$TXT Created by TSAI,PEI at MNTVBB.FO-WASH.MED.VA.GOV (KIDS) on Thursday, 06/25/09 at 15:44 ============================================================================= Run Date: DEC 04, 2009 Designation: PRC*5.1*136 Package : PRC - IFCAP Priority: Mandatory Version : 5.1 SEQ #112 Status: Released Compliance Date: JAN 04, 2010 ============================================================================= Subject: Code Set Versioning Compliance Updates Category: - Routine Description: ============ The passing of the Health Insurance Portability and Accountability Act (HIPAA) stipulated that diagnostic and procedure codes and terms used for billing purposes must be the codes and terms that were applicable at the time the service was provided. In October 2003, certain fields in the VistA ICD Diagnosis, ICD Procedures, CPT, and CPT Modifier standard tables were identified as obsolete and to be replaced with newer data elements implementing data versioning in these tables. Under the Code Set Versioning Project, the code names, descriptions, inactive flags and dates were replaced by versioned data elements, each with an effective date of use. VA software packages who used the ICD/CPT files were provided with Code Set Application Programmer Interfaces (APIs) to retrieve the new data and instructed to discontinue the use of the old un-versioned data elements. In July 2006, after a significant impact analysis of known usage conducted by the development team, the VistA DBA approved the scheduled deletion of the obsolete data elements in the following files: ICD Diagnosis (#80) ^ICD9( ICD Operation/Procedure (#80.1) ^ICD0( CPT (#81) ^ICPT( CPT Modifier (#81.3) ^DIC(81.3, This patch updates the IFCAP software so that it is in compliance with the Code Set Versioning Project. The following options have been modified to now display CPT (Current Procedural Terminology) codes and the short description of the code using the version applicable on the date the service was provided: Operation Code-Case Cart Link Report [PRCP CC OPCODE-CC LINK REPORT] Distribution Order Processing [PRCP DIST ORDER PROCESSING] Enter/Edit Surgical Case Cart Request [PRCP SURGERY ORDER] The following option is modified to now display the CPT code using the version applicable on the date the service was provided: Patient Distribution Cost Report [PRCP PATIENT DISTR COST REPORT] ASSOCIATED REMEDY TICKETS: ========================== 1. HD309562 GIP references field #2 CPT file (#81) which will be deleted PARTICIPATING TEST SITES: ========================= COATESVILLE, PA CENTRAL TEXAS HCS MINNEAPOLIS,MN NEBRASKA WEST IOWA HCS WILMINGTON, DE REMEDY OVERVIEW: ================ 1. HD309562 GIP references field #2 CPT file (#81) which will be deleted Problem: -------- This help desk ticket was entered after a review of the IFCAP software revealed that the software had unsupported references to CPT codes and therefore not in compliance with directives laid out by the Code Set Versioning Project. Resolution: ----------- This patch updates the IFCAP software by replacing existing references to CPT codes and descriptions with supported references which retrieve versioned CPT codes and descriptions in compliance with instructions from the Code Set Versioning Project. =======================INSTALLATION INSTRUCTIONS======================== This patch can be installed with users on the system, however several options and one protocol will need to be disabled. Install Time - less than 2 minutes. 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter PRC*5.1*136): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. Select Installation Option: Install Package(s) ------------------ a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' answer NO c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' answer YES d. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Operation Code-Case Cart Link Report [PRCP CC OPCODE-CC LINK REPORT] Distribution Order Processing [PRCP DIST ORDER PROCESSING] Enter/Edit Surgical Case Cart Request [PRCP SURGERY ORDER] Patient Distribution Cost Report [PRCP PATIENT DISTR COST REPORT] e. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' Enter the following protocol: Picking Ticket Print [PRCP DIST ORDER PICKING TICKET] Routine Information: ==================== The second line of each of these routines now looks like: ;;5.1;IFCAP;**[Patch List]**;Oct 20, 2000;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PRCPCROC Before: B7029704 After: B7149095 **136** Description of Changes: updated call to ICPT^PRCPCUT1 to pass date of service in order to get the correct version of the CPT code description. Routine Name: PRCPCRPL Before: B50254646 After: B50378628 **27,49,136** Description of Changes: updated call to ICPT^PRCPCUT1 to pass date of surgery in order to get the correct version of the CPT code description. Routine Name: PRCPCSO1 Before: B3314549 After: B3347142 **136** Description of Changes: Add operation date parameter to procedure call SHOWCC^PRCPCSOU in order to attain the correct version of the CPT code description in the called routine. Routine Name: PRCPCSOR Before: B24488237 After: B24887898 **136** Description of Changes: updated call to ICPT^PRCPCUT1 to pass date of surgery in order to get the correct version of the CPT code description. Routine Name: PRCPCSOU Before: B4810835 After: B4540184 **136** Description of Changes: updated call to ICPT^PRCPCUT1 to pass date of surgery in order to get the correct version of the CPT code description. Routine Name: PRCPCUT1 Before: B7029363 After: B6614642 **136** Description of Changes: Updated function ICPT to add date parameter and to replace CPT lookup with supported reference to CPT^ICPTCOD to return the versioned CPT code description based on date parameter. Routine Name: PRCPRPC1 Before: B4842795 After: B4873208 **27,136** Description of Changes: updated call to ICPT^PRCPCUT1 to pass date of procedure in order to get the correct version of the CPT code description. Routine list of preceding patches: 49 ============================================================================= User Information: Entered By : MCGAUGH,MAVIS L Date Entered : APR 21, 2009 Completed By: LYNCH,MARY F. Date Completed: DEC 04, 2009 Released By : NELSON,VICKI M Date Released : DEC 04, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT