$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Monday, 12/15/08 at 12:34 ============================================================================= Run Date: FEB 18, 2009 Designation: LEX*2*63 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #57 Status: Released Compliance Date: FEB 25, 2009 ============================================================================= Associated patches: (v)LEX*2*61 <<= must be installed BEFORE `LEX*2*63' Subject: Code Set FY09 2nd Qtr Update Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Other Description: ============ This patch contains the FY09 2nd Quarter Code Set distribution with 1241 changes effective Jan 01, 2009 and 93 changes from previous Code Set updates. This patch also exports fixes (data only) for 8 problems reported on Remedy Tickets and installs the data for the following Informational patch: ICPT*6.0*45 This patch writes to the following files: CPT/HCPCS Procedure #81 ^ICPT( ICR 4489 CPT Category #81.1 ^DIC(81.1, ICR 4490 CPT Copyright #81.2 ^DIC(81.2, ICR 4491 CPT Modifier #81.3 ^DIC(81.3, ICR 4492 Lexicon Files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ LEX*2.0*63 Summary Changes for FY09 2nd Quarter: Code Set Effective Added Inact React Re-Use Rev Total ---------- ---------- ----- ----- ----- ------ --- ----- CPT Proc 01/01/2009 167 93 2 14 574 850 HCPCS Proc 01/01/2009 134 73 -- 6 159 372 CPT Mod 01/01/2009 3 2 -- 3 11 19 ----- ----- ----- ------ --- ----- 304 168 2 23 744 1241 Changes from previous quarters: Code Set Effective Added Inact React Re-Use Rev Total ---------- ---------- ----- ----- ----- ------ --- ----- CPT Proc 01/01/2006 -- 1 -- -- -- 1 CPT Proc 01/01/2008 -- 1 -- -- 1 2 HCPCS Proc 04/01/2002 -- 13 -- -- -- 13 HCPCS Proc 01/01/2003 -- 1 -- -- -- 1 HCPCS Proc 01/01/2004 -- 4 -- -- -- 4 HCPCS Proc 01/01/2007 -- 2 -- -- -- 2 HCPCS Proc 07/01/2008 4 -- -- -- -- 4 CPT Mod 01/01/1999 1 -- -- -- -- 1 CPT Mod 01/01/2000 -- 56 -- -- -- 56 CPT Mod 07/01/2002 1 -- -- -- -- 1 CPT Mod 10/01/2002 1 -- -- -- -- 1 CPT Mod 04/01/2003 1 -- -- -- -- 1 CPT Mod 01/01/2006 2 1 -- -- -- 3 CPT Mod 04/01/2006 1 -- -- -- -- 1 CPT Mod 07/01/2007 1 -- -- -- -- 1 CPT Mod 01/01/2008 1 -- -- -- -- 1 ----- ----- ----- ------ --- ----- 13 79 1 93 LEX*2.0*63 Detailed Listing CPT Procedure Additions ----------------------- Effective Jan 01, 2009 (167 Codes) 00211 00567 0528F 0529F 0535F 0540F 1150F 1151F 1152F 1153F 1157F 1158F 1159F 1160F 1170F 2050F 20696 20697 22856 22861 22864 27027 27057 3016F 3018F 3450F 3451F 3452F 3455F 3470F 3471F 3472F 3475F 3476F 3490F 3491F 3492F 3493F 3494F 3495F 3496F 3497F 3498F 35535 35570 35632 35633 35634 41512 41530 4192F 4193F 4194F 4195F 4196F 4260F 4261F 4265F 4266F 4267F 4268F 4269F 4276F 4279F 4280F 4305F 4306F 43273 43279 49652 49653 49654 49655 49656 49657 5100F 55706 61796 61797 61798 61799 61800 62267 63620 63621 64455 64632 65756 65757 77785 77786 77787 78808 83876 83951 85397 87905 88720 88740 88741 90959 90960 90961 90962 90963 90964 90965 90970 93228 93229 93279 93281 93282 93283 93284 93285 93286 93287 93288 93289 93290 93291 93292 93293 93294 93295 93296 93297 93298 93299 93306 93351 93352 95803 95992 96360 96361 96365 96366 96367 96368 96369 96370 96371 96372 96373 96374 96375 96376 96379 99460 99461 99462 99463 99464 99465 99466 99467 99468 99469 99471 99472 99475 99476 99478 99479 99480 CPT Procedure Inactivations (95 Codes) --------------------------- Effective Jan 01, 2006 (FY06 2nd Qtr) (1 Code) 0039T Effective Jan 01, 2008 (FY08 2nd Qtr) (1 Code) 4007F Effective Jan 01, 2009 (93 Codes) 0026T 0027T 0028T 0029T 0031T 0032T 0041T 0043T 0046T 0047T 0049T 0058T 0059T 0060T 0061T 0088T 0089T 0090T 0093T 0096T 0137T 0162T 1080F 20986 20987 46934 46935 46936 52606 52612 52614 52620 53853 61793 77781 77782 77783 77784 78890 78891 88400 90760 90761 90765 90766 90767 90768 90769 90770 90771 90772 90773 90774 90775 90776 90779 90918 90919 90920 90921 90922 90923 90924 90925 91100 93727 93731 93732 93733 93734 93735 93736 93741 93742 93743 93744 93760 93762 99289 99290 99293 99294 99295 99296 99298 99299 99300 99431 99432 99433 99435 99436 99440 CPT Procedures Re-Used ---------------------- Effective Jan 01, 2009 (14 Codes) 46930 90951 90952 90953 90954 90955 90956 90957 90958 90966 90967 90968 90969 93280 CPT Procedure Revisions (575 Codes) ----------------------- Effective Jan 01, 2008 (FY08 2nd Qtr) (1 Code) 87500 Effective Jan 01, 2009 (574 Codes) 0014F 0015F 00210 00561 00562 00566 0073T 0080T 0092T 0095T 0098T 0163T 0164T 0165T 0185T 0188T 0189T 0505F 0507F 0509F 0514F 0516F 0517F 0519F 0521F 0525F 0526F 1015F 1040F 1071F 11001 1111F 1116F 1118F 1119F 11201 1121F 1123F 1124F 1125F 1126F 1127F 1128F 1130F 1134F 1135F 1136F 1137F 11720 11721 11922 12031 12032 12034 12035 12036 12037 12041 12042 12044 12045 12046 12047 12051 12052 12053 12054 12055 12056 12057 15002 15003 15004 15005 15201 15221 15241 15261 15341 19296 19297 2000F 2001F 2020F 2022F 2024F 2026F 2028F 2031F 2035F 2040F 2044F 20552 20553 20693 20985 21122 21142 21143 21146 21147 22857 22862 22865 23585 25630 25635 25645 26517 26518 27215 27216 27217 27218 27396 27397 27455 27457 3014F 3017F 3021F 3022F 3025F 3027F 3035F 3037F 3040F 3042F 3044F 3045F 3046F 3048F 3050F 3060F 3061F 3062F 3066F 3072F 3073F 3074F 3075F 3077F 3078F 3079F 3080F 3082F 3083F 3084F 3093F 3100F 3140F 3141F 31620 3215F 3216F 3218F 3220F 3230F 3250F 3260F 3265F 3266F 3268F 3269F 3270F 3271F 3272F 3273F 3274F 3278F 3279F 3280F 3281F 3284F 3285F 3288F 3290F 3291F 3292F 3300F 3301F 3315F 3316F 3317F 3318F 3319F 3320F 3325F 3330F 3331F 3340F 3341F 3342F 3343F 3344F 3345F 3350F 3351F 3352F 3353F 3354F 3372F 34806 37765 37766 4000F 4001F 4005F 4006F 4009F 4011F 4012F 4014F 4037F 4040F 4047F 4048F 4051F 4052F 4053F 4055F 4056F 4058F 4062F 4066F 4067F 4120F 4124F 4130F 4131F 4132F 4133F 4134F 4135F 4136F 4150F 4151F 4153F 4155F 4157F 4159F 4163F 4164F 4165F 4167F 4168F 4169F 4171F 4172F 4174F 4175F 4176F 4177F 4178F 4179F 4181F 4182F 4185F 4186F 4187F 4188F 4189F 4190F 4191F 4210F 4220F 4221F 4230F 4240F 4242F 4245F 4248F 4274F 43635 47144 47145 49568 49650 49651 5020F 50250 5050F 50592 5060F 5062F 52630 53410 53420 53425 55821 57400 57410 57415 58740 58760 6030F 6040F 6045F 62287 63020 63030 63035 63180 63182 63185 63190 63194 63195 63196 63197 63198 63199 64416 64446 64448 64449 64702 64776 64831 65710 65730 65855 66761 66762 66821 66840 66983 66984 67031 67101 67105 67141 67145 67208 67210 67218 67220 67227 67228 67229 67311 67312 67314 67316 67971 67973 67974 69210 69633 69637 70100 7010F 70110 70120 70130 70140 70150 70200 7020F 70210 70220 70250 7025F 70260 71020 71021 71022 71023 71030 71034 71100 71101 71110 71111 71120 71130 72040 72050 72070 72072 72074 72080 72100 72110 72120 72170 72190 72200 72202 72220 72270 73020 73030 73060 73070 73080 73090 73092 73100 73110 73120 73130 73140 73500 73510 73520 73540 73550 73560 73562 73564 73590 73592 73600 73610 73620 73630 73650 73660 74270 76815 77305 77310 77326 77407 77408 77409 77411 77412 77413 77414 77416 77427 77431 77432 77435 77750 78315 78350 78351 78588 78804 80048 80053 80069 80414 80415 80438 80439 81020 82040 82375 82376 82652 83890 83891 83892 83893 