============================================================================= Run Date: NOV 15, 2007 Designation: ICD*18*29 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #29 Status: Released Compliance Date: NOV 23, 2007 ============================================================================= Associated patches: (v)ICD*18*14 <<= must be installed BEFORE `ICD*18*29' (v)ICD*18*27 <<= must be installed BEFORE `ICD*18*29' (v)LEX*2*50 <<= must be installed BEFORE `ICD*18*29' Subject: Code Set FY08 1st Qtr Update Category: - Routine - Data Dictionary - Informational Description: ============ This patch is part of a multi-package Kernel Installation and Distribution (KIDS) distribution containing the following five patches installed in the order listed below: LEX*2.0*52 Fixes for Lexicon, ICD and CPT problems reported on Remedy ICPT*6.0*37 Routine ICPTMOD and ICPTMOD2 ICD*18.0*29 Routine ICPTCODE and Data Dictionary changes to file #80 LEX*2.0*53 FY08 1st quarter ICD/CPT update ICPT*6.0*38 Informational patch installed with LEX*2.0*53 This multi-package patch writes to the following files: File Name or Group File Numbers Global DBIA ------------------------ ------------ ---------- ---------- Lexicon Files #757-757.41 ^LEX( DBIA N/A ICD Diagnosis #80 ^ICD9( DBIA 4485 ICD Operation/Procedures #80.1 ^ICD0( DBIA 4486 CPT/HCPCS Procedure #81 ^ICPT( DBIA 4489 CPT Category #81.1 ^DIC(81.1, DBIA 4490 CPT Modifier #81.3 ^DIC(81.3, DBIA 4492 ENHANCEMENTS: ============ The following describes the ICD code changes contained in the FY08 1st Quarter Code Set update and distributed in patch LEX*2.0*53. It also describes changes made to routine ICDCODE and the Data Dictionary for the Diagnosis file #80. See the patch description for LEX*2.0*52 for a complete description of all of the enhancements included in the multi-package distribution. FY08 1st Quarter Update ----------------------- The following changes are included in data export host file LEX_2_52.GBL ICD Diagnosis Additions Effective Oct 01, 2007 (140 Codes) 040.41 040.42 058.10 058.11 058.12 058.21 058.29 058.81 058.82 058.89 079.83 200.30 200.31 200.32 200.33 200.34 200.35 200.36 200.37 200.38 200.40 200.41 200.42 200.43 200.44 200.45 200.46 200.47 200.48 200.50 200.51 200.52 200.53 200.54 200.55 200.56 200.57 200.58 200.60 200.61 200.62 200.63 200.64 200.65 200.66 200.67 200.68 200.70 200.71 200.72 200.73 200.74 200.75 200.76 200.77 200.78 202.70 202.71 202.72 202.73 202.74 202.75 202.76 202.77 202.78 233.30 233.31 233.32 233.39 255.41 255.42 258.01 258.02 258.03 288.66 315.34 331.5 359.21 359.22 359.23 359.24 359.29 364.81 364.89 388.45 389.05 389.06 389.13 389.17 389.20 389.21 389.22 414.2 415.12 423.3 440.4 449. 488. 525.71 525.72 525.73 525.79 569.43 624.01 624.02 624.09 664.60 664.61 664.64 733.45 787.20 787.21 787.22 787.23 787.24 787.29 789.51 789.59 999.31 999.39 V12.53 V12.54 V13.22 V16.52 V17.41 V17.49 V18.11 V18.19 V25.04 V26.41 V26.49 V26.81 V26.89 V49.85 V68.01 V68.09 V72.12 V73.81 V84.81 V84.89 ICD Diagnosis Inactivations Effective Oct 01, 2007 (17 Codes) 233.3 255.4 258.0 284.8 359.2 364.8 389.2 624.0 787.2 789.5 999.3 V17.4 V18.1 V26.4 V26.8 V68.0 V84.8 ICD Diagnosis Re-Used Effective Oct 01, 2007 (2 Codes) 284.81 284.89 ICD Diagnosis Revisions Effective Oct 01, 2007 (5 Codes) 005.1 359.3 389.14 389.18 389.7 ICD Procedures Additions Effective Oct 01, 2007 (39 Codes) 00.19 00.94 01.10 01.16 01.17 07.83 07.84 07.95 07.98 32.20 32.30 32.39 32.41 32.49 