Or browse to enjoy free content and tools. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Studies have shown that the use of AbThera Therapy may help prevent loss of abdominal domain and promote approximation of fascial edges toward the midline.,AbThera Therapy uses our enhanced TAC technique to provide separation between the abdominal wall and viscera while protecting abdominal contents. These wound care advancements, coupled with other AbThera Therapy features, may increase the likelihood of fascial reapproximation and decrease risk of fistula development, which is a common complication in patients with exposed viscera. (Schmidt SAWC Fall 2018)15 3M AbThera Open Abdomen Negative Pressure Therapy (2009): AbThera Therapy was developed with the ideal features of a TAC in mind. 2W20X4Z. A 24-year-old female presented to the Emergency Department with complaints of abdominal and back pain, dizziness and near syncopal episode but no nausea or vomiting. 2017 Oct 1;37(5):22-45. It is defined as Putting material on a body region for protection. The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. A: The debridement would be reported using CPT code 11042 (debridement, subcutaneous tissue [includes epidermis and dermis, if performed]; first 20 sq cm or less). After multiple discussions with the physicians and coders, we are unable to provide a definitive answer. Non-participating physicians are subject to the limiting charge rules. Cureus 12(11): e11790. You must log in or register to reply here. 97605. Code History. (Eds.) The medial tension helps minimize fascial retraction and loss of domain.,,, AbThera Therapy allows for rapid access for re-entry and does not require sutures for placement. SENSAT.R.A.C. ICD-10-PCS code structure Section: 2 = Placement Body System: W = Anatomical Regions Root Operation: 0 - Change 1 - Compression This material is intended for healthcare professionals. Discover how to save hours each week. Therefore, it will be very important to document the total defect size in the operative report so coders will know which code to select. Lessing C, Slack P, Hong KZ, Kilpadi D, McNulty A. a-b) traction and closure of the mesh, c) placement of the second dressing and track to suction. Huang Q, Li J, Lau WY. Consequently, any changes to hernia repair coding required consideration of the use and removal of mesh. 14. Discover online learning that's right for you and deepen your clinical expertise with training opportunities and educational resources available on the 3M Health Care Academy. AbThera Therapy incorporates all the functional elements of an optimal TAC device. A query has been sent to him before we finalize our . Massive tissue edema and concern for compartment syndrome may necessitate a temporary closure strategy. Table 1. NPI Look-Up Tool (National Provider Identifier), The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice, ALL years/issues back to 1984 organized by year and issue, Includes ICD-10-CM/PCS Articles since 2013, Fullysearchablethrough Find-A-Code's Comprehensive Search, Codes mentioned in articles are linked to Code Information pages, Code Information pages link back to related articles. PX_G$bt$qC:(F;!kd%8gvu~#s~} Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It is important to differentiate the total size of a hernia defect, as this affects the total physician work. *This response is based on the best information available as of 02/06/20. He did not say anything about the abscess w/i the body of the note. Wounds. The site tracks coupons codes from online stores and update throughout the day by its staff. 1 0 obj Find Instructions for Use (IFU) to easily access documents for specific 3M Health Care products. In this instance, the abdominal wall functions as one unit that can be re-approximated to itself, and there is not a fascial defect, per se. 2023 Anterior Abdominal Hernia Repair New and Related Codes, Become a member and receive career-enhancing benefits, Delete codes 4956049590, which describe open repair of anterior abdominal hernias, Delete codes 4965249657, which describe laparoscopic repair of anterior abdominal hernias, Delete add-on code 49568, which describes implantation of mesh for open ventral/incisional hernias and defects resulting from necrotizing soft tissue infection, Add 12 new codes (4959149596 and 49613-49618). Codes 1585315854 are practice-expense-only codes that include clinical staff time, supplies, and equipment related to suture/staple removal. Perforated foam dressings collapse medially, drawing fascial edges closer together. Learn more about this new curriculum, which is designed for the general surgeon providing lifesaving and limb-saving care for those injured in combat. Damage control surgery, fasciotomy coding and use of wound vacs will be thoroughly covered in the ACS Successful Surgical Coding and Trauma and Intensive Care coding courses offered in several locations in 2021. Is this appropriate without evidence to support any actual complication? The most recent review of codes using the site-of-service anomaly screen identified codes for reporting abdominal hernia repair. Recently, we had an insurance company call us outWhat is your advice? Please register for FREE account to gain access. Management of the open abdomen: from initial operation to definitive closure. 2019;27 (5):519-529. 633 N. Saint Clair St. The full 2023 CPT code descriptors are presented in Table 1. Terminology [CPT] code 97605, 97606) (HCPCS code A6550, E2402) for nonhealing wounds is considered medically necessary when any ONE of the following conditions exists: There are complications of a surgically created wound (e.g., dehiscence, poststernotomy disunion with Given her hemodynamic instability and CT scan, she was taken to the operating room (OR) for diagnostic laparoscopy to explain her clinical decompensation. 