INSTALLATION NOTES FOR ACPT - CPT FILES V2.21 Patch 5 ================================================================================ PREFIX: ACPT - CPT FILES CURRENT VERSION: 2.21 PATCH#: 5 RELEASE DATE: July 2021 ================================================================================ ****** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** NOTE ******* ******************************************************************************** ** READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION!!! ** ******************************************************************************** ****** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** NOTE ******* ******************************************************************************** ================================================================================ 1. GENERAL INFORMATION a) This release contains the CPT/HCPCS code updates for Quarter 4 of CY 2021. b) Off-cycle CPT/HCPCS code updates (COVID-19 related) 7/20/2021: CMS established new HCPCS codes effective 6/24/2021, for monoclonal antibodies products and administration used to treat coronavirus disease 2019 (COVID-19). These new codes apply to Genentech's tocilizumab, which received FDA Emergency Use Authorization on 6/24/2021. New HCPCS: M0249 M0250 Q0249 2. CONTENTS OF DISTRIBUTION a) acpt2021.05b - Global KIDS file b) acpt2021.05n - Notes file 3. REQUIREMENTS a) Kernel v 8.0 Patch 1018 or later b) FileMan v 22.0 Patch 1018 or later c) Kernel Toolkit v 7.3 or later d) ACPT v 2.21 Patch 4 or later e) BCSV v 1.0 Patch 3 or later 4. INSTALLATION INSTRUCTIONS a) D ^%GOGEN saving the following GLOBALS: ^ICPT CPT b) Load the Global Distribution into KIDS using option 1 on the Install menu. The distribution was released in a file named acpt2021.05b. c) For results, use the KIDS "Install File Print" option to view/print the "ACPT*2.21*5" entry. 5. POINT OF CONTACT OIT User Support (IHS) Phone: (888) 830-7280 Web: https://www.ihs.gov/itsupport/ Email: itsupport@ihs.gov ################################################################################ # # # EXAMPLE of loading Global build - acpt2021.05b # # # ################################################################################ D ^XUP Setting up programmer environment This is a PRODUCTION account. Terminal Type set to: C-VT100 Select OPTION NAME: XPD MAIN Kernel Installation & Distribution System Edits and Distribution ... Utilities ... Installation ... Patch Monitor Main Menu ... Select Kernel Installation & Distribution System Option: INstallation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 1 Load a Distribution Enter a Host File: C:\Patches\ACPT 2.21 P5\acpt2021.05b KIDS Distribution saved on Jul 21, 2021@11:57:24 Comment: CY2021 Q4/COVID-19 JULY 2021 This Distribution contains Transport Globals for the following Package(s): ACPT*2.21*5 Distribution OK! This is a Global Distribution. It contains Global(s) that will update your system at this time. The following Global(s) will be installed: ^ACPT Replace **WARNING - Global will be KILLED before install, Check global protection on ALL systems before continuing. If you continue with the Load, the Global(s) will be Installed at this time. Want to Continue with Load? YES// Loading Distribution... Build ACPT*2.21*5 has an Environmental Check Routine Want to RUN the Environment Check Routine? YES// ACPT*2.21*5 Will first run the Environment Check Routine, ACPT221 Hello, SYSTEM MANAGER Checking Environment for CPT FILES V 2.21 Patch 5. Need at least XU v8.0 p1018.....XU v8.0 p1018 Present Need at least DI v22.0 p1018.....DI v22.0 p1019 Present Need at least XT v7.3.....XT v7.3 Present Need at least ACPT v2.21 p4.....ACPT v2.21 p4 Present Need at least BCSV v1.0 p3.....BCSV v1.0 p3 Present ENVIRONMENT OK. Globals will now be installed, OK? YES// Install Started for ACPT*2.21*5 : Jul 21, 2021@12:39:13 Installing Globals: ^ACPT Jul 21, 2021@12:39:13 Running Post Install routine POST^ACPT221 74 CPT New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0018M TRNSPLJ RNL MEAS CD154+CLL N 10/1/2021 0255U ANDROLOGY INFERTILITY ASSMT N 10/1/2021 0256U TMA/TMAO PRFL MS/MS UR ALG N 10/1/2021 0257U VLCAD LEUK NZM ACTV WHL BLD N 10/1/2021 0258U AI PSOR MRNA 50-100 GEN ALG N 10/1/2021 0259U NEPH CKD NUC MRS MEAS GFR N 10/1/2021 0260U RARE DS ID OPT GENOME MAPG N 10/1/2021 0261U ONC CLRCT CA IMG ALYS W/AI N 10/1/2021 0262U ONC SLD TUM RT-PCR 7 GEN N 10/1/2021 0263U NEURO ASD MEAS 16 C METBLT N 10/1/2021 0264U RARE DS ID OPT GENOME MAPG N 10/1/2021 0265U RAR DO WHL GN&MTCDRL DNA ALS N 10/1/2021 0266U UNXPL CNST HRTBL DO GN XPRSN N 10/1/2021 0267U RARE DO ID OPT GEN MAPG&SEQ N 10/1/2021 0268U HEM AHUS GEN SEQ ALYS 15 GEN N 10/1/2021 0269U HEM AUT DM CGEN TRMBCTPNA 14 N 10/1/2021 0270U HEM CGEN COAGJ DO 20 GENES N 10/1/2021 0271U HEM CGEN NEUTROPENIA 23 GEN N 10/1/2021 0272U HEM GENETIC BLD DO 51 GENES N 10/1/2021 0273U HEM GEN HYPRFIBRNLYSIS 8 GEN N 10/1/2021 0274U HEM GEN PLTLT DO 43 GENES N 10/1/2021 0275U HEM HEPRN NDUC TRMBCTPNA SRM N 10/1/2021 0276U HEM INH THROMBOCYTOPENIA 23 N 10/1/2021 0277U HEM GEN PLTLT FUNCJ DO 31 N 10/1/2021 0278U HEM GEN THROMBOSIS 12 GENES N 10/1/2021 0279U HEM VW FACTOR&CLGN III BNDG N 10/1/2021 0280U HEM VW FACTOR&CLGN IV BNDG N 10/1/2021 0281U HEM VWD PROPEPTIDE AG LVL N 10/1/2021 0282U RBC DNA GNTYP 12 BLD GRP GEN N 10/1/2021 0283U VW FACTOR TYPE 2B EVAL PLSM N 10/1/2021 0284U VW FACTOR TYPE 2N EVAL PLSM N 10/1/2021 90759 HEP B VAC 3AG 10MCG 3 DOS IM N 1/1/2022 0672T NDOVAG CRYG RF REMDL TISS N 1/1/2022 0673T ABLTJ B9 THYR NDUL PERQ LASR N 1/1/2022 0674T LAPS INSJ NW/RPCMT PRM ISDSS N 1/1/2022 0675T LAPS INSJ NW/RPCMT ISDSS 1LD N 1/1/2022 0676T LAPS INSJ NW/RPCMT ISDSS EA N 1/1/2022 0677T LAPS REPOS LEAD ISDSS 1ST LD N 1/1/2022 0678T LAPS REPOS LEAD ISDSS EA ADD N 1/1/2022 0679T LAPS RMVL LEAD ISDSS N 1/1/2022 0680T INSJ/RPLCMT PG ONLY ISDSS N 1/1/2022 0681T RLCJ PULSE GEN ONLY ISDSS N 1/1/2022 0682T REMOVAL PULSE GEN ONLY ISDSS N 1/1/2022 0683T PRGRMG DEV EVAL ISDSS IP N 1/1/2022 0684T PERI-PX DEV EVAL ISDSS IP N 1/1/2022 0685T INTERROG DEV EVAL ISDSS IP N 1/1/2022 0686T HISTOTRIPSY MAL HEPATCEL TIS N 1/1/2022 0687T TX AMBLYOPIA DEV SETUP 1ST N 1/1/2022 0688T TX AMBLYOPIA ASSMT W/REPORT N 1/1/2022 0689T QUAN US TIS CHARAC W/O DX US N 1/1/2022 0690T QUAN US TIS CHARAC W/DX US N 1/1/2022 0691T AUTO ALYS XST CT STD VRT FX N 1/1/2022 0692T THERAPEUTIC ULTRAFILTRATION N 1/1/2022 0693T COMPRE FUL BDY 3D MTN ALYS N 1/1/2022 0694T 3D VOL IMG&RCNSTJ BRST/AX N 1/1/2022 0695T BDY SRF MPG PM/CVDFB TM IMPL N 1/1/2022 0696T BDY SURF MAPG PM/CVDFB F/UP N 1/1/2022 0697T QUAN MR TIS WO MRI MLT ORGN N 1/1/2022 0698T QUAN MR TISS W/MRI MLT ORGN N 1/1/2022 0699T NJX PST CHMBR EYE MEDICATION N 1/1/2022 0700T MOLEC FLUOR IMG SUS NEV 1ST N 1/1/2022 0701T MOLEC FLUOR IMG SUS NEV EA N 1/1/2022 0702T REM THER MNTR OL TECH SPRT N 1/1/2022 0703T REM THER MNTR OL COG BHV N 1/1/2022 0704T REM TX AMBLYOPIA SETUP&EDU N 1/1/2022 0705T REM TX AMBLYOPIA TECH SPRT N 1/1/2022 0706T REM TX AMBLYOPIA I&R PHY/QHP N 1/1/2022 0707T NJX B1 SUB MTRL SBCHDRL DFCT N 1/1/2022 0708T ID CA IMMNTX PREP & 1ST NJX N 1/1/2022 0709T ID CA IMMNTX EACH ADDL NJX N 1/1/2022 0710T N-INVAS ARTL PLAQ ALYS N 1/1/2022 0711T N-NVS ARTL PLAQ ALYS DAT PRP N 1/1/2022 0712T N-NVS ARTL PLAQ ALYS QUAN N 1/1/2022 0713T N-NVS ARTL PLAQ ALYS RVW I&R N 1/1/2022 10 CPT Updated Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0236U SMN1&SMN2 FULL GENE ANALYSIS L 1/1/2021 0252U FTL ANEUPLOIDY STR ALYS DNA L 7/1/2021 0254U REPRDTVE MED ALYS 24 CHRMSM L 7/1/2021 0051U RX MNTR LC-MS/MS UR/BLD 31 S L 10/1/2021 0101T ESW MUSCSKEL SYS NOS S L 1/1/2022 0102T ESW PHY ANES LAT HMRL EPCNDL S L 1/1/2022 0512T ESW INTEG WND HLG 1ST WND L 1/1/2022 0513T ESW INTEG WND HLG EA ADDL L 1/1/2022 0648T QUAN MR TIS WO MRI 1ORGN S L 1/1/2022 0649T QUAN MR TISS W/MRI 1ORGN S L 1/1/2022 2 CPT Inactive Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0139U NEURO AUSTM MEAS 6 C METABLT I 10/1/2021 0168U FTL ANEUPLOIDY DNA SEQ ALYS I 10/1/2021 3 HCPCS New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= M0249 Adm Tocilizu COVID-19 1st N 6/24/2021 M0250 Adm Tocilizu COVID-19 2nd A S L 6/24/2021 Q0249 Tocilizumab for COVID-19 N 6/24/2021 ----- CPT Table Update Summary ----- New Act Mod Ina Unmod Total CPT (1/1/2021) 0 0 1 0 0 1 CPT (7/1/2021) 0 0 2 0 0 2 CPT (10/1/2021) 31 0 1 2 0 34 CPT (1/1/2022) 43 0 6 0 0 49 HCPCS (6/24/2021) 2 1 0 0 0 3 Updating KIDS files... ACPT*2.21*5 Installed. Jul 21, 2021@12:39:14 ################################################################################ # # #=================== LIST OF UPDATED CPT ENTRIES - JUL 2021 ===================# # # ################################################################################ ** CPT Additions ** Effective Oct 01, 2021 (31 codes) 0018M 0255U 0256U 0257U 0258U 0259U 0260U 0261U 0262U 0263U 0264U 0265U 0266U 0267U 0268U 0269U 0270U 0271U 0272U 0273U 0274U 0275U 0276U 0277U 0278U 0279U 0280U 0281U 0282U 0283U 0284U Effective Jan 01, 2022 (43 codes) 90759 0672T 0673T 0674T 0675T 0676T 0677T 0678T 0679T 0680T 0681T 0682T 0683T 0684T 0685T 0686T 0687T 0688T 0689T 0690T 0691T 0692T 0693T 0694T 0695T 0696T 0697T 0698T 0699T 0700T 0701T 0702T 0703T 0704T 0705T 0706T 0707T 0708T 0709T 0710T 0711T 0712T 0713T ** CPT Revisions ** Effective Jan 01, 2021 (1 code) 0236U Effective Jul 01, 2021 (2 codes) 0252U 0254U Effective Oct 01, 2021 (1 code) 0051U Effective Jan 01, 2022 (6 codes) 0101T 0102T 0512T 0513T 0648T 0649T ** CPT Inactivations ** Effective Oct 01, 2021 (2 codes) 0139U 0168U ** HCPCS Additions ** Effective Jun 24, 2021 (3 codes) M0249 M0250 Q0249