32.50 32.59 33.20 34.06 34.20 34.52 50.13 50.14 70.53 70.54 70.55 70.63 70.64 70.78 70.93 70.94 70.95 84.80 84.81 84.82 84.83 84.84 84.85 88.59 92.41 ICD Procedures Inactivations Effective Oct 01, 2007 (4 Codes) 32.3 32.4 32.5 84.58 ICD Procedures Revisions Effective Oct 01, 2007 (15 Codes) 00.18 00.74 00.75 00.76 00.77 07.81 07.82 07.92 07.99 34.24 39.8 53.41 53.61 53.69 99.14 Data Dictionary Changes ----------------------- File 80 A new multiple field, named VERSIONED CC, has been added to the ICD-9-CM Diagnosis file #80. This multiple field stores the updated Complication/Comorbidity (CC) flag with the date the flag was effective. Field 103 VERSIONED CC 69;0 Multiple #80.0103 Field .01 EFFECTIVE DATE 0;1 Date Field 1 COMPLICATION/COMORBIDITY 0;2 Set of Codes '0' FOR non-CC '1' FOR CC '2' FOR MCC Multiple field 103 VERSIONED CC is replacing field #70 COMPLICATION/COMORBIDITY. Upon release of this patch, Field #70 COMPLICATION/COMORBIDITY will no longer be maintained and should not be used by calling applications. Routine Changes --------------- ICDDX^ICDCODE The API $$ICDDX^ICDCODE(CODE,DATE) has been changed to accommodate the retrieval of the versioned complication/comorbidity flag. The return string includes an additional data element (piece 19) that contains one of a set of codes that represents the value of the complication/comorbidity flag. The values of the additional data element can be 0 - non-CC; 1 - CC; 2 - MCC; or if there is no versioned complication/comorbidity code on file for the given code and date. ICDDX^ICDCODE(CODE,CDT) Input: CODE Code/IEN (required) CDT Date (default = TODAY) Output: Returns a 19 piece string delimited by ^ 1 IEN of code in ^ICD9( 2 ICD-9 Dx Code (#.01) 3 ID (#2) 4 Versioned Dx (67 multiple) 5 Unacceptable as Principal Dx (#101) 6 Major Dx Cat (#5) 7 MDC13 (5.5) 8 Complication/Comorbidity (#70) 9 ICD Expanded (#8) 1:Yes 0:No 10 Status (66 multiple) 11 Sex (#9.5) 12 Inactive Date (66 multiple) 13 MDC24 (#5.7) 14 MDC25 (#5.9) 15 Age Low (#14) 16 Age High (#15) 17 Activation Date (.01 of 66 multiple) 18 Message 19 Versioned Complication/Comorbidity (#103) <---- NEW 0 = Non-CC 1 = CC 2 = MCC no data on file or -1^Error Description Other Changes ------------- ICD Diagnosis File 80 V53.01 & V53.02 not accepted as Principal DX HD0000000 205216 INSTALLATION: ============ Please refer to the patch description for LEX*2.0*52 for instructions for retrieving the data global host file and the KIDS distribution, and for instructions on installing this patch. ROUTINE SUMMARY: =============== The second line of the routine will look like: ;;18.0;DRG Grouper;**[PATCH LIST]**;Oct 20, 2000 The following checksums were created using CHECK^XTSUMBLD Checksums Checksums Routine Before After Patch List (2nd Line) -------- ------------- ------------- --------------------- ICDCODE 9919747 9973969 6,12,14,29 The following checksums were created using CHECK1^XTSUMBLD Checksums Checksums Routine Before After Patch List (2nd Line) -------- ------------- ------------- --------------------- ICDCODE 69532850 75863718 6,12,14,29 Routine Information: ==================== Routine Name: ICDCODE ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : JUN 26, 2007 Completed By: LEE,ROBERT Date Completed: NOV 08, 2007 Released By : CANNEDY,JOELLEN Date Released : NOV 15, 2007 ============================================================================= Packman Mail Message: ===================== No routines included