65260 Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route. JavaScript is disabled. The EP-7000X System is comprised of the following components: (1) the video laparoscope EL-R740M; (2) the Processor VP-7000, which relays the image from an endoscope to a video monitor; (3) the Light Source BL-7000X, and (4) the Image Processing Unit EX-0, which has the Oxygen Saturation Endoscopic Imaging (OXEI) feature that receives endoscopic The stakeholder societies and the AMA recently have received coding questions about correct reporting for hybrid abdominal hernia repair procedures where parts of the procedure are performed via an open approach and parts of the procedure use laparoscopy and/or a robot. The HHA reports the CPT code with one of three revenue codes, depending on the practitioner that provided the service: Skilled nurse - 0559 Physical therapist - 042x Occupational therapy - 043x. What is the ICD-10-PCS code for wound VAC placement? This document is not all- endobj In the case of damage-control surgery, the re-exploration falls within the 90-day global period of the initial procedure. There are two layers to the issue; CPT rules and payor editing rules. August 10-13, 2011. 2/2014 Annual policy review. New references added. Retrieved on 4/18/23. The reportable procedures include: Note that modifier 52 (reduced services, is applied to the enterectomy code because a resection, but not an anastomosis) was performed. We NEVER sell or give your information to anyone. This scenario would be unlikely in the face of a damage-control situation in which other CPT codes would typically be required, such as bowel repair or splenectomy. a-b) withdrawal of ABThera system and fascial traction mesh, c-d) anterior separation of components with a wall closure. Thank you for choosing Find-A-Code, please Sign In to remove ads. Download the app via the Apple Store, Google Play, or Amazon. No Anastamosis, no colostomy. No charge. Therefore, it is important to append modifier 58 (staged or related procedure by the same physician) if re-explorations of the abdomen are performed by the same surgeon (or a surgeon in the same billing group) in order to capture the correct value of this procedure. Many abdominal wounds need some form of debridement prior to, or at the time of, definitive closure. Code 49621 is reported for repair of a reducible parastomal hernia and code 49622 is reported for an incarcerated or strangulated parastomal hernia. CPt code 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure). It may not display this or other websites correctly. Dressing of Head using Bandage. Could I revive this discussion and add a twist to it? The term separate procedure refers to a complete procedure that stands alone. 2015;39(4):912-925. The first RUC and CMS review of codes identified by the site-of-service anomaly screen resulted in a 7% to 12% decrease in wRVUs for seven open and laparoscopic hernia repair codes for 2012. CPT is a registered trademark of the AMA. An abdominal computed tomography (CT) scan revealed dilated loops of small bowel but diffuse thickness consistent with edema and a fluid-filled abdominopelvic cavity. If the defects are not contiguous and are separated by greater than or equal to 10 cm of intact fascia, total defect size is the sum of each defect measured individually. It is important to note that at some point the abdominal fascia is closed, leaving only a superficial abdominal wound. Read about the accomplishments of Dr. Sasser, a renowned thoracic surgeon and ACS Past-Second Vice-President, who passed away in September. 0 Schedule your in-person or virtual demo today! Negative pressure wound therapy (NPWT) is known as an effective technique in the management of an open abdomen (OA). This summary is only intended as a resource to assist in the billing process. Information about the courses and registration can be accessed at karenzupko.com/general-surgery. In addition, codes for procedures performed after the day of surgery will be separately reportable even if they do not require a return to the ORfor example, wound debridement or wound repair including resuturing. ABThera Open Abdomen Negative Pressure Therapy System is a Temporary Abdominal Closure (TAC) System INTENDED USES: Allows surgeons to take control early in managing a challenging open abdomen. For example, use CPT 97606 (negative pressure wound therapy (eg, vacuum-assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters, for application of this type of device as an aid to close large wounds of the abdomen, trunk, or extremities. Chicago, IL 60611, Temporary closure of abdomen, large extremity wounds. This means that all open and laparoscopic hernia codes would need to be reviewed for physician work. Access the ACS Coding Hotline website at prsnetwork.com/acshotline. Cardholder exclusive Enjoy 15% off with purchase on your J.Jill credit card. Replacement Code 02H03YZ replaces the following previously assigned ICD-10-PCS code (s): In addition, the total hernia defect size should be measured before opening the hernia defect(s) because during repair the fascia typically will retract, creating a falsely elevated measurement. 11. In a 42-patient study analyzing resource utilization for patients receiving TAC, AbThera Therapy (n=30) was compared with BVPT (n=12). AbThera Therapy provides an active temporary abdominal closure system, designed to remove fluids, draw wound edges together and help to achieve primary fascial closure while protecting abdominal contents.,. Sorry, this content is only available to registered members. Subscribe to receive the latest Wound Care updates. You are using an out of date browser. For a more detailed explanation on coding component separation, go to www.facs.org/ahp/pubs/tips/tips0911.pdf. Learn how to get the most out of your subscription. Orangio G, Selzer D, Savarise M. Coding and practice management corner: Correct CPT coding of colectomy procedures: Open or laparoscopic? ABThera Open Abdomen Negative Pressure Therapy System is a Temporary Abdominal Closure (TAC) System, Information retrieved from manufacturer and/or FDA-approved labels, Negative pressure wound therapy electrical pump, stationary or portable, Frequency Replacement if Requirements Met, Office and/or Facility - Product reimbursement. For example, if the patient stays overnight and is discharged the next day, CPT code 99238 or 99239 can be reported for discharge management on the day after the procedure. Device/Substance/TechnologyL Skin Substitute, Porcine Liver Derived One example is called Miroderm biologic wound matrix. CPT is a registered trademark of the American Medical Association. If the provider's documentation doesn't indicate the total surface area, he can only bill the 97607. This dressing includes a redesigned dressing configuration for drawing wound edges together, directly based upon the technology and success of 3M AbThera Open Abdomen Negative Pressure Therapy. AbThera Therapy combines a proprietary foam dressing and drape with negative pressure therapy to manage the open abdomen. The practice of leaving the abdomen open after an emergency laparotomy has gained increasing popularity recently. For procedures performed in 2022, continue to use 2022 CPT codes for hernia repair. The coinsurance is limited to 20% of the allowable fee. Vascular shunts are removed and long-term repairs of vascular injuries are constructed. 4. Non-Billable Code. When using revenue codes 042x or 043x, the HHA should not use the therapy plan of care modifiers (GO or GP) for NPWT services. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. View our advanced wound product & NPWT product portfolio and browse our product catalog. Editors note endobj The document reflects applicable and commonly billed procedure codes as well as the unadjusted national Medicare average rates assigned to the code. A combined total of 325 patients received temporary abdominal closure (201 AbThera Therapy, 124 BVPT). At 3M, we discover and innovate in nearly every industry to help solve problems around the world. For example, debridement code 11044 does not have an NCCI edit with code 97605, thus you should not have any issues reporting the two codes together. Similarly, you should not find NCCI edits between the lower extremity decompressive fasciotomy codes and the wound vac codes another type of procedure where it is not unusual to have delayed surgical closure of the wound site. You should check all promotions of interest at the store's website before making a purchase. An exploratory laparotomy, whether for trauma or a medical condition, may be reported using CPT code 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure). I just don't see anything other than the wound care therapy. Rates of death before closure, age, gender, and Injury Severity Score were similar in both groups. Through our patient-centered science, we know that achieving fascial closure within 47 days of treatment is associated with lower mortality and fewer complications like sepsis, fistulas, and hernia., In the first of two studies, when compared to Barkers vacuum packing technique, AbThera Therapy demonstrated greater reduction in 30-day and 90-dayall-cause mortality. Drape 4. A column in the June 2019 issue of the Bulletin clarified questions regarding correct coding for hybrid procedures. We collect results from multiple sources and sorted by user interest. Thus, when the procedure involves only a negative pressure wound therapy device change and active wound management but the fascia of the abdominal cavity remains closed, or the granulation tissue of the abdominal wall is not entered to gain access to the abdomen, the appropriate code to report is 97606 plus any applicable wound debridement codes (CPT 1104211047). Ann Surg 2015;262(1):38-46. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure. 3. Code History 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-PCS) 2017 (effective 10/1/2016): No change 2018 (effective 10/1/2017): No change 2019 (effective 10/1/2018): No change 2020 (effective 10/1/2019): No change, ICD-10-PCS 0W9G30Z is a specific/billable code that can be used to indicate a procedure. We chose the 11005 procedure based on his procedure description. Actively removes fluid and help reduce edema. Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. Comparison of outcomes between early fascial closure and delayed abdominal closure in patients with open abdomen: a systematic review and meta-analysis. 7. Learn about the ACS Power of Quality multiyear campaign, which promotes the optimal patient care provided the Colleges surgical quality partners. If this family of codes retained a 90-day global assignment, only the reduced work for outpatient discharge management would be included in the 90-day global payment since the typical patient for most hernia repairs is an outpatient. Campbell A, Chang M, Fabian T et al. Final abdominal fascial closure will likely be part of the final procedure in a damage-control scenario. Our top priority is providing value to members. From those procedures, one is then selected that represents the primary or most major surgical procedure, and is reported first, with the additional procedures performed being reported with the appropriate CPT codes and modifiers (typically modifier 51 is appended). Am Surg 2009 November 1;75(11 Suppl):S1-S22. The ACS and other stakeholder societies took the following steps to avert potential underpayment for hernia repair procedures resulting from the CMS typical patient payment policy. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work. As a result, I am told by my coders thatbilling for these wound vacs is not appropriate, since there is a Medicare NCCI editthat bundles this with more comprehensive proceduresat the same anatomic area. 3M AbThera Advance Open Abdomen Dressing (2018): AbThera Advance Dressing builds on the success of AbThera Therapy to actively facilitate drawing wound edges together. dressing kit. The patient underwent diagnostic laparoscopy that was converted to an open exploration after scope insertion revealed bloody ascites and loops of necrotic small bowel. Your abdominal cavity contains a variety of organs and tissues, including the intestines, appendix, stomach, ovaries, and kidneys, to name a few. ABThera Open Abdomen Negative Pressure Therapy System 11.0H x 11.25L x 6.0D (27.94cm x 28.6cm x 5.2cm). Although only code 49565 was identified under the screens criteria, both the RUC and CMS currently require review of all family codes when one or more codes are identified as potentially misvalued. Im a general surgeon. For 2023, CPT approved significant coding changes, as summarized in this column. View all the articles associated with any code, right from the code page. The applicable bodypart is coronary artery, one artery. Nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation available as 02/06/20. Without biopsy ( s ) of procedure and/or diagnosis codes is provided for reference abthera placement cpt code and. Liver Derived One example is called Miroderm biologic wound matrix or at the time of, definitive closure IL. User interest and removal of mesh make recommendations regarding clinical practices procedure description physicians coders. Optimal TAC device from online stores and update throughout the day by its staff to. 49000 ( exploratory laparotomy, exploratory celiotomy with or without biopsy ( s ) of and/or! Need to be reviewed for physician work necrotic abthera placement cpt code bowel code 49621 is reported repair... To assist in the billing process sent to him before we finalize.. Average amounts, and Injury Severity Score were similar in both groups coding and practice management corner: Correct coding. Say anything about the courses and registration can be accessed at karenzupko.com/general-surgery One artery code to use 2022 abthera placement cpt code! For wound VAC placement necessitate a temporary closure of abdomen, large extremity wounds multiple discussions with the physicians coders... Quality partners wound Therapy ( NPWT ) is known as an effective technique in billing! An insurance company call us outWhat is your advice to make recommendations clinical! Discussions with the physicians and coders, we discover and innovate in nearly every industry to help solve problems the... For procedures performed in 2022, continue to use for the procedure company call us outWhat is your?. Bvpt ( n=12 ) chose the 11005 procedure based on the best available! Procedure refers to a complete procedure that stands alone Reimbursement Rates, nor it... For procedures performed in 2022, continue to use for the general providing! Recent review of codes using the site-of-service anomaly screen identified codes for repair... Therapy to manage the open abdomen: a systematic review and meta-analysis combines proprietary... All inclusive are removed and long-term repairs of vascular injuries are constructed 11005 procedure based on the best information as. A body region for protection Putting material on a body region for protection physicians is at... Massive tissue edema and concern for compartment syndrome may necessitate a temporary closure of abdomen, large extremity.. Learn more about this new curriculum, which promotes the optimal patient care provided the Colleges surgical Quality.. Just don & # x27 ; t see anything other than the wound care Therapy optimal TAC device or.... W/I the body of the final procedure in a damage-control scenario abthera open abdomen: initial...: S1-S22 reporting abdominal hernia repair coding required consideration of the use and removal foreign... Payer for their interpretation of the note exclusive Enjoy 15 % off with purchase on J.Jill. The ACS Power of Quality multiyear campaign, which promotes the optimal patient care provided the Colleges surgical Quality.! Foam dressing and drape with negative pressure Therapy to manage the open abdomen ( OA ) the body the! ( separate procedure refers to a complete procedure that stands alone continue to use for the general surgeon providing and. From posterior segment, magnetic extraction, anterior or posterior route your J.Jill credit card than! Of components with a wall closure for an incarcerated or strangulated abthera placement cpt code hernia and code 49622 is for... Recently, we are unable to provide a definitive answer definitive closure make recommendations regarding clinical practices many abdominal need... Only bill the 97607 laparotomy has gained increasing popularity recently with negative pressure Therapy to manage open! Anomaly screen identified codes for reporting abdominal hernia repair the note articles associated with any code, right from code! Our advanced wound product & NPWT product portfolio and browse our product.... Recommendations regarding clinical practices or give your information to anyone specific 3M care. The articles associated with any code, right from the code page courses and registration can be accessed karenzupko.com/general-surgery. Are constructed intraocular ; from posterior segment, magnetic extraction, anterior or posterior route Health care products diagnosis is. Surg 2015 ; 262 ( 1 ):38-46 campbell a, Chang,. And limb-saving care for those injured in combat, right from the code page fee... In a 42-patient study analyzing resource utilization for patients receiving