| DESCRIPTION OF ENHANCEMENTS |
=====================
1. Currently: If a Current Procedural Terminolgy (CPT) code is not
The updates described above are displayed in the following screen format.
This screen format is used in the menu options listed below it:
Provider: PROVIDER, ONE// PRO PHYSICIAN
Select CPT codes: 88302
TEST, PATIENT1 000-99-1234 DOB: Mar 05, 1955
Collection Date: Jan 06, 2005@11:52
found or is marked inactive in the CPT file (#81), a general message,
Acc #: NSP 05 1 Loc: 5N
Specimen:
Tissue Specimens:
TAIL
Test(s); SURGICAL PATH REPORTING/ SURGICAL PATHOLOGY LOG-IN/
Pathologist: PHYSICIAN, ONE
Selected CPT Codes
(1) 88302 LEVEL II - SURGICAL PATHOLOGY, GROSS AND MICROSCOP
"Nothing Selected" displays, or no message at all displays. The CPT
Surgical Pathology Level II {88518.0000}
Menu Options:
Lab CPT Billing [LRCAPES]
Verify/release reports, anat path [LRAPR],
CPT Coding selection
Provisional anatomic diagnoses [LRAPAUPAD]
Autopsy protocol [LRAPAUDAP]
Autopsy protocol & SNOMED coding [LRAPAUDAB]
Autopsy protocol & ICD9CM coding [LRAPAUDAA]
code is not selected and passed to PATIENT CARE ENCOUNTER (PCE).
FS/Gross/Micro/Dx [LRAPDGM]
FS/Gross/Micro/Dx/SNOMED Coding [LRAPDGS]
FS/Gross/Micro/Dx/ICD9CM Coding [LRAPDGI]
9. A couple of general corrections are included in this patch. For
certain $D statements which read, "'$DATA()#2", the modulo is incorrectly
applied to the result of the "'$DATA()". Instead, the NOT operator "'"
should be applied to the evaluation of "$DATA()#2" to correctly read,
"'($DATA()#2)". The following statements have been corrected:
a. In SETWKL+13^LRCAPES1, Q:'$D(^LAM(LRP,0))#2, has been changed to
Q:'($D(^LAM(LRP,0))#2).
b. In EN5+4^LRCAPPH1, Q:'$D(^LRO(69,LRCDT,1,LRSN,2,LRTST,0))#2, has been
changed to Q:'($D(^LRO(69,LRCDT,1,LRSN,2,LRTST,0))#2).
Data Dictionary Changes
=======================
VistA Laboratory AP CPT Code Corrections Patch LR*5.2*308 software release
contains the following data dictionary changes:
Update: If one or more CPT's are not found in the CPT file (#81),
WKLD CODE file (#64)
------------------------
WKLD CODE file (#64), ES DISPLAY ORDER field (#26) has been modified
to increase the quantity allowed from 100 to 1000.
======================
Associated E3Rs - None
---------------
Associated NOISs -
the following message displays and lists the CPT codes:
----------------
CPH-0103-41645 / HD0000000069980
FGH-0103-31657 / HD0000000069982
MIN-0103-41656 / HD0000000069981
BHS-0103-12034 / HD0000000069988
UNY-0103-11749 / HD0000000069985
WBP-0103-21809 / HD0000000069986
SAM-0603-21566 / HD0000000070159
"The following CPT Code(s) are not selected:
JAC-1103-70158 / HD0000000070386
ALT-0304-20022 / HD0000000070580
SBY-0304-31852 / HD0000000070614
BIL-0304-31578 / HD0000000070606
WRJ-0404-10360 / HD0000000070654
HVH-0404-11404 / HD0000000070684
CPH-0804-41938 / HD0000000070965
MIN-1204-40394 / HD0000000071122
HEH-0304-41954 / HD0000000070618
Not found in #81: #####,#####,".
=====================
Test Sites:
===========
Boston HCS - VMS/CACHE (large integrated site)
Durham VAMC - VMS/CACHE (large site)
Iowa City VAMC - VMS/CACHE (large integrated site)
Long Beach VAMC - VMS/CACHE (large site)
================
For one or more CPTs that are marked inactive in the CPT
Routine Summary:
================
The following list of the routine(s) included in this patch. The
second line of each of these routine(s) will look like:
<tab>;;5.2;LAB SERVICE;**[patch list]**;Sep 27 1994
CHECK^XTSUMBLD results
Patch Description
file (#81), the following message displays and lists the CPT codes:
Routine Before After Patch
Name Patch Patch List
LR308 N/A 3577348 **308** (Deleted by KIDS)
LRAPLG1 5113296 5107203 **72,121,248,308**
LRAPUTL 9752029 9713709 **259,308**
LRCAPES 13104305 13495108 **274,259,349,308**
LRCAPES1 8132160 13575476 **274,308**
LRCAPPH1 13504461 14078305 **127,136,138,158,263,264,274,291,359,308**
"The following CPT Code(s) are not selected:
Software Retrieval
------------------
VistA Laboratory Anatomic Pathology Current Procedural Terminology
Corrections Patch LR*5.2*308 software is distributed by Packman.
Documentation Retrieval
-----------------------
VistA Laboratory Anatomic Pathology (AP) Current Procedural
Terminology(CPT)Corrections Patch LR*5.2*308 software User Guide
CPT(s) inactive in #81: #####,#####".
is available at the following Office of Information Field Offices (OIFOs)
ANONYMOUS.SOFTWARE directories:
OI Field Office FTP Address Directory
--------------- ----------- ---------
ALBANY ftp.fo-albany.domain.ext [ANONYMOUS.SOFTWARE]
HINES ftp.fo-hines.domain.ext [ANONYMOUS.SOFTWARE]
SALT LAKE CITY ftp.fo-slc.domain.ext [ANONYMOUS.SOFTWARE]
All CPTs that are inactive or not found in file #81 will not be
Documentation Retrieval Formats
-------------------------------
VistA Laboratory Anatomic Pathology (AP) Current Procedural
Terminology(CPT)Corrections Patch LR*5.2*308 User Guide files are
exported in the following retrieval formats:
File Name Contents Retrieval Formats
--------- -------- -----------------
LAB_52_308_UG.doc VistA Laboratory Anatomic Pathology
(AP) Current Procedural Terminology
passed to PCE.
(CPT)Corrections Patch LR*5.2*308
User Guide BINARY
LAB_52_308_UG.pdf VistA Laboratory Anatomic Pathology
(AP) Current Procedural Terminology
(CPT)Corrections Patch LR*5.2*308
User Guide BINARY
VistA Website Locations:
-----------------------
VistA Laboratory Anatomic Pathology (AP) Current Procedural
Terminology(CPT)Corrections Patch LR*5.2*308 User Guide is accessible in
MS Word (.doc) and Portable Document Format (.pdf) at the following
VistA locations:
Laboratory Version 5.2 Home Page
--------------------------------
http://vista.domain.ext/ClinicalSpecialties/lab/
2. Currently: CPTs marked inactive in the WKLD CODE file (#64)
VistA Documentation Library (VDL)
---------------------------------
www.domain.ext/vdl/
can be selected and are passed to PCE.
Update: If a selected CPT is marked inactive in file (#64), a
=================
search is made for another active CPT linked to the same workload code.
If another active CPT is found, the active CPT replaces the inactive CPT
and is passed to PCE. The following message will display if an active
replacement is found:
"The following CPT Code(s) are not selected:
Inactive in #64\Active Replacement Found: ##### \ #####; ##### \
#####".
If no active replacement found, the selected CPT is not passed to
PCE and is displayed in the following message:
Several updates and enhancements have been identified as requiring
"The following CPT Code(s) are not selected:
CPT(s) inactive in #64: #####,#####".
3. Currently: Inactive CPTs found in the WKLD CODE file (#64)
can be entered and passed to PCE for non-AP accessions. When an inactive
CPT is selected and passed to PCE, the entire order is marked invalid for
workload and no workload is passed, and a mail message is generated at the
site which states "No lab OOS location defined".
Update: If a CPT is found inactive in file #64, a search will be
immediate action after the installation of patch LR*5.2*274, AP CPT
made for another active replacement CPT linked to the same workload code.
If another active CPT is found, the active CPT replaces the inactive
CPT. If no active replacement CPT is found, the original CPT is not
passed to PCE, and thus no misleading mail message is generated.
4. Currently: Any subsequent CPT codes entered on an accession
will replace or overlay the quantity previously passed to PCE.
Example: CPT 88302 with quantity of 2 entered on day 1; PCE shows
quantity of 2. On day 2, CPT 88302 with quantity of 1 entered; PCE shows
updated quantity of 1. It should show 3.
Coding & NLT Code Update. This patch LR*5.2*308 includes updates
Update: All subsequent CPT code quantities entered for an
accession will be added to existing quantities stored in PCE.
5. Currently: If a selected CPT is not linked to a workload code
in the WKLD CODE file (#64), the CPT is passed to PCE, and the message
"Storing in LMIP". This message incorrectly identifies the CPT as
having been stored in the WKLD CODE file (#64).
Update: Selected CPT codes that are not linked to a workload code
that have been identified in the NOIS's listed below.
in the WKLD CODE file (#64) will not be passed to PCE, and the following
message will display:
"The following CPT Code(s) are not selected:
Not linked to workload in #64: #####, #####".
6. Currently: If a selected CPT code is linked to multiple workload
codes, the workload code with the lowest IEN is selected. This cannot be
changed; however, the problem has been reduced by increasing the number of
allowed ES Display Order numbers that can be assigned to a specific
CPT-workload code combination. The limit has been increased from 100 to
The following updates are included.
1000.
7. Currently: When more than one accession is entered for a patient on
the same date, at the same location, and the specimen collection date/time
does not contain a unique time, then each accession for this patient will
have the same encounter/visit number assigned when CPT codes are entered
and passed to PCE.
Update: Within Anatomic Pathology (AP) Login, the "Date/time Specimen
taken:" prompt default has been changed from TODAY (date only) to NOW
(date and time). This helps decrease the chance of having the same
encounter number assigned to more than one accession entered on the same
patient on the same date, at the same location.
8. A couple of minor cosmetic updates are included in this patch:
a. The prompt "Releasing Pathologist:" has been changed to "Provider:"
since the name entered at this prompt must be an active provider.
b. The pathologist or cytotechnologist name, if entered on the accession,
is included in the header information that displays at the time CPT coding
is entered.
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