$TXT Created by LUNDEN,JOHN at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 05/13/04 at 12:56 ============================================================================= Run Date: JUN 17, 2004 Designation: PX*1*132 Package : PX - PCE PATIENT CARE ENCOUNTER Priority: Mandatory Version : 1 SEQ #104 Status: Released Compliance Date: JUL 16, 2004 ============================================================================= Associated patches: (v)PX*1*112 <<= must be installed BEFORE `PX*1*132' (v)PX*1*121 <<= must be installed BEFORE `PX*1*132' (v)IB*2*257 <<= must be installed BEFORE `PX*1*132' Subject: FIX IDENTIFICATION AND QUANTITY ALLOWED OF E&M CPT CODES Category: - Routine Description: ============ Currently if a CPT code is part of a subset of E & M codes the user is allowed to enter that CPT code only once per encounter and with a quantity of only 1. In menu option "PXCE Encounter Data Entry" under IN [Check Out Interview], there are 2 problems being addressed with this logic. 1) If a CPT code begins with a letter it is being identified as an E & M code whether or not it truly is. 2) Certain E & M codes need to allow a quantity of more than 1 to be ordered. There is a new field in the TYPE OF VISIT file being created in patch IB*2.0*257 to identify E&M codes that can have a quantity of grater than one. This quantity flag can be set with the menu option EDIT E&M CODE QUANTITY FLAG [IB EDIT E&M CODE QUANTITY FLAG] under the MCCR System Definition Menu [IB SYSTEM DEFINITION MENU] option. This option requires the IB SUPERVISOR key. ASSOCIATED E3Rs: ================ N/A ASSOCIATED NOIS(s): =================== MEM-0903-70868 - UNABLE TO ENTER MULTIPLE CODES. DUPLICATES: POR-0903-50335 - PX*1*112 CAUSES PROBLEM WITH CODE 99355 SFC-0903-60644 - PROBLEM WITH PX*1*112 MAC-1203-62060 - CPT code G0154 only allows quantity of 1 ECH-1003-50767 - CPT QUANTITY PARTICIPATING TEST SITES: ========================== El Paso, TX Northern California HCS Portland, OR Eastern Colorado HCS Upstate New York HCS TECHNICAL: ========== CHECKSUMS: ROUTINE BEFORE AFTER PATCH LIST ------- ------ ----- ---------- PXBPCPT 10624439 10708939 11,73,89,112,121,132 PXBPQUA 1899760 2015139 11,112,132 PROBLEM 1: CPT codes beginning with a letter are identified as E & M codes because the routine (PXBPCPT) "plus-es" the code before checking to see if it is in the 357.69 file (^IBE(357.69)). Since a string starting with a letter always "plus-es" to a zero and since all VA files have a zero node this will always come up true, thereby incorrectly identifying these codes. RESOLUTION 1: If the CPT code begins with a number then plus it as is done now. If the CPT code begins with a letter then do not plus it but use it as is. (routine: MULTI^PXBPCPT) PROBLEM 2: Currently any E & M code is limited to a quantity of 1 at all times. RESOLUTION 2: To allow a quantity of more than one for specific codes a new field has been added to file 357.69 (see IB*2.0*257 - required patch). The field is piece 6 of the zero node. If this field is set to Y then a quantity of more than one code may be ordered. If this field is N or null then the code is limited to a quantity of 1. The flags are used this way so that if a code has not been updated with this flag it will default to N, thereby allowing only a quantity of 1. This way only codes that need the new logic need to be updated. (Routine: QFIN^PXBPQUA) ======================INSTALLATION INSTRUCTIONS======================== This patch can be installed during business hours, but because some options will be out of service during the installation process it is suggested that it be queued for non-peak hours. Installation will take less than 5 minutes. Installation should take less than 5 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. Review your mapped set. If the routines are mapped, they should be removed from the mapped set at this time. 3. From the Kernel Installation & Distribution System menu, select the Installation menu. 4. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter PX*1.0*132) a. Backup a Transport Global - This option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.) c. Verify Checksums in Transport Global - This option will ensure the integrity of the routines that are in the transport global. 5. Use the Install Package(s) option and select the package PX*1.0*132. 6. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES// respond "NO". 7. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// respond "YES". 8. When prompted to select the options you would like to place out of of order, enter the following: PXCE ENCOUNTER DATA ENTRY PXCE ENCOUNTER ENTRY SUPER PXCE ENCOUNTER ENTRY & DELETE PXCE ENCOUNTER ENTRY NO DELETE 9. If any routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. Routine Information: ==================== Routine Name: - PXBPCPT Routine Checksum: Routine Name: - PXBPQUA Routine Checksum: ============================================================================= User Information: Entered By : LUNDEN,JOHN Date Entered : NOV 24, 2003 Completed By: ILUSTRISIMO,LUCY Date Completed: JUN 15, 2004 Released By : HEUER,CINDY Date Released : JUN 17, 2004 ============================================================================= Packman Mail Message: ===================== $END TXT