$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Friday, 10/27/06 at 10:36 ============================================================================= Run Date: NOV 01, 2006 Designation: LEX*2*45 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #43 Status: Released Compliance Date: NOV 08, 2006 ============================================================================= Associated patches: (v)LEX*2*42 <<= must be installed BEFORE `LEX*2*45' (v)LEX*2*43 <<= must be installed BEFORE `LEX*2*45' Subject: Code Set FY07 1ST Qtr Update Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY07 1st Quarter Code Set distribution with the majority of the changes having an effective date of October 1, 2006, and some changes (advanced notification) haveing an effective date of January 1, 2007. This patch installs the data for the following Informational patches: ICD*18.0*25 ICPT*6.0*31 This patch writes to the following files: ICD Diagnosis #80 ^ICD9( DBIA 4485 ICD Operation/Procedure #80.1 ^ICD0( DBIA 4486 DRG #80.2 ^ICD( DBIA 4487 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 Lexicon Files #757-757.41 ^LEX( DBIA N/A Important Notice for Dental Package Users ========================================= LEX*2.0*45 inactivates ICD-9 codes that are used by the Dental DRM Plus application as default diagnoses. Sites installing LEX*2.0*45 will need to install dental patch DENT*1.2*49 to replace the inactive ICD-9's with new ones, or your dental users will experience issues trying to use some of their codes. When it becomes available, please obtain a released copy of DENT*1.2*49 from the National Patch Module. ENHANCEMENTS ============ FY07 1st Quarter Code Set Update CPT Additions Effective October 1, 2006 (27 codes) -------------------------------------------------- 0505F 0507F 1040F 2031F 3082F 3083F 3084F 3085F 3088F 3089F 3090F 3091F 3092F 3093F 4051F 4052F 4053F 4054F 4055F 4056F 4058F 4060F 4062F 4064F 4065F 4066F 4067F CPT Additions Effective January 1, 2007 (13 codes) -------------------------------------------------- 0162T 0166T 0167T 0168T 0169T 0170T 0171T 0172T 0173T 0174T 0175T 0176T 0177T CPT Inactivations (1 code) -------------------------- 0152T CPT Revisions (5 codes) ----------------------- 0068T 0069T 0070T 0087T 2001F HCPCS Codes Effective October 1, 2006 (67 codes) ------------------------------------------------ K0738 K0800 K0801 K0802 K0806 K0807 K0808 K0812 K0813 K0814 K0815 K0816 K0820 K0821 K0822 K0823 K0824 K0825 K0826 K0827 K0828 K0829 K0830 K0831 K0835 K0836 K0837 K0838 K0839 K0840 K0841 K0842 K0843 K0848 K0849 K0850 K0851 K0852 K0853 K0854 K0855 K0856 K0857 K0858 K0859 K0860 K0861 K0862 K0863 K0864 K0868 K0869 K0870 K0871 K0877 K0878 K0879 K0880 K0884 K0885 K0886 K0890 K0891 K0898 K0899 S0147 S2325 HCPCS Codes Effective January 1, 2007 (12 codes) ------------------------------------------------ H0049 H0050 Q4081 Q5001 Q5002 Q5003 Q5004 Q5005 Q5006 Q5007 Q5008 Q5009 HCPCS Revisions (1 code) ------------------------ S0316 Modifier Revisions (1 code) --------------------------- GS ICD DX Additions (209 codes) ---------------------------- 238.71 238.72 238.73 238.74 238.75 238.76 238.79 277.31 277.39 284.1 284.2 288.01 288.02 288.03 288.04 288.09 288.4 288.51 288.59 288.61 288.62 288.63 288.64 288.65 288.69 289.53 289.83 323.01 323.02 323.41 323.42 323.51 323.52 323.61 323.62 323.63 323.71 323.72 323.81 323.82 331.83 333.71 333.72 333.79 333.85 333.94 338.11 338.12 338.18 338.19 338.21 338.22 338.28 338.29 338.3 338.4 341.21 341.22 377.43 379.61 379.62 379.63 389.15 389.16 429.83 478.11 478.19 518.7 519.11 519.19 521.81 521.89 523.01 523.11 523.31 523.32 523.33 523.41 523.42 525.61 525.62 525.63 525.64 525.65 525.66 525.67 525.69 526.61 526.62 526.63 526.69 528.01 528.02 528.09 608.21 608.22 608.23 608.24 616.81 616.89 618.84 629.29 629.81 629.89 649.01 649.02 649.03 649.04 649.11 649.12 649.13 649.14 649.21 649.22 649.23 649.24 649.31 649.32 649.33 649.34 649.41 649.42 649.43 649.44 649.51 649.53 649.61 649.62 649.63 649.64 729.71 729.72 729.73 729.79 731.3 768.7 770.87 770.88 775.81 775.89 779.85 780.32 780.96 780.97 784.91 784.99 788.64 788.65 793.91 793.99 795.06 795.81 795.82 795.89 958.91 958.92 958.93 958.99 995.21 995.22 995.23 995.27 995.29 052.2 053.14 054.74 277.30 288.00 288.50 288.60 338.0 341.20 379.60 523.00 523.10 523.30 523.40 525.60 528.00 538. 608.20 649.00 649.10 649.20 649.30 649.40 649.50 649.60 958.90 995.20 V18.51 V18.59 V26.34 V26.35 V26.39 V45.86 V58.30 V58.31 V58.32 V72.11 V72.19 V82.71 V82.79 V85.51 V85.52 V85.53 V85.54 V86.0 V86.1 ICD DX Inactivations (29 codes) ------------------------------- 238.7 277.3 323.4 323.5 323.6 323.7 323.8 333.7 478.1 519.1 521.8 523.1 523.3 523.4 608.2 616.8 629.8 775.8 784.9 793.9 995.2 284.0 288.0 323.0 523.0 528.0 V18.5 V58.3 V72.1 ICD DX Re-uses (2 codes) ------------------------ 284.01 284.09 ICD Proc Additions (36 codes) ----------------------------- 13.91 32.23 32.24 32.25 32.26 33.71 33.78 33.79 35.55 36.33 36.34 39.74 50.23 50.24 50.25 50.26 55.32 55.33 55.34 55.35 68.41 68.49 68.61 68.69 68.71 68.79 00.44 00.56 00.57 00.77 00.85 00.86 00.87 01.28 13.90 37.20 ICD Proc Inactivations (4 codes) -------------------------------- 13.9 68.4 68.6 68.7 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_45.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*45. It is recommended that this patch be installed during non-peak hours. This patch should take less than 15 minutes to install. 2) Create a backup of the following globals files before continuing: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( DRG #80.2 ^ICD( CPT/HCPCS Procedure #81 ^ICPT( CPT Category #81.1 ^DIC(81.1, CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( 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=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_45.GBL. This file contains the Lexicon Utility's import global ^LEXM. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_45.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_45.GBL Parameter: "RS"=> Globals were saved on 14 Sep 2006 12:53 PM Cache with description: LEX*2*45/ICD*18*25/ICPT*6*31 Data Input option: A ^LEXM The loading of the global should take less than 3 minutes. 5) (OPTIONAL) Turn journaling off for globals ^ICD9, ^ICD0, ^ICD, ^ICPT, ^DIC(81.1), ^DIC(81.3) and ^LEX: Journaling OFF Journaling on a Cache system cannot be disabled by individual global. Journaling CAN BE disabled for a user's current process. In this case, the process will be the installation of this patch. It is important to know that for this to work, the KIDS installation CANNOT be tasked off. The installation MUST be run on your screen for the disabled journaling to be in effect. To determine if your process has journaling enabled, you can call: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on To disable journaling for the current process: >D DISABLE^%NOJRN Double check your process to be sure journaling is disabled: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on Proceed with the installation remembering NOT to task off the install. 6) Set up user and IO variables (D ^XUP) for programmer access. 7) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 8) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*45. The KIDS installation should take less than five minutes (with journaling off) depending on the number of users/jobs on the system. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install? YES//" prompt. Respond "NO" at the "Want to DISABLE Schedule Options, Menu Options, and Protocols?" prompt. 9) Cleanup a) Check that the export global ^LEXM has been killed automatically. If it has not been automatically killed, you will need to kill the "unsubscripted" import global ^LEXM to prevent import global checksum errors on future installations. 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. b) If you opted to turn journaling off prior to installation, then the journaling must be turned back on when the installation is complete. Journaling ON Journaling on a Cache system can only be turned back on for the user's current process. When the installation of this patch has completed (interactively - not tasked), you may enable journaling for the current process. To determine if your process has journaling disabled, you can call: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on To enable journaling for the current process: >D ENABLE^%NOJRN Double check your process to be sure journaling is enabled: >W $$CURRENT^%NOJRN() 0 means journaling is disabled, 1 means it's on c) If routines LEX2045 and LEX2045P are found on your system, they may be deleted upon completion of the installation. These routines are the environment check, pre-install and post-install routines for this installation. ROUTINE SUMMARY: =============== The second line of each of these routines will look like: ;;2.0;LEXICON UTILITY;**[PATCH LIST]**;Sep 23, 1996 The checksums below can be checked with CHECK^XTSUMBLD Checksums Checksums Routine Before Patch After Patch Patch List (2nd Line) -------- ------------- ------------- --------------------- LEX2045 17576781 45 LEX2045P 
      8764310     45
 

Routine Information:
====================
The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: LEX2045
    Before:       n/a  After: B81031576  n/a
Routine Name: LEX2045P
    Before:       n/a  After: B24553493  n/a

=============================================================================
User Information:
Entered By  : ROWE,KIMBALL                  Date Entered  : JUL 25, 2006
Completed By: PETRUSKA,BETH                 Date Completed: OCT 31, 2006
Released By : MONTGOMERY,ALAN               Date Released : NOV 01, 2006
=============================================================================


Packman Mail Message:
=====================

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