83894 83897 83900 83903 83907 83909 83914 83925 83950 84132 84155 84295 85046 87186 87810 87850 87880 87899 87901 88155 89135 90649 90650 90696 92004 92014 92265 92311 92315 93040 93041 93042 93224 93225 93226 93227 93230 93231 93232 93233 93235 93236 93237 93268 93270 93271 93272 93307 93308 93312 93313 93314 93350 95010 95015 95117 95125 95131 95132 95133 95134 95146 95147 95148 95149 95250 95251 95813 95861 95863 95864 95922 96000 96001 96422 97010 97012 97014 97016 97018 97022 97024 97026 97028 98925 98926 98927 98928 98929 98940 98941 98942 98943 98966 98967 98968 99100 99354 99355 99356 99357 99381 99382 99383 99384 99385 99386 99387 99391 99392 99393 99394 99395 99396 99397 99407 CPT Procedure Reactivations --------------------------- Effective Jan 01, 2009 (2 Codes) 0054T 0055T HCPCS Procedure Additions (138 Codes) ------------------------- Effective Jul 01, 2008 (FY08 4th Qtr) (4 Codes) G8485 G8486 G8487 G8488 Effective Jan 01, 2009 (134 Codes) A6545 A9284 A9580 C8929 C8930 C9245 C9246 C9247 C9248 C9899 D0417 D0418 D3222 D5991 E0487 E0656 E0657 E0770 E1357 E1358 E2230 E2231 E2295 G0402 G0403 G0404 G0405 G0406 G0407 G0408 G0409 G0410 G0411 G0412 G0413 G0414 G0415 G0416 G0417 G0418 G0419 G8489 G8490 G8491 G8492 G8493 G8494 G8495 G8496 G8497 G8498 G8499 G8500 G8501 G8502 G8503 G8504 G8505 G8506 G8507 G8508 G8509 G8510 G8511 G8512 G8513 G8514 G8515 G8516 G8517 G8518 G8519 G8520 G8521 G8522 G8523 G8524 G8525 G8526 G8527 G8528 G8529 G8530 G8531 G8532 G8533 G8534 G8535 G8536 G8537 G8538 G8539 G8540 G8541 G8542 G8543 G8544 J0641 J1267 J1453 J1459 J1953 J2785 J3101 J7186 J7606 J8705 J9033 J9207 L0113 L6711 L6712 L6713 L6714 L6721 L6722 L8604 Q4100 Q4101 Q4102 Q4103 Q4104 Q4105 Q4106 Q4107 Q4108 Q4109 Q4110 Q4111 Q4112 Q4113 Q4114 S3711 S9433 HCPCS Procedure Inactivations (93 Codes) ----------------------------- Effective Apr 01, 2002 (FY02 3rd Qtr) (13 Codes) C1031 C1146 C1170 C1175 C1176 C1177 C1179 C1321 C1322 C1323 C1324 C1329 C2600 Effective Jan 01, 2003 (FY03 2nd Qtr) (1 Code) Q0184 Effective Jan 01, 2004 (FY04 2nd Qtr) (4 Codes) C1088 Q3021 Q3022 Q3023 Effective Jan 01, 2007 (FY07 2nd Qtr) (2 Codes) C8956 K0099 Effective Jan 01, 2009 (73 Codes) C9003 C9237 C9238 C9239 C9240 C9241 C9242 C9243 C9244 C9357 C9723 G0308 G0309 G0310 G0311 G0312 G0313 G0314 G0315 G0316 G0317 G0318 G0319 G0320 G0321 G0322 G0323 G0324 G0325 G0326 G0327 G0332 G0344 G0366 G0367 G0368 G0394 J1751 J1752 J3100 J7340 J7341 J7342 J7343 J7344 J7346 J7347 J7348 J7349 J7602 J7603 J9182 L2860 L3890 L5993 L5994 L5995 L7611 L7612 L7613 L7614 L7621 L7622 Q4096 Q4097 Q4098 Q4099 S0143 S2075 S2076 S2077 S2135 S9092 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2009 (6 Codes) E1354 E1356 J1750 J1930 J3300 J9330 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2009 (159 Codes) A6010 A6011 A6021 A6022 A6023 A6024 A6196 A6197 A6198 A6199 A6203 A6204 A6205 A6206 A6207 A6208 A6209 A6210 A6211 A6212 A6213 A6214 A6215 A6219 A6220 A6221 A6222 A6223 A6224 A6228 A6229 A6230 A6231 A6232 A6233 A6234 A6235 A6236 A6237 A6238 A6239 A6240 A6241 A6242 A6243 A6244 A6245 A6246 A6247 A6248 A6251 A6252 A6253 A6254 A6255 A6256 A6257 A6258 A6259 A6260 A6261 A6262 A6266 A6407 A9502 D0486 D1203 D1204 D3310 D3320 D3330 D4210 D4211 D4240 D4241 D4260 D4261 E0764 G8417 G8418 G8419 G8420 G8427 G8428 G8429 G8430 G8431 G8433 G8437 G8438 G8439 G8440 G8446 G8447 G8448 G8457 J0348 J0395 J1572 J1626 J2788 J2790 J3301 J7639 J9000 J9001 J9010 J9015 J9017 J9020 J9040 J9045 J9050 J9098 J9100 J9110 J9120 J9150 J9151 J9160 J9165 J9170 J9181 J9185 J9190 J9200 J9201 J9206 J9208 J9209 J9211 J9212 