$TXT Created by YORTY,M. ROBERT at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 01/28/03 at 10:56 ============================================================================= Run Date: FEB 26, 2003 Designation: ICPT*6*13 Package : ICPT - CPT/HCPCS CODES Priority: Mandatory Version : 6 SEQ #13 Status: Released Compliance Date: MAR 29, 2003 ============================================================================= Subject: 2003 CPT/HCPCS CODES UPDATE Category: - Routine - Enhancement (Mandatory) - Data Dictionary Description: ============ This patch contains the 2003 updates for CPT/HCPCS codes and their related categories and modifiers. ************************************************************************** ***** ************************************************************************** ***** Installing this patch will DELETE the CPT files (CPT - #81, CPT CATEGORY - #81.1, CPT COPYRIGHT - #81.2 and CPT MODIFIER - #81.3). It is essential these files be re-installed immediately following installation using host file distributions located on the anonymous directories. ************************************************************************** ***** ************************************************************************** ***** 1. This update includes additions, deletions and modifications to entries in the CPT file (#81), the CPT CATEGORY file (#81.1), and the CPT MODIFIER file (#81.3). The CPT file contains AMA CPT codes and CMS HCPCS codes. The CPT CATEGORY and the CPT MODIFIER files contain additional information related to the AMA CPT and CMS HCPCS codes. Changes are documented below. http://vista.med.va.gov/pms/cpt 2. The Distribution Date/Effective Date for the new codes and modifiers will be set to 01/01/2003. Inactivated codes and ranges will not be selectable after 01/01/2003. ** This patch must be installed within 30 days of its release date. 3. Changes to the CPT CATEGORY file (#81.1) include: Expanded categories: Special Otorhinolaryngologic Services 92502-92700 Alcohol and Drug Abuse Treatment Services H0001-H2001 National T codes Established for State Medicaid Agencies T1000-T2007 4. Changes to the CPT Modifier file (#81.3) include: New Modifiers: 63 PROCEDURE PERFORMED ON INFANTS LESS THAN 4 KG A1 DRESSING FOR ONE WOUND A2 DRESSING FOR TWO WOUNDS A3 DRESSING FOR THREE WOUNDS A4 DRESSING FOR FOUR WOUNDS A5 DRESSING FOR FIVE WOUNDS A6 DRESSING FOR SIX WOUNDS A7 DRESSING FOR SEVEN WOUNDS A8 DRESSING FOR EIGHT WOUNDS A9 DRESSING FOR NINE OR MORE WOUNDS AU ITEM FURNISHED CONJUNC W/A URO OST/TRACHEOST SPL AV ITEM FURNISHED CONJUNC W/A PROS DEVC PROS/ORTHOT AW ITEM FURNISHED CONJUNCTION W/A SURGICAL DRESSING AX ITEM FURNISHED CONJUNCTION W/DIALYSIS SERVICES BA ITEM FURN CONJUNC W/PARENTRAL ENTERAL NUT SRVC BO ORALLY ADMINISTERED NUTRITION NOT FEEDING TUBE CA PROCEDURE PAYABLE INPATIENT CB SEPARATELY REIMBURSABLE SERV EY NO MD/OTH LIC HLTH CARE PROV ORDR THIS ITEM/SRVC GG PRFRM&PAY SCR MAMMO&DX MAMMO SAME PT SAME DAY GM MULTIPLE PATIENTS ON ONE AMBULANCE TRIP H9 COURT-ORDERED HA CHILD/ADOLESCENT PROGRAM HB ADULT PROGRAM NON GERIATRIC HC ADULT PROGRAM GERIATRIC HD PREGNANT/PARENTING WOMEN'S PROGRAM HE MENTAL HEALTH PROGRAM HF SUBSTANCE ABUSE PROGRAM HG OPIOID ADDICTION TREATMENT PROGRAM HH INTEGRATED MENTAL HEALTH/SUBSTANCE ABUSE PROGRAM HI INTGR MENTL HLTH&MR/DVLPMENTL DISABILITIES PROGM HJ EMPLOYEE ASSISTANCE PROGRAM HK SPCLIZED MENTL HLTH PROGMS HIGH-RISK POPULATIONS HL INTERN HM LESS THAN BACHELOR DEGREE LEVEL HN BACHELORS DEGREE LEVEL HO MASTERS DEGREE LEVEL HP DOCTORAL LEVEL HQ GROUP SETTING HR FAMILY/COUPLE WITH CLIENT PRESENT HS FAMILY/COUPLE WITHOUT CLIENT PRESENT HT MULTI-DISCIPLINARY TEAM HU FUNDED BY CHILD WELFARE AGENCY HV FUNDED STATE ADDICTIONS AGENCY HW FUNDED BY STATE MENTAL HEALTH AGENCY HX FUNDED BY COUNTY/LOCAL AGENCY HY FUNDED BY JUVENILE JUSTICE AGENCY HZ FUNDED BY CRIMINAL JUSTICE AGENCY JW DRUG AMOUNT DISCARDED/NOT ADMINED ANY PATIENT KB BENEFICIARY REQUEST UPGRADE ABN > 4 MOD ID CLAIM KX SPECIFIC REQUIRED DOCUMENTATION ON FILE QJ SRVC/ITEMS PROV PRISONER/PT STATE/LOC CUSTODY SD SRVC PROV RN W/SPCLIZED HILY TECH HOM INFUS TRN SK MEMBER OF HIGH RISK POPULATION SL STATE SUPPLIED VACCINE SM SECOND SURGICAL OPINION ST RELATED TO TRAUMA OR INJURY SU PROCEDURE PERFORMED IN PHYSICIANS OFFICE SV PHARMACEUTICALS DELIV PTS HOME BUT NOT UTILIZED TK EXTRA PATIENT OR PASSENGER TL EARLY INTERVENTION IFSP TM INDIVIDUALIZED ED PRGRM (IEP) TN RURAL/OUTSIDE PROVIDERS CUSTOMARY SERVICE AREA TP MED TRANSPRT, UNLOADED VEHICLE TQ BLS BY VOLUNTEER AMB PROVIDER TR SCHOOL-BASED IEP OUT OF DIST TS FOLLOW-UP SERVICE TT INDIVIDUALIZED SERVICE PROV > 1 PT SAME SETTING TU SPECIAL PAYMENT RATE OVERTIME TV SPECIAL PAYMENT RATES HOLIDAYS/WEEKENDS TW BACK-UP EQUIPMENT U1 M/CAID CARE LEV 1 STATE DEF U2 M/CAID CARE LEV 2 STATE DEF U3 M/CAID CARE LEV 3 STATE DEF U4 M/CAID CARE LEV 4 STATE DEF U5 M/CAID CARE LEV 5 STATE DEF U6 M/CAID CARE LEV 6 STATE DEF U7 M/CAID CARE LEV 7 STATE DEF U8 M/CAID CARE LEV 8 STATE DEF U9 M/CAID CARE LEV 9 STATE DEF UA M/CAID CARE LEV 10 STATE DEF UB M/CAID CARE LEV 11 STATE DEF UC M/CAID CARE LEV 12 STATE DEF UD M/CAID CARE LEV 13 STATE DEF Inactive Modifiers 60 ALTERED SURGICAL FIELD ES PET SCAN-CURRENT EQUIVOCAL/PREVIOUS POS-ISCHEMIA GU PROCEDURE PERFORMED IN NON FEE SCHEDULE POS GX SERVICE NOT COVERED BY MEDICARE KK COMPOUNDED INHALATION SOL [inactive in 2001] KL MED POLICY PRODUCT CHARS MET [inactive in 2001] NS PET SCAN-CURRENT NEGATIVE/PREVIOUS POS - ISCHEMIA PE PET SCAN-CURRENT POS,NOT ISCHEMIA/PREVIOUS EQUIVOCAL PS PET SCAN-CURRENT POS,NOT ISCHEMIA/PREVIOUS POS-ISCHEMIA SS PET SCAN-CURRENT POS. ISCHEMIA/PREVIOUS POS. ISCHEMIA 5. Sex and age range fields are added to the CPT (#81) Data Dictionary. Codes are populated with their associated values, blank otherwise. These three new fields are: AGE (LOW) field (#10.01), AGE (HIGH) field (10.02), and SEX field (#10.03). API's have not (yet) been modified to do Age/Sex edits. 6. The following CPT Report options have been modified to reflect the CPT 2003 code changes implemented with this patch. New CPT Codes [ICPT NEW CPT CODES] Revised CPT Codes [ICPT REVISED CPT CODES] Recently Inactivated CPT Codes [ICPT CPT CODES INACTIVE] 7. This patch alleviates some of the problems with the CPT Modifier file (#81.3). When an inquiry is made whether a specific Modifier can be used with a specific CPT code, the response is positive even if the CPT code is inactive. API $$MODP^ICPTMOD is being changed to return a negative (-1) response if the CPT code is inactive. If a date is passed as a parameter (the 4th), the status as of that date will be checked. 8. We recommend that Lexicon patch LEX*2.0*24 be installed IMMEDIATELY following installation of this patch and restoration of the CPT files, to minimize the risk of translation inconsistencies. Disregard this step if LEX*2.0*24 is already installed in your account. This patch addresses the following E3R(s): ------------------------------------------ There are no E3Rs associated with this patch. This patch addresses the following NOIS message(s): --------------------------------------------------- PHO-1002-60503 -------------- Modifiers GT and GQ were identified as not having the proper CPT ranges. Ranges prior to installation: MODIFIER: GT NAME: VIA INTERACTIVE A/V TELECOMMUNICATIONS SOURCE: HCPCS BEGIN CPT RANGE: 99241 END CPT RANGE: 99275 EFFECTIVE DATE: JAN 01, 1999 STATUS: ACTIVE DESCRIPTION: VIA INTERACTIVE AUDIO AND VIDEO TELECOMMUNICATION SYSTEMS MODIFIER: GQ NAME: VIA ASYNCHRONOUS TELECOMMUNICATIONS SYSTEM SOURCE: HCPCS BEGIN CPT RANGE: E2100 END CPT RANGE: E2101 ACTIVE DATE: JAN 01, 2002 DESCRIPTION: VIA ASYNCHRONOUS TELECOMMUNICATIONS SYSTEM Ranges after installation: MODIFIER: GT NAME: VIA INTERACTIVE A/V TELECOMMUNICATIONS SOURCE: HCPCS BEGIN CPT RANGE: 99201 END CPT RANGE: 99275 ACTIVE DATE: JAN 01, 2001 BEGIN CPT RANGE: 90801 END CPT RANGE: 90821 ACTIVE DATE: JAN 01, 2001 BEGIN CPT RANGE: 90862 END CPT RANGE: 90862 ACTIVE DATE: JAN 01, 2001 EFFECTIVE DATE: JAN 01, 1999 STATUS: ACTIVE DESCRIPTION: VIA INTERACTIVE AUDIO AND VIDEO TELECOMMUNICATION SYSTEMS MODIFIER: GQ NAME: VIA ASYNCHRONOUS TELECOMMUNICATIONS SYSTEM SOURCE: HCPCS BEGIN CPT RANGE: E2100 END CPT RANGE: E2101 ACTIVE DATE: JAN 01, 2002 BEGIN CPT RANGE: 99201 END CPT RANGE: 99275 ACTIVE DATE: JAN 01, 2001 BEGIN CPT RANGE: 90801 END CPT RANGE: 90821 ACTIVE DATE: JAN 01, 2001 BEGIN CPT RANGE: 90862 END CPT RANGE: 90862 ACTIVE DATE: JAN 01, 2001 DESCRIPTION: VIA ASYNCHRONOUS TELECOMMUNICATIONS SYSTEM REN-0302-62641 -------------- It was determined that only HCPCS code A0368 should be inactive. HCPCS codes Q0081, Q0083, Q0084, and Q0085 listed as inactive in the 2002 HCPCS Level II manual is a misprint. REN-0202-60669 -------------- The Short description of HCPCS code J9130 was listed as 'Dacarbazine 10 MG ing'. According to the HCPCS Level II manual this code should read 'Dacarbazine 100 MG'. Participating test sites: ------------------------- ALTOONA VAMC WEST LOS ANGELES VAMC =======================INSTALLATION INSTRUCTIONS========================== It is HIGHLY RECOMMENDED that this patch be installed during non-peak hours. Any packages using CPT codes should be off the system during installation and restoration of the CPT files. There may be Taskman jobs running that utilize the CPT globals; these jobs should be allowed to finish first or Taskman may need to be halted. Installation time - approximately 30 minutes 1. GLOBAL SAVES OF CURRENT #81-81.3 FILES -------------------------------------- It is recommended that the following globals be saved to a backup file in the event problems develop during the install: File Name Root ========= ==== CPT (#81) ^ICPT( CPT CATEGORY (#81.1) ^DIC(81.1 CPT COPYRIGHT (#81.2) ^DIC(81.2 CPT MODIFIER (#81.3) ^DIC(81.3 2. DISABLE ROUTINE MAPPING (DSM for Open VMS sites only) ----------------------- Disable routine mapping on all systems for the routines listed in step 4 below. NOTE: If the routines included in this patch are not currently in your mapped routine set, please skip this step. 3. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 4. COMPONENTS SENT WITH PATCH -------------------------- The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;6.0;CPT/HCPCS;**[patch list]**;May 19, 1997 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== ICPT613E N/A 464626 13 ICPT613R N/A 1997809 13 ICPTCOD 5601984 5639277 6,12,13 ICPTMOD 5189494 5586950 6,12,13 ICPTPRN 1634934 1634374 4,8,9,12,13 ICPTSR1 388456 387323 3,4,8,9,12,13 ICPTSR2 2022000 2045278 3,4,8,9,12,13 ICPTSR3 2024603 1497893 8,9,12,13 Total number of routines - 8 5. 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 Select Installation Option: 6. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter ICPT*6.0*13): 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. 7. 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? YES//'. answer NO. c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', answer 'YES'. d. When prompted 'Enter options you wish to mark as 'Out of Order':' Enter the following options: GMTS* PXRM* IBDF PRINT* CPRSCHART VERSION 1.0.20.21 [OR CPRS GUI CHART] HEALTH SUMMARY [ORS HEALTH SUMMARY] e. When prompted 'Enter protocols you wish to mark as "out Of Order':' Enter the following protocols: ORS AD HOC HEALTH SUMMARY ORS HEALTH SUMMARY PXRM PATIENT DATA CHANGE 8. REBUILD MAPPED ROUTINE(S) (DSM for Open VMS sites only) ========================== NOTE: This step is only necessary if you performed step 2 or if you wish to include the routines in your mapped set. 9. Retrieve and restore the CPT globals IMMEDIATELY after completion of the patch installation. Please be sure that CPT file #81 is restored first. The global file containing the CPT file (#81 - ^ICPT) is named ICPT6_13.GBL The global file containing the remaining CPT files (CPT CATEGORY #81.1, CPT COPYRIGHT - 81.2 and CPT MODIFIER - 81.3) is named ICPT6_13A.GBL. These files are available on the OI Field Office anonymous directories listed below. These files MUST be downloaded in the ASCII format. Download the files using your FTP vendor supplied software, and restore your globals using their software global restore utility. OI FIELD OFFICE FTP ADDRESS DIRECTORY =============== =========== ========= HINES ftp.fo-hines.med.va.gov anonymous.software ALBANY ftp.fo-albany.med.va.gov anonymous.software SALT LAKE ftp.fo-slc.med.va.gov anonymous.software DSM === Use ^%GTI and the input devices ICPT6_13.GBL and ICPT6_13A.GBL. Open-M ====== It is recommended that the GUI Thin Client be used to restore the global. This will prevent an error which usually occurs when using the Character-based User Interface (CHUI) ^%GI to restore a global saved under DSM. 10. After restoring the CPT globals, verify that the 0-nodes are as follows. ^ICPT(0) = CPT^81I^107191^17613 ^DIC(81.1,0) = CPT CATEGORY^81.1^225^224 ^DIC(81.2,0) = CPT COPYRIGHT^81.2^1^1 ^DIC(81.3,0) = CPT MODIFIER^81.3I^482^465 Verify that the last node of the files are as follows. ^ICPT("F","Z0907",103470) = ^DIC(81.1,"R",865000,198) = 865999 ^DIC(81.2,"B","CPT MESSAGE",1) = ^DIC(81.3,"M",8400044,8400044,427) = 30 11. We recommend the Lexicon patch LEX*2.0*24 be installed IMMEDIATELY following installation of this patch and restoration of the CPT files, to minimize the risk of translation inconsistencies. Disregard this step if LEX*2.0*24 is already installed in your account. Routine Information: ==================== Routine Name: - ICPT613E This is the Environment routine that will check for the proper setup of programming variables. Routine Checksum: Routine Name: - ICPTCOD BEFORE: ICPTCOD+119 ...I $G(CDT) S ACTMD="",ACTMD=$$MOD^ICPTMOD(MI,"I",CDT,SRC) Q:($P(ACTMD,U)=-1)!($P(ACTMD,U,7)=0) ;screens out inactive modifiers if asked to. AFTER: ICPTCOD+119 ...I $G(CDT) S ACTMD="",ACTMD=$$MOD^ICPTMOD(MI,"I",CDT,$G(SRC)) Q:($P(ACTMD,U)=-1)!($P(ACTMD,U,7)=0) ;screens out inactive modifiers if asked to. Routine Checksum: Routine Name: - ICPTMOD AFTER: ICPTMOD+84:ICPTMOD+86 (new lines) ; ICPT*6*13 check to see if cpt code active I MDT=DT,$P($G(^ICPT(CODN,0)),U,4) S STR="-1^CPT CODE INACTIVE" G MODPQ I MDT'=DT,'$P($$EFF^ICPTAPIU(81,CODN,MDT),U,2) S STR="-1^CPT CODE INACTIVE" G MODPQ Routine Checksum: Routine Name: - ICPT613R This routine will delete the files CPT (#81), CPT CATEGORY (#81.1), CPT COPYRIGHT (#81.2), and CPT MODIFIER (#81.3) during the installation. Restore the 2003 versions of these globals using ICPT6_13.GBL (CPT file, #81) and ICPT6_13A.GBL [CPT CATEGORY (#81.1); CPT COPYRIGHT (#81.2) and the CPT MODIFIER (#81.3) files] IMMEDIATELY after installing this patch. Routine Checksum: Routine Name: - ICPTPRN BEFORE: ICPTPRN+9 S DHD="Recently INACTIVATED CPT Codes effective Apr 01, 2002" ICPTPRN+13 S BY="[ICPT NEW/INACTIVE CODES]",(FR,TO)="3020401,1," AFTER: ICPTPRN+9 S DHD="Recently INACTIVATED CPT Codes effective Jan 01, 2003" ICPTPRN+14 S BY="[ICPT NEW/INACTIVE CODES]",(FR,TO)="3030101,1," Routine Checksum: Routine Name: - ICPTSR1 BEFORE: ICPTSR1+9 F J=2:1:24 S END=0 D AFTER: ICPTSR1+9 F J=2:1:3 S END=0 D Routine Checksum: Routine Name: - ICPTSR2 This routine contains the 2003 listing of CPT codes used with the ICPTSR1 routine. Routine Checksum: Routine Name: - ICPTSR3 This routine is a continuation of ICPTSR2 and contains the 2003 listing of CPT codes used with the ICPTSR1 routine. Routine Checksum: ============================================================================= User Information: Entered By : THEROUX,JOHN Date Entered : MAR 11, 2002 Completed By: RYAN,DOLORES G Date Completed: FEB 24, 2003 Released By : PURSCHE,DONNA Date Released : FEB 26, 2003 ============================================================================= Packman Mail Message: ===================== $END TXT