============================================================================= Run Date: SEP 24, 2003 Designation: PX*1*121 Package : PX - PCE PATIENT CARE ENCOUNTER Priority: Mandatory Version : 1 SEQ #98 Status: Released Compliance Date: OCT 15, 2003 ============================================================================= Associated patches: (v)PX*1*18 <<= must be installed BEFORE `PX*1*121' (v)PX*1*29 <<= must be installed BEFORE `PX*1*121' (v)PX*1*31 <<= must be installed BEFORE `PX*1*121' (v)PX*1*33 <<= must be installed BEFORE `PX*1*121' (v)PX*1*54 <<= must be installed BEFORE `PX*1*121' (v)PX*1*92 <<= must be installed BEFORE `PX*1*121' (v)PX*1*108 <<= must be installed BEFORE `PX*1*121' (v)PX*1*111 <<= must be installed BEFORE `PX*1*121' (v)PX*1*112 <<= must be installed BEFORE `PX*1*121' (v)ICPT*6*14 <<= must be installed BEFORE `PX*1*121' (v)ICD*18*6 <<= must be installed BEFORE `PX*1*121' Subject: PCE CODE SET VERSIONING Category: - Routine - Enhancement (Mandatory) - Informational Description: ============ ************************************************************************** * THIS BUILD IS PART OF THE CSV PROJECT AND * * MUST BE INSTALLED AT ALL SITES BY SEPTEMBER 30, 2003 * ************************************************************************** ************************************************************************** ************************************************************************** This patch supports Code Set Versioning, mandated under the Health Information Portability and Accountability Act (HIPAA). It contains routines, data, and data dictionary changes to recognize code sets for the Current Procedural Terminology (CPT) and Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS). When implemented, applications will be able to retrieve appropriate CPT and HCPCS codes based upon a date that a clinical event occurred. This patch is contained in the Kernel Installation & Distribution System (KIDS): CSV MS 1.0 Installing the CSV MS 1.0 build provides all of the updates listed below. Sites will use the KIDS to ensure the proper order of installation for the VISTA Packages in the Management Systems Product Line. ************************************************************************** ************************************************************************** I. BACKGROUND ============ Gail Graham, Director of Information Assurance, requested modifications to the VHA Information Systems and Technology Architecture (VISTA) Patient Information Management System (PIMS) package that allows the use of multiple versions of the code sets employed in financial transactions. This includes multiple versions of the Veterans Health Administration (VHA) diagnostic related grouping software, also known as the "VHA Grouper". The Health Insurance Portability and Accessibility Act (HIPAA) stipulates that diagnostic and procedure codes used for billing purposes must be the codes that were applicable at the time the service was provided. This initative is commonly referred to as the Code Set Versioning (CSV) project. For this project, four code sets required by HIPAA legislation are date sensitive and needed modification. These include: * International Classification of Diseases-9-Clinical Modifications (ICD-9-CM), * Diagnostic Related Group (DRG) Codes, which is part of the ICD-9 code set, * Clinical Procedure Terminology-4 (CPT-4), and * Healthcare Common Procedural Coding System (HCPCS) Level II Codes. Additional code sets may be determined by the Department of Health and Human Services for future inclusion. This patch addresses the changes done within the Patient Care Encounter package in compliance to the specifications of CSV. Modifications were done within the Patient Care Encounter application to assure validity of CPT codes, and CPT modifiers, and ICD diagnosis and CPT procedure codes, by utilizing an API that return codes for a given encounter date. The changes affects to the following options: PXCE ENCOUNTER DATA ENTRY PCE Encounter Data Entry PXCE ENCOUNTER ENTRY SUPER PCE Encounter Data Entry - Supervisor PXCE ENCOUNTER ENTRY & DELETE PCE Encounter Data Entry and Delete PXCE ENCOUNTER ENTRY NO DELETE PCE Encounter Data Entry without Delete PXCE ENCOUNTER VIEWER PCE Encounter Viewer PX PCE CLINICIAN MENU PCE Clinician Menu PX PCE COORDINATOR MENU PCE Coordinator Menu PXQ PCE/SD DEBUGGING UTILITIES PCE/SD Debugging Utilities The changes affects to the following protocols: PXCE ADD/EDIT Update Encounter PXCE ADD/EDIT DISPLAY BRIEF Display Brief PXCE ADD/EDIT DISPLAY DETAIL Display Detail PXCE ADD/EDIT INTERVIEW Check Out Interview PXCE CPT ADD CPT (Procedure) PXCE EDIT V-FILE Edit an Item PXCE NEW ENCOUNTER Add Standalone Enc. PXCE POV ADD Diagnosis (ICD-9) PXCE SDAM INTERVIEW Check Out Interview PXCE SDAM STANDALONE Add Standalone Enc. PXCE SDAM DISPLAY DETAIL Display Detail (DD) PXCE SDAM MENU Appointment Menu The following reports are modified by utilizing API. The reports reflect to current text. PXRR PATIENT ACTIVITY BY LOC Patient Activity by Location PXRR MOST FREQUENT DIAGNOSES Diagnosis Ranked by Frequency PXRR CASELOAD PROFILE BY CL Caseload Profile by Clinic ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;1.0;PATIENT CARE ENCOUNTER**[patch list]**;Aug 112, 1996 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List =========== ============ =========== ========== AUPNSICD 268724 359325 121 PXAICPTV 5184007 5803989 15,73,74,111,121 PXAIMOD 1050971 1437742 73,121 PXAIPOVV 1191657 1640571 121 PXBDCPT 7543587 7589626 11,73,89,108,121 PXBGCPT4 6141481 6270889 11,73,43,108,121 PXBGPOV4 4861185 4960584 11,28,121 PXBGPRV4 5427770 5460932 7,11,121 PXBPCPT 10255109 10624439 11,73,89,112,121 PXBPCPT1 5277458 6087155 7,73,88,89,108,112,121 PXBPMOD 1310690 1376443 73,88,89,108,121 PXBPPOV 8918623 9422313 11,28,92,121 PXBPPOV1 4577123 5230066 11,112,121 PXBUTL2 2260528 2329372 121 PXCACPT 11183499 11272075 27,33,73,121 PXCACPT1 3500533 3548373 73,121 PXCAPOV 12327592 13370975 24,27,33,121 PXCAVST1 5867188 5891356 73,74,111,121 PXCECPT 8301982 8582092 14,27,73,89,112,121 PXCEHELP 5299385 5394477 5,121 PXCEPOV 4722584 4867172 27,121 PXKMOD 1649614 1767453 73,121 PXQUTL 9241790 9392705 4,14,29,121 PXRHS02 4747168 4759091 13,73,121 PXRRFDP 11426928 11385771 3,10,12,18,31,121 PXRRFDSD 5486466 5507330 3,10,12,31,54,121 PXRRPAPI 8651855 8685836 18,121 PXRRPCE3 17178680 18865399 121 SOFTWARE AND DOCUMENTATION RETRIEVAL ==================================== The software for this patch is being distributed in host file CSV_MS_1_0.KID. The host file will contain nine KIDS builds. The builds contained in the CSV MS 1.0 multi-package distribution are: Package Patch(es) ------- --------- AICS IBD*3.0*51 Ambulatory Care DG*5.3*511 SD*5.3*295 DRG Grouper ICD*18.0*7 Event Capture EC*2.0*47 Fee Basis FB*3.5*55 Integrated Billing IB*2.0*210 PCE PX*1.0*121 Registration (PTF) DG*5.3*510 Please refer to the 'Software and Documentation Retrieval' section of the EC*2*47 patch description for instructions on how to acquire the patch software and documentation. INSTALLATION ============ Please refer to the Health Insurance Portability and Accountability Act (HIPAA) Code Set Versioning (CSV) Installation Guide for details of the installation procedure for this patch. The HIPAA CSV Installation Guide can be found in the following [ANONYMOUS.SOFTWARE] directories: Preferred Address ------------------------- First available FTP server download.vista.med.va.gov Specific Field Office FTP Address --------------------- ------------------------ Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov File Name Description Format FTP Protocol -------------- ------------- ------- ------------ CSV_1_0_IG.DOC Install Guide MS Word Binary Routine Information: ==================== Routine Name: - AUPNSICD Routine Checksum: Routine Name: - PXAICPTV Routine Checksum: Routine Name: - PXAIMOD Routine Checksum: Routine Name: - PXAIPOVV Routine Checksum: Routine Name: - PXBDCPT Routine Checksum: Routine Name: - PXBGCPT4 Routine Checksum: Routine Name: - PXBGPOV4 Routine Checksum: Routine Name: - PXBGPRV4 Routine Checksum: Routine Name: - PXBPCPT Routine Checksum: Routine Name: - PXBPCPT1 Routine Checksum: Routine Name: - PXBPMOD Routine Checksum: Routine Name: - PXBPPOV Routine Checksum: Routine Name: - PXBPPOV1 Routine Checksum: Routine Name: - PXBUTL2 Routine Checksum: Routine Name: - PXCACPT Routine Checksum: Routine Name: - PXCACPT1 Routine Checksum: Routine Name: - PXCAPOV Routine Checksum: Routine Name: - PXCAVST1 Routine Checksum: Routine Name: - PXCECPT Routine Checksum: Routine Name: - PXCEHELP Routine Checksum: Routine Name: - PXCEPOV Routine Checksum: Routine Name: - PXKMOD Routine Checksum: Routine Name: - PXQUTL Routine Checksum: Routine Name: - PXRHS02 Routine Checksum: Routine Name: - PXRRFDP Routine Checksum: Routine Name: - PXRRFDSD Routine Checksum: Routine Name: - PXRRPAPI Routine Checksum: Routine Name: - PXRRPCE3 Routine Checksum: ============================================================================= User Information: Entered By : TSAI,ANNIE Date Entered : APR 09, 2003 Completed By: KRAUTER,DARYL Date Completed: SEP 10, 2003 Released By : NELSON,VICKI M Date Released : SEP 24, 2003 ============================================================================= Packman Mail Message: ===================== No routines included