J9213 J9214 J9215 J9216 J9230 J9265 J9266 J9268 J9270 J9300 J9310 J9320 J9340 J9350 J9355 J9357 J9360 J9390 J9600 K0669 K0899 L4360 L8681 L8689 L8695 Q0166 Q0179 CPT Modifier Additions (12 Codes) ---------------------- Effective Jan 01, 1999 (FY99 2nd Qtr) (1 Code) QL Effective Jul 01, 2002 (FY02 4th Qtr) (1 Code) SN Effective Oct 01, 2002 (FY03 1st Qtr) (1 Code) SQ Effective Apr 01, 2003 (FY03 3rd Qtr) (1 Code) GF Effective Jan 01, 2006 (FY06 2nd Qtr) (2 Codes) 1P 2P Effective Apr 01, 2006 (FY06 3rd Qtr) (1 Code) 3P Effective Jul 01, 2007 (FY07 4th Qtr) (1 Code) 8P Effective Jan 01, 2008 (FY08 2nd Qtr) (1 Code) 92 Effective Jan 01, 2009 (3 Codes) JC RA RB CPT Modifier Inactivations (59 Codes) -------------------------- Effective Jan 01, 2000 (FY00 2nd Qtr) (56 Codes) DE DG DH DI DJ DN DP DR DX EG EH EI ER EX GI ID IE IG IH II IJ IN IP IR IX JE JG JH JI JJ JN JP JR JX ND NG NH NI NJ NX PD PG PH PI PJ PR PX RG RH RI RJ RN RX SI SR SX Effective Jan 01, 2006 (FY06 2nd Qtr) (1 Code) 3J Effective Jan 01, 2009 (2 Codes) 21 RP CPT Modifiers Re-Used --------------------- Effective Jan 01, 2009 (3 Codes) JD KE RE CPT Modifier Revisions ---------------------- Effective Jan 01, 2009 (11 Codes) 32 51 53 58 59 73 74 76 77 78 QF REMEDY TICKETS: ============== 231919 Incorrect Spelling CPT 87500 269773 Add ICD codes for diagnostic terms 234282 CPT Modifier update: RT/LT with HCPCS codes L6895/L5700 235499 CPT Modifier update: AM with CPT codes 992* and 453* 243353 CPT Modifier update: TC/26 with CPT code 77421 257627 CPT Modifier update: 55 with CPT code 37184 283990 CPT Modifier update: 51 with CPT code 22845 242175 CPT Modifier update: EA/EB/EC with HCPCS codes 247243 Duplicate of 242175 above 247919 Duplicate of 242175 above 270592 Duplicate of 242175 above 270641 Duplicate of 242175 above 275260 Duplicate of 242175 above 280845 Duplicate of 242175 above FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_63.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*63. It is recommended that this patch be installed during non-peak hours. This patch should take from 15 to 47 minutes to install depending on the system. Create a backup 12-30 minutes Load the Global .5-2 minutes KIDS Install 2-15 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 Copyright #81.2 ^DIC(81.2, CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 1.05 gigabytes. Make sure space is available before proceeding. It should take from 12 to 30 minutes to create the backup files depending on the activity of the system. 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) 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=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_63.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 5.48 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from .5 seconds to 2 minutes. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_63.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_63.GBL Parameters: RS=> Globals were saved on 30 Jan 2009 10:27 AM Cache with description: LEX*2*63/ICPT*6*45 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*63. 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 LEX2063 and the Post-Install routine LEX2063P 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: LEX2063 Before: n/a After: B80676482 **63** Routine Name: LEX2063P Before: n/a After: B2423417 **63** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : OCT 16, 2008 Completed By: LEE,ROBERT Date Completed: FEB 12, 2009 Released By : MONTGOMERY,ALAN Date Released : FEB 18, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT