INSTALLATION NOTES FOR ACPT - CPT FILES V2.22 Patch 7 ================================================================================ PREFIX: ACPT - CPT FILES CURRENT VERSION: 2.22 PATCH#: 7 RELEASE DATE: July 2022 ================================================================================ ****** 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 2022 and Quarter 1 of CY 2023. b) Off-cycle CPT/HCPCS code updates (COVID-19 related) 6/17/2022: The Pfizer-BioNTech COVID-19 Vaccine received an updated FDA Emergency Use Authorization on 6/17/2022 authorizing a 3MCG 3-dose primary series, which activates the CPT product and administration codes effective 6/17/2022. Activated CPT: 91308 0081A 0082A 0083A 7/6/2022: One new CPT code has been established for the Moderna COVID-19 Vaccine 25MCG 3rd dose administration. The Moderna COVID-19 Vaccine received an updated FDA EUA on 6/17/2022, authorizing a 25MCG 2-dose primary series and 3rd dose, which activates the CPT product and administration codes effective 6/17/2022. Activated CPT: 91311 0111A 0112A New CPT: 0113A 7/6/2022: New CPT codes have been established for the Moderna COVID-19 Vaccine 50MCG 2-dose primary series and 3rd dose administration. The Moderna COVID-19 Vaccine received an updated FDA EUA on 6/17/2022, which activates the CPT administration codes effective 6/17/2022. These administration codes use the previously authorized 91309 product code, and include the approved age group in the CPT description. The CPT description for administration code 0094A was revised to include the approved age group, effective 7/6/2022. New CPT: 0091A 0092A 0093A Revised CPT: 0094A ***** IHS NOTE ***** Sites that have activated the CPT vaccine codes prior to this release, through an activation code, will have a different patch install log from the example given below. This behavior is normal and expected. 2. CONTENTS OF DISTRIBUTION a) acpt2022.07b - Global KIDS file b) acpt2022.07n - 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 2.22 Patch 6 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 acpt2022.07b. c) For results, use the KIDS "Install File Print" option to view/print the "ACPT*2.22*7" 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 - acpt2022.07b # # # ################################################################################ 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 2.22 P7\acpt2022.07b KIDS Distribution saved on Jul 07, 2022@09:12:11 Comment: CY2022 Q4/COVID-19 Vaccine JULY 2022 This Distribution contains Transport Globals for the following Package(s): ACPT*2.22*7 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*2.22*7 has an Environmental Check Routine Want to RUN the Environment Check Routine? YES// ACPT*2.22*7 Will first run the Environment Check Routine, ACPTE Hello, SYSTEM MANAGER Checking Environment for CPT FILES V 2.22 Patch 7. 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 v2.22 p6.....ACPT v2.22 p6 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*2.22*7 : Jul 07, 2022@09:17:01 Installing Globals: ^ACPT Jul 07, 2022@09:17:01 Running Post Install routine POST^ACPTE 81 CPT New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0081A ADM SARSCV2 3MCG TRS-SUCR 1 A 6/17/2022 0082A ADM SARSCV2 3MCG TRS-SUCR 2 A 6/17/2022 0083A ADM SARSCV2 3MCG TRS-SUCR 3 A 6/17/2022 0091A ADM SARSCOV2 50 MCG/.5 ML1ST N 6/17/2022 0092A ADM SARSCOV2 50 MCG/.5 ML2ND N 6/17/2022 0093A ADM SARSCOV2 50 MCG/.5 ML3RD N 6/17/2022 0111A ADM SARSCOV2 25MCG/0.25ML1ST A 6/17/2022 0112A ADM SARSCOV2 25MCG/0.25ML2ND A 6/17/2022 0113A ADM SARSCOV2 25MCG/0.25ML3RD N 6/17/2022 91308 SARSCOV2 VAC 3 MCG TRS-SUCR A 6/17/2022 91311 SARSCOV2 VAC 25MCG/0.25ML IM A 6/17/2022 0332U ONC PAN TUM GEN PRFLG 8 DNA N 10/1/2022 0333U ONC LVR SURVEILANC HCC CFDNA N 10/1/2022 0334U ONC SLD ORGN TGSA DNA 84/+ N 10/1/2022 0335U RARE DS WHL GEN SEQ FETAL N 10/1/2022 0336U RARE DS WHL GEN SEQ BLD/SLV N 10/1/2022 0337U ONC PLSM CELL DO&MYELOMA ID N 10/1/2022 0338U ONC SLD TUM CRCG TUM CL SLCT N 10/1/2022 0339U ONC PRST8 MRNA HOXC6 & DLX1 N 10/1/2022 0340U ONC PAN CA ALYS MRD PLASMA N 10/1/2022 0341U FTL ANEUP DNA SEQ CMPR ALYS N 10/1/2022 0342U ONC PNCRTC CA MULT IA ECLIA N 10/1/2022 0343U ONC PRST8 XOM ALY 442 SNCRNA N 10/1/2022 0344U HEP NAFLD SEMIQ EVL 28 LIPID N 10/1/2022 0345U PSYC GENOM ALYS PNL 15 GEN N 10/1/2022 0346U BETA AMYL AB40&AB42 LC-MS/MS N 10/1/2022 0347U RX METAB/PCX DNA 16 GEN ALYS N 10/1/2022 0348U RX METAB/PCX DNA 25 GEN ALYS N 10/1/2022 0349U RX METAB/PCX DNA 27GEN RX IA N 10/1/2022 0350U RX METAB/PCX DNA 27 GEN ALYS N 10/1/2022 0351U NFCT DS BCT/VIRAL TRAIL IP10 N 10/1/2022 0352U NFCT DS BV&VAGINITIS AMP PRB N 10/1/2022 0353U IADNA CHLMYD&GONORR AMP PRB N 10/1/2022 0354U HPV HI RSK QUAL MRNA E6/E7 N 10/1/2022 0738T TX PLN MAG FLD ABLTJ PRST8 N 1/1/2023 0739T ABLTJ MAL PRST8 MAG FLD NDCT N 1/1/2023 0740T REM AUTON ALG NSLN CAL SETUP N 1/1/2023 0741T REM AUTON ALG NSLN DATA COLL N 1/1/2023 0742T AQMBF SPECT XERS/STRS & REST N 1/1/2023 0743T B1 STR & FX RSK VRT FX ASSMT N 1/1/2023 0744T INSJ BIOPROSTC VLV FEM VN N 1/1/2023 0745T CAR ABLT RAD ARR N-INVAS LOC N 1/1/2023 0746T CAR ABLT RAD ARR CNV LOC MAP N 1/1/2023 0747T CAR ABLT RAD ARRHYT DLVR RAD N 1/1/2023 0748T NJX STM CL PRDCT ANL SFT TIS N 1/1/2023 0749T B1 STR&FX RSK ASSMT DXR-BMD N 1/1/2023 0750T B1 STR&FX RSK ASMT DXRBMD1VW N 1/1/2023 0751T DGTZ GLS MCRSCP SLD LEVEL II N 1/1/2023 0752T DGTZ GLS MCRSCP SLD LVL III N 1/1/2023 0753T DGTZ GLS MCRSCP SLD LEVEL IV N 1/1/2023 0754T DGTZ GLS MCRSCP SLD LEVEL V N 1/1/2023 0755T DGTZ GLS MCRSCP SLD LEVEL VI N 1/1/2023 0756T DGTZ GLS MCRSCP SLD SPC GRPI N 1/1/2023 0757T DGTZ GLS MCRSCP SL SPC GRPII N 1/1/2023 0758T DGTZ GLS MCRSCP SL SPC HCHEM N 1/1/2023 0759T DGTZ GLS MCRSCP SL SP GRPIII N 1/1/2023 0760T DGTZ GLS MCRSCP SL IMM 1ST N 1/1/2023 0761T DGTZ GLS MCRSCP SL IMM EA 1 N 1/1/2023 0762T DGTZ GLS MCRSCP SL IMM EA M N 1/1/2023 0763T DGTZ GLS MCRSCP MPHMTRC ALYS N 1/1/2023 0764T ASSTV ALG ECG RSK ASMT CNCRT N 1/1/2023 0765T ASSTV ALG ECG RSK ASMT PREV N 1/1/2023 0766T TC MAG STIMJ PN 1ST TX 1NRV N 1/1/2023 0767T TC MAG STIMJ PN 1ST TX EA N 1/1/2023 0768T TC MAG STIMJ PN SBSQ TX 1NRV N 1/1/2023 0769T TC MAG STIMJ PN SBSQ TX EA N 1/1/2023 0770T VR TECHNOLOGY ASSIST THERAPY N 1/1/2023 0771T VR PX DISSOC SVC SM PHY 1ST N 1/1/2023 0772T VR PX DISSOC SVC SM PHY EA N 1/1/2023 0773T VR PX DISSOC SVC OTH PHY 1ST N 1/1/2023 0774T VR PX DISSOC SVC OTH PHY EA N 1/1/2023 0775T ARTHRD SI JT PRQ IARTIC IMPL N 1/1/2023 0776T THER INDCTJ NTRABRN HYPTHRM N 1/1/2023 0777T R-T PRS SENSING EDRL GDN SYS N 1/1/2023 0778T SMMG CNCRNT APPL IMU SNR N 1/1/2023 0779T GI MYOELECTRICAL ACTV STUDY N 1/1/2023 0780T INSTLJ FECAL MICROBIOTA SSP N 1/1/2023 0781T BRNCHSC RF DSTRJ PULM NRV BI N 1/1/2023 0782T BRNCHSC RF DSTRJ PLM NRV UNI N 1/1/2023 0783T TC AURICULR NEUROSTIMULATION N 1/1/2023 90678 RSV VACC PREF BIVALENT IM N 1/1/2023 5 CPT Updated Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0094A ADM SARSCOV2 50 MCG/.5 MLBST L 7/6/2022 0276U HEM INH THROMBOCYTOPENIA 42 S L 10/1/2022 0296U ONC ORL&/OROP CA 20 MLC FEAT L 10/1/2022 0733T REM R-T MTN NREHAB THER SPLY S L 1/1/2023 0734T REM R-T MTN NREHAB TX MGMT S L 1/1/2023 4 CPT Inactive Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0012U GERMLN DO GENE REARGMT DETCJ I 10/1/2022 0013U ONC SLD ORG NEO GENE REARGMT I 10/1/2022 0014U HEM HMTLMF NEO GENE REARGMT I 10/1/2022 0056U HEM AML DNA GENE REARGMT I 10/1/2022 5 Vaccine Entries: V# VACCINE NAME STATUS DATE == ============ ======== ========== 9 Pfizer-BioNTech 3MCG TRS-SUCR COVID-19 Vaccine Active 6/17/2022 Patch Activation (ACPT*2.22*7) Active 6/17/2022 10 Moderna 50MCG COVID-19 Vaccine Bst Active 3/29/2022 12 Moderna 25MCG COVID-19 Vaccine Active 6/17/2022 Patch Activation (ACPT*2.22*7) Active 6/17/2022 60 Moderna 50MCG COVID-19 Vaccine Primary + 3rd Active 6/17/2022 CPT: 0091A,0092A,0093A (ACPT*2.22*7) Added 6/17/2022 Patch Activation (ACPT*2.22*7) Active 6/17/2022 62 Moderna 25MCG COVID-19 Vaccine 3rd Active 6/17/2022 CPT: 0113A (ACPT*2.22*7) Added 6/17/2022 Patch Activation (ACPT*2.22*7) Active 6/17/2022 ----- CPT Vaccine Report ----- V# VACCINE NAME STATUS DATE == ============ ======== ========== 1 Pfizer-BioNTech Comirnaty Active 12/11/2020 2 Moderna COVID-19 Vaccine Active 12/18/2020 3 AstraZeneca COVID-19 Vaccine Inactive 12/17/2020 4 Janssen COVID-19 Vaccine Active 2/27/2021 5 Novavax COVID-19 Vaccine Inactive 5/4/2021 6 Pfizer-BioNTech TRS-SUCR COVID-19 Vaccine Active 10/29/2021 7 Moderna COVID-19 Vaccine Bst Active 10/20/2021 8 Pfizer-BioNTech 10MCG TRS-SUCR COVID-19 Vaccine Active 10/29/2021 9 Pfizer-BioNTech 3MCG TRS-SUCR COVID-19 Vaccine Active 6/17/2022 10 Moderna 50MCG COVID-19 Vaccine Bst Active 3/29/2022 11 Sanofi Pasteur COVID-19 Vaccine Bst Inactive 4/26/2022 12 Moderna 25MCG COVID-19 Vaccine Active 6/17/2022 51 Pfizer-BioNTech Comirnaty 3rd Active 8/12/2021 52 Moderna COVID-19 Vaccine 3rd Active 8/12/2021 56 Pfizer-BioNTech TRS-SUCR COVID-19 Vaccine 3rd Active 10/29/2021 58 Pfizer-BioNTech 10MCG TRS-SUCR COVID-19 Vaccine 3rd Active 1/3/2022 60 Moderna 50MCG COVID-19 Vaccine Primary + 3rd Active 6/17/2022 62 Moderna 25MCG COVID-19 Vaccine 3rd Active 6/17/2022 71 Pfizer-BioNTech Comirnaty Bst Active 9/22/2021 74 Janssen COVID-19 Vaccine Bst Active 10/20/2021 76 Pfizer-BioNTech TRS-SUCR COVID-19 Vaccine Bst Active 10/29/2021 78 Pfizer-BioNTech 10MCG TRS-SUCR COVID-19 Vaccine Bst Active 5/17/2022 ----- CPT Table Update Summary ----- New Act Mod Ina Unmod Total CPT (6/17/2022) 4 7 0 0 0 11 CPT (7/6/2022) 0 0 1 0 0 1 CPT (10/1/2022) 23 0 2 4 0 29 CPT (1/1/2023) 47 0 2 0 0 49 Vaccines 2 2 0 0 1 5 Updating KIDS files... ACPT*2.22*7 Installed. Jul 07, 2022@09:17:01 ################################################################################ # # #=================== LIST OF UPDATED CPT ENTRIES - JUL 2022 ===================# # # ################################################################################ ** CPT Additions/Activations ** Effective Jun 17, 2022 (11 codes) 91308 91311 0081A 0082A 0083A 0091A 0092A 0093A 0111A 0112A 0113A ** CPT Additions ** Effective Oct 01, 2022 (23 codes) 0332U 0333U 0334U 0335U 0336U 0337U 0338U 0339U 0340U 0341U 0342U 0343U 0344U 0345U 0346U 0347U 0348U 0349U 0350U 0351U 0352U 0353U 0354U Effective Jan 01, 2023 (47 codes) 90678 0738T 0739T 0740T 0741T 0742T 0743T 0744T 0745T 0746T 0747T 0748T 0749T 0750T 0751T 0752T 0753T 0754T 0755T 0756T 0757T 0758T 0759T 0760T 0761T 0762T 0763T 0764T 0765T 0766T 0767T 0768T 0769T 0770T 0771T 0772T 0773T 0774T 0775T 0776T 0777T 0778T 0779T 0780T 0781T 0782T 0783T ** CPT Revisions ** Effective Jul 06, 2022 (1 code) 0094A Effective Oct 01, 2022 (2 codes) 0276U 0296U Effective Jan 01, 2023 (2 codes) 0733T 0734T ** CPT Inactivations ** Effective Oct 01, 2022 (4 codes) 0012U 0013U 0014U 0056U