The PearlDiver database of Humana patient data was queried for patients undergoing arthroscopic or open biceps tenodesis (Current Procedural Terminology …Developed in conjunction with Sam Akhavan, MD (Pittsburgh, PA), and James M. Paci, MD (Long Island, NY), this knotless biceps tenodesis technique is a simple approach to the top-of-the-groove arthroscopic biceps tenodesis using the Loop 'N' Tack stitch configuration. For surgeons who want to transition from tenotomy to a quick arthroscopic …Distal to the traction stitch, a Number 2 FiberWire ® (Arthrex, Inc, Naples, FL) Krackow stitch was placed in the biceps tendon, removing 2 cm of biceps tendon proximal to the suture, allowing for the portion of the biceps that would be pulled down the bone tunnel to set the correct tension.The biceps tenodesis CPT codes 23440, 24340 and lastly you may use CPT code 29828. You can find the official long descriptions and short descriptions of the biceps tenodesis CPT codes below to use it for billing this procedure.There isn't a code for Arthroscopic Biceps Tenotomy alone, so it may have to be included /incorporated into his "debridement" procedure, 29822 if limited, or 29823 if there was more extensive debridement than just this area. Your note doesn't say what else was found and/or done other than debriding the damaged superior labrum.DESCRIPTION. Biceps tenodesis is a surgical procedure used to treat biceps tendonitis of the shoulder. Biceps tendonitis, also known as a biceps tendon tear at the shoulder, occurs due to either abrupt injury or over time through overuse. The tendon itself can either tear partially or entirely.Mar 19, 2019 · CPT 23412 [Subscapularis and Rotator Cuff] CPT 23430 [Biceps Tenodesis] CPT 29823 [Labral Debridement] CPT 29826 [Subacromial Decompression] After the scope procedures, a 4-cm incision was made between the anterior and lateral portals, Subscapularis was completely avulsed, Bed of bone prepared and fixed in 2 row technique. Procedure code and description. 29806 ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY ... – 29828 Biceps tenodesis – 29807 SLAP repair. Co-surgery diagnosis.Jan 30, 2021 · Methods. The 2014 State Ambulatory Surgery and Services Databases from 6 US states were used. Cases with Current Procedural Terminology codes 23430 (tenodesis of long tendon of biceps), 29807 (shoulder arthroscopy, repair of SLAP lesion), and 29828 (shoulder arthroscopy, biceps tenodesis) were selected, excluding patients who were >50 years old or had a concomitant rotator cuff repair. Failure to address symptomatic biceps pathology at the time of surgery can result in continued pain. 2,3,5,9,16 Considerable debate exists as to which treatment to employ—biceps tenodesis or tenotomy—at the time of surgery. 1,9,10,13–16,20,21 Both tenodesis and tenotomy have been shown to produce favorable clinical results. 1,9,14,15,26 ...A few of my providers are billing a Biceptal Tenodesis CPT 23430 and Total Shoulder Arthroplasty CPT 23472 but I don't feel that their documentation supports this. For one the definition of a tenodesis is the repair of a tendon to a bone and this is not being done in these cases. Does anyone know what code we should bill when the bicep tendon ...CPT®a Code HCPCS Code Code Description Facility Setting (HOPD and ASC) Non-Facility Setting (Office) APC and APC Description Medicare National Average Medicare National Average Shoulder 23430 Tenodesis of long tendon of biceps $741.00 N/A 5114 - Level 4 Musculoskeletal (MSK) Procedures $6823.42 $3393.01 24341 Repair, tendon or muscle, upper arm orAug 20, 2010 · Often the surgeon will perform a biceps tenotomy (i.e., tendon release) via arthroscopy, and then perform a tenodesis via an open procedure. In such cases, the code for open biceps tenodesis (23430 Tenodesis of long tendon of biceps) is most appropriate. Only assign the code for arthroscopic biceps when the tenodesis portion of the procedure is ... The Current Procedural Terminology (CPT ®) code 29828 as maintained by American Medical Association, is a medical procedural code under the range ... 29828 - Bicep Tenodesis is often used to aid in correcting a SLAP tear. So the SLAP tear would be the dx for the Bicep Tenodesis. Also, it looks like enough was debrided to qualify for the 29823.New references in Instagram's code suggest the company could be developing a paid verification feature following the rollout of a similar system at Twitter under Elon Musk. New ref...synonyms:biceps tenodesis. Biceps Tenodesis CPT 29828; 23430; Biceps Tenodesis Appicable ICD-10 Codes. M66.821 - Spontaneous rupture of other tendons, right upper …Tendon Transfers / Tenodesis CPT Codes. MCP Sagittal Band Reconstruction; Muscle or tendon transfer, any type, upper arm or elbow, single (24301) Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon- Brookes type procedure) (24320) Flexor-plasty, elbow, eg, Steindler type advancement) (24330)D.G Yuengling & Son Inc. the oldest brewery in America, has unveiled the world’s largest QR code grown from crops. D.G Yuengling & Son Inc. the oldest brewery in America, has unvei...Dec 5, 2018 · CPT codes 29824 (arthroscopic claviculectomy including distal articular surface), 29827 (arthroscopic rotator cuff repair), and 29828 (biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder. CPT Codes: 23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC.Dec 5, 2018 · CPT codes 29824 (arthroscopic claviculectomy including distal articular surface), 29827 (arthroscopic rotator cuff repair), and 29828 (biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder. Shop these top AllSaints promo codes or an AllSaints coupon to find deals on jackets, skirts, pants, dresses & more. PCWorld’s coupon section is created with close supervision and ...Shoulder Arthroscopy, Extensive Debridement, SAD, Open Biceps Tenodesis - General - Orthobullets.Oct 15, 2015. #1. Can you bill open rotator cuff repair 23472 and open biceps tenodesis 23430 at the same opertive session? this happens to be a Medicare pt, but wondering about other insurances also. I have read that you can put a 59 onthe 23430 but not sure if this is correct billing. Any help will be appreciated.Dec 5, 2018 · CPT codes 29824 (arthroscopic claviculectomy including distal articular surface), 29827 (arthroscopic rotator cuff repair), and 29828 (biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder. Achieve a simple, reproducible repair of the distal biceps with the BicepsButton implant systems and associated tension-slide technique. Using a titanium BicepsButton implant, this technique reliably seats the tendon against the far cortex of the bone socket to maximize the surface area for tendon-to-bone healing. A tenodesis screw adds to the construct …This was a separate repair from the repair of the rotator cuff supraspinatus portion that was accomplished within the bursal space. The repair of the subscapularis tendon was all done within the joint and required special portals and instrumentation to accomplish this. A portal was developed that allowed passage of the Spectrum suture …The long head of the biceps tendon (LHBT) is a frequent source of disorders and pathology in the shoulder. Significant evidence is available on the management of disorders of the LHBT in the literature, and the LHBT is frequently addressed intraoperatively when involved in shoulder pathology. An all-arthroscopic, intra-articular biceps …Dec 14, 2021 · Additionally, there is not an exact CPT code for biceps tenotomy, and an approximation can only be made using CPT-29822, CPT-29823, and CPT-23405 in combination with a diagnosis of a SLAP tear. A regression analysis to examine the effect of comorbidities on adverse events could not be examined due to the lack of granularity of the data output. Biceps tenodesis versus tenotomy in the treatment of lesions of the long head of the biceps tendon in patients undergoing arthroscopic shoulder surgery: A prospective double-blinded randomized controlled trial.Best answers. 0. Sep 16, 2008. #1. Doctor did a RC repair (29827), Subacromial Decompression. (29826), Mumford (29824) and while he was in the subacromial space did a biceps tenolysis and tenosynovectomy for biceps tenosynovitis. Would this be considered part of a greater procedure or should it be coded separately.Tendon Transfers / Tenodesis CPT Codes. MCP Sagittal Band Reconstruction. Muscle or tendon transfer, any type, upper arm or elbow, single (24301) Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon- Brookes type procedure) (24320) Flexor-plasty, elbow, eg, Steindler type advancement) (24330) Flexor ...Introduction. Subpectoral biceps tenodesis using cortical buttons and the tension slide technique allows the surgeon to tension and repair the long head of the biceps in either a bicortical or unicortical repair. Bicortical. The bicortical technique utilizes the BicepsButton to draw the tendon against the distal cortex of the bone socket.reported an increasing trend in arthroscopic and open bicep tenodesis incidence, noting a 1.7-fold increase over a 3-year period from 2008 to 2011. The use of an all-suture anchor for biceps tenodesis has been documented in current literature, and a 2018 article by Lansdown et al. 9.Is it acceptable to code CPT 23430-59 (tenodesis of long tendon of biceps) with CPT 23472 (total shoulder arthroplasy) when billing Medicare? Thanks, MSJM . M. MTERREL New. Messages 2 Best answers 0. Jan 16, 2013 #2 per cci guidelines - code 23430 is considered content to code 23472 -Bicipital tendinitis, right shoulder. M75.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM M75.21 became effective on October 1, 2023. This is the American ICD-10-CM version of M75.21 - other international versions of ICD-10 M75.21 may differ.Total Shoulder Arthroplasty with Biceps Tenodesis - General - Orthobullets. Updated: Apr 21 2020.The Arthrex FiberTak Biceps implant (K181769) is used for fixation of soft tissue to bone in the shoulder and elbow. Procedures include, but are not limited to: biceps tendon … The Arthrex FiberTak Biceps implant (K181769) is used for fixation of soft tissue to bone in the shoulder and elbow. Procedures include, but are not limited to: biceps tendon repair and reattachment (distal/proximal), acromioclavicular repair, and ulnar or radial collateral ligament reconstruction. This secured the. biceps very well. I then went ahead and delivered into the base of the bicipital groove to complete biceps tendon transfer. I copiously irrigated and made sure there was no bleeding and then closed in layers followed by sterile dressing and a sling." It sounds to me like a 23430 biceps tenodesis. Appreciate your help.Object Moved hereThere isn't a code for Arthroscopic Biceps Tenotomy alone, so it may have to be included /incorporated into his "debridement" procedure, 29822 if limited, or 29823 if there was more extensive debridement than just this area. Your note doesn't say what else was found and/or done other than debriding the damaged superior labrum.arthroscopic SLAP repair (CPT code 29807) and open or arthroscopic biceps tenodesis (CPT 23430 or 29828) within the encompassed time period (2003-2014), and who remained tracked within the system for at least three contiguous years post-operatively were included. Patients with concomitant rotator cuff repair, or CPT code 29827,The mini-open technique uses a small incision to directly visualize the biceps tenotomy and tenodesis location, thus potentially limiting a length-tension relation mismatch or neurovascular injury. A potential pitfall of the mini-open technique is the cosmesis and associated infection risk with an additional incision over the anterior arm.Proximal Tenodesis Implant System (Includes: Proximal BicepsButton, Button Inserter, FiberLoop Suture, Free Needles, Drill Pin and Shoehorn Cannula) AR-2290. Request Product Info View eDFU. Add to Cart. Surgical Evaluation. Price Quote. Related Pages. Shoulder BicepsButton™ Implant Systems Product. ElbowIntroduction. Subpectoral biceps tenodesis using cortical buttons and the tension slide technique allows the surgeon to tension and repair the long head of the biceps in either a bicortical or unicortical repair. Bicortical. The bicortical technique utilizes the BicepsButton to draw the tendon against the distal cortex of the bone socket.Pain-free, Progressive Restoration of AROM and Strength. No pain, inflammation or strengthening in plane until ROM in almost full. Avoid long lever arm resistance for elbow supination and flexion. Normalize strength, endurance, neuromuscular control starting below chest level, working up to overheard functional activities. Post-op Weeks 4-6.Sep 17, 2013 · The doc did an open reduction with internal fixation of a humeral surgical neck and tuberosity fracture. He also did an open biceps tenodesis. What diagnosis should be used for the tenodesis? I believe that it was done because the doc had to release the biceps tendon from the superior labrum. Can I use 23615 and 23430-51? The 2014 State Ambulatory Surgical and Services Databases from 6 US states was utilized. All cases with CPT codes 29827 (arthroscopic rotator cuff repair [RCR]) and either 23430 (tenodesis of long tendon of biceps) or 29828 (arthroscopic BT) were selected. Cases that included both 23430 and 29828 were excluded, as were those missing demographic ...reported an increasing trend in arthroscopic and open bicep tenodesis incidence, noting a 1.7-fold increase over a 3-year period from 2008 to 2011. The use of an all-suture anchor for biceps tenodesis has been documented in current literature, and a 2018 article by Lansdown et al.The CPT code for arthroscopic biceps tenodesis began being recorded in this database from 2008. To ensure independent patient groups, data were collected from 2008 to 2017q1. Patients undergoing isolated biceps tenodesis or with concomitant SLAP repair or rotator cuff repair were included in the investigation.Methods: Patients who underwent biceps tenodesis (Current Procedural Terminology [CPT] codes 23430 and 29828) for the years 2008 through 2011 were identified using the PearlDiver Patient Record Database, including both private-payer and Medicare data. These cohorts were then assessed for associated diagnoses using International Classification ...Posterior portals can cause damage to the infraspinatus and teres minor muscles, suprascapular artery, axillary nerve, and so on. 11 In our technique, subacromial decompression, distal clavicle resection, biceps tenodesis, and rotator cuff repair are performed using only a single working portal (anterior), leading to lower morbidities with ...S46.211A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Strain of musc/fasc/tend prt biceps, right arm, init The 2024 edition of ICD-10-CM S46.211A became effective on October 1, 2023.Shoulder Arthroscopy, Extensive Debridement, SAD, Open Biceps Tenodesis - General - Orthobullets.Total Shoulder Arthroplasty (TSA, including Reverse TSA) is billed as CPT code 23472; Shoulder Hemi-arthroplasty is CPT code 23470; Revision Shoulder Arthroplasty (one component- ball or socket revision) is CPT code 23473; ... known as a Biceps Tenodesis- this may be billed as a separate and additional CPT code 23430. Although this …POSTOPERATIVE DIAGNOSIS: Left shoulder biceps labral complex tear and. impingement syndrome. PROCEDURE: Left shoulder diagnostic arthroscopy with arthroscopically assisted subpectoral. tenodesis and subacromial decompression. ANESTHESIA: General. INDICATIONS: The patient is a 50-year-old who has complaints of pain in.CPT ® Code Set. 58262 - CPT® Code in category: Vaginal hysterectomy, for uterus 250 g or less... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products:Distal to the traction stitch, a Number 2 FiberWire ® (Arthrex, Inc, Naples, FL) Krackow stitch was placed in the biceps tendon, removing 2 cm of biceps tendon proximal to the suture, allowing for the portion of the biceps that would be pulled down the bone tunnel to set the correct tension.The 2014 State Ambulatory Surgical and Services Databases from 6 US states was utilized. All cases with CPT codes 29827 (arthroscopic rotator cuff repair [RCR]) and either 23430 (tenodesis of long tendon of biceps) or 29828 (arthroscopic BT) were selected. Cases that included both 23430 and 29828 were excluded, as were those missing demographic ...Proximal Tenodesis and Biceps Reattachment Using ToggleLoc™ 2.9mm wi… Feat. D. Worrel 11:28. San Diego Shoulder Institute 2018. Superior Laberal Anterior and Posterior (SLAP) Tears in Non Throwers… Feat. M. Provencher 16:02. Steadman Hawkins Clinic of the Carolinas ...Shoulder Arthroscopy, Extensive Debridement, SAD, Open Biceps Tenodesis - General - Orthobullets.Tendon Transfers / Tenodesis CPT Codes. MCP Sagittal Band Reconstruction; Muscle or tendon transfer, any type, upper arm or elbow, single (24301) Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon- Brookes type procedure) (24320) Flexor-plasty, elbow, eg, Steindler type advancement) (24330)This was a separate repair from the repair of the rotator cuff supraspinatus portion that was accomplished within the bursal space. The repair of the subscapularis tendon was all done within the joint and required special portals and instrumentation to accomplish this. A portal was developed that allowed passage of the Spectrum suture …Biceps tenodesis is a minimally invasive surgery in which the surgeon cuts the biceps tendon from the glenoid and reattaches it to the humerus using sutures and screws. This procedure is more often done with younger and more active patients because it is considered to be more stable, and it carries less chance of a Popeye deformity.If you get healthcare services and receive a statement or bill, you’ll see medical CPT codes on the paperwork. But what do they all mean? Here’s a guide to reading CPT codes to see...Biceps tenodesis and tenotomy are 2 surgical treatment options for relief of long head of the biceps tendon (LHBT) pathology and superior labrum anterior-to-posterior (SLAP) tears. The purpose of this systematic review was to compare the clinical outcomes and complications of biceps tenodesis and tenotomy for the treatment of LHBT or SLAP pathology during shoulder arthroscopy.Reverse Shoulder Arthroplasty is a type of shoulder arthroplasty that uses a convex glenoid hemispheric ball and a concave humerus articulating cup to reconstruct the glenohumeral joint. The center of rotation is moved inferiorly and medialized which allows the deltoid muscle to act on a longer fulcrum and have more mechanical advantage. CPT Code 23440, Surgical Procedures on the Shoulder, Repair, Revision, and/or Reconstruction Procedures on the Shoulder - Codify by AAPC ... Biceps Tenodesis and ... with code 23405–Tenotomy biceps tendon, 4865 (50.1%) cases were performed with code 23430–Open tenodesis of LTB, and 3887 (40.0%) cases were performed with code 29828–Arthroscopic biceps tenodesis. Between 2007 and 2018 there was a significant decrease in the total number of RCR codes submitted, from 3530 …Learn how you can improve your code quality in an instant following 3 simple rules that we cal Receive Stories from @gdenn Get free API security automated scan in minutesTendon Transfers / Tenodesis CPT Codes. MCP Sagittal Band Reconstruction. Muscle or tendon transfer, any type, upper arm or elbow, single (24301) Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon- Brookes type procedure) (24320) Flexor-plasty, elbow, eg, Steindler type advancement) (24330) Flexor ... CPT Code 23440, Surgical Procedures on the Shoulder, Repair, Revision, and/or Reconstruction Procedures on the Shoulder - Codify by AAPC ... Biceps Tenodesis and ... code 99070, HCPCS Level 11 codes) Of drug delivery implant(s) (eg, 20700-20705) cuff (eg, 29827) )mpression (eg, 29826) Service Data for Orthopaedic Surgery vice package: n(s), anesthetic, or contrast agent before, during, or Ltion )erating surgeon or designee identification, isolation, and protection Of hemostasis and minor skin scar revision Procedure code and description. 29806 ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY ... – 29828 Biceps tenodesis – 29807 SLAP repair. Co-surgery diagnosis. This technique provided better visualization of the acromioclavicular joint but with an increased risk to the cephalic vein by the anterolateral portal. 15 Arthroscopic shoulder portal positioning is of great importance for a successful surgical procedure: The operated zone must be well seen by the surgeon, providing a good working angle and ...Technical Note | Volume 10, ISSUE 4, e1125-e1129, April 2021. Download Full Issue. Shoulder Arthroscopic Rotator Cuff Repair With Biceps Tenodesis and …Biceps tenodesis corrects instability of the biceps tendon due to biceps tendonitis, inflammation of the tendon, which tends to accompany other shoulder …ACHI Code: 48951-00 [1400] Arthroscopic decompression of subacromial space Biceps tenodesis Biceps tenodesis is a procedure that cuts the normal attachment of the biceps tendon on the labrum and reattaches the tendon to the bone of the humerus. It is usually performed for thepierce biceps tendon with spinal needle coming into the joint from the anterior lateral acromial border, though the rotator cuff interval, and through the biceps tendon after pierced and held, cut tendon at anchor with curved scissors.
The Current Procedural Terminology (CPT ®) code 24342 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Humerus (Upper Arm) and Elbow.. Foxhole recycling center lancaster highway charlotte nc
Apr 21, 2022 · Video 1. The triple-fix biceps tenodesis method is shown in the video for a left shoulder in the beach-chair position. The demonstrated tenodesis method employs a spinal needle localization and scalpel approach technique. A triple-loaded anchor is deployed in the bicipital groove and tenodesis is obtained through a combination of ... CPT code 29820 should not be reported and modifier 59 should not be used if both procedures are performed on the same shoulder during the same operative session because the shoulder joint is a single anatomic structure. ... shoulder, surgical; biceps tenodesis . Search for: Get Medicare billing update instantly. Medicare reimbursement …Biceps tenodesis and tenotomy are both effective surgical procedures for management of shoulder pain and dysfunction secondary to SLAP tears, biceps tendinitis, rotator interval pulley lesions, and failed SLAP repairs. These procedures are generally safe with low complication rates. However, failure of a proximal biceps tenodesis or tenotomy can rarely lead to symptomatic Popeye deformity with ...CPT codes 29824 (arthroscopic claviculectomy including distal articular surface), 29827 (arthroscopic rotator cuff repair), and 29828 (biceps tenodesis) may be reported separately with CPT code 29823 if the extensive debridement is performed in a different area of the same shoulder. 29828 – Biceps tenodesis These changes are valid only for the extensive debridement code. It should be noted that the limited debridement code (29822) includes other, more extensive arthroscopic procedure codes. 29819 Arthroscopy, shoulder, surgical; with removal of loose body or CPT Code 01716, Anesthesia, Anesthesia for Procedures on the Upper Arm and Elbow - Codify by AAPC. Select. ... fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps. For clinical responsibility, terminology, tips and additional info start codify free trial. ... Arthroscopic RC vs mini open Bicep Tendon Repair.Oct 5, 2010. #2. 27385 Suture of Quadriceps or hamstring muscle rupture; primary procedure. The long head of the biceps femoris makes the Hamstring . So the biceps femoris can be coded for hamstring. Also note the code holds good for quadriceps also. This is a primary repair ( Suture) too. But if yu can give info about what was the actual ...The CPT codes 23405–Tenotomy biceps tendon, 23430–Open tenodesis of long tendon of biceps (LTB), and 29828–Arthroscopic biceps tenodesis were used to represent the patient population. Patients were then organized according to case year in order to evaluate chronological trends in treatment.The arthroscopic tenodesis docking sites were all reamed with either 7- or 8-mm drills, depending on the diameter of the proximal tendon. If the tendon diameter was 7 mm or less, a 7-mm reamer was used with a 7 × 23–mm tenodesis screw. If the tendon diameter was >7 mm, then an 8-mm reamer was used with an 8 × 23–mm tenodesis …Best answers. 0. Feb 11, 2019. #1. I know that Arthroscopic Biceps Tenotomy is coded as CPT 29822 (limited debridement). The surgeon also performed Arthroscopic Rotator Cuff Repair, AC joint resection and Subacromial decompression & acromioplasty. I know that with the limited debridement, it can't be coded separately per the NCCI edit.biceps tenodesis. Coding Considerations Codes provide a uniform language for describing services performed by health care providers. The actual selection of codes depends on the primary surgical procedure, supported by details in the patient’s medical record about medical necessity. It is the sole responsibility ofIf you perform several procedures in one surgical setting, example – arthroscopic rotator cuff repair, acromioplasty, distal clavicle resection and biceps tenodesis. This procedure would be coded: Arthroscopic rotator cuff repair – 29827. Arthroscopic biceps tenodesis – 29828, 59 modifier. Arthroscopic distal clavicle resection – 29824 ....
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