.80 346.81 346.90 346.91 386.01 386.02 386.03 482.41 707.00 707.01 707.02 707.03 707.04 707.05 707.06 707.07 707.09 795.08 998.31 998.32 V28.3 V45.71 ICD Procedure Additions ----------------------- Effective Oct 01, 2008 (60 Codes) 00.49 00.58 00.59 00.67 00.68 00.69 17.11 17.12 17.13 17.21 17.22 17.23 17.24 17.31 17.32 17.33 17.34 17.35 17.36 17.39 17.41 17.42 17.43 17.44 17.45 17.49 33.72 37.36 37.55 37.60 38.23 45.81 45.82 45.83 48.40 48.42 48.43 48.50 48.51 48.52 48.59 53.42 53.43 53.62 53.63 53.71 53.72 53.75 53.83 53.84 80.53 80.54 85.70 85.71 85.72 85.73 85.74 85.75 85.76 85.79 ICD Procedure Inactivations --------------------------- Effective Oct 01, 2008 (4 Codes) 45.8 48.5 53.7 85.7 ICD Procedure Revisions ----------------------- Effective Oct 01, 2008 (34 Codes) 37.52 37.53 37.54 37.62 37.64 37.65 45.71 45.72 45.73 45.74 45.75 45.76 45.79 53.01 53.02 53.03 53.04 53.11 53.12 53.13 53.14 53.15 53.16 53.41 53.49 53.61 53.69 81.65 81.66 84.56 93.90 96.70 96.71 96.72 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_61.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*61. It is recommended that this patch be installed during non-peak hours. This patch should take from 23 to 96 minutes to install depending on the system. Create a backup 20-80 minutes Load the Global .5-1 minute KIDS Install 2-15 minutes 2) Create a backup of the following global files before continuing: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( CPT/HCPCS Procedure #81 ^ICPT( CPT Category #81.1 ^DIC(81.1, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 1.13 gigabytes. Make sure space is available before proceeding. It should take from 20 to 80 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/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 3) Make sure that the remnants of a previous import global do not exist on your system. If the global ^LEXM does exist, you will need to kill this global before proceeding. On a Cache system, the prevention of unsubscripted global kills is a system wide setting, but it can be allowed for a particular process using the $ZU command. The command for enabling unsubscripted global kills is: VAH>S X=$ZU(68,28,0) VAH>K ^LEXM The command for disabling unsubscripted kills for a process is S X=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_61.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 4.54 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 30 seconds to 1 minute. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_61.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_61.GBL Parameter: RS=> Globals were saved on 23 Sep 2008 11:19 AM Cache with description: LEX*2*61/ICD*18*38/ICPT*6*44 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*61. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Schedule Options, Menu Options, and Protocols?" prompt. The KIDS install should take from 2-15 minutes 8) Cleanup The Environment Check routine LEX2061 and the Post-Install routine LEX2061P 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: LEX2061 Before: n/a After: B82298916 **61** Routine Name: LEX2061P Before: n/a After: B2423141 **61** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : JUL 25, 2008 Completed By: CARTER,BRUCE C Date Completed: OCT 08, 2008 Released By : SCHWARTZ,VIKIE Date Released : OCT 15, 2008 ============================================================================= Packman Mail Message: ===================== $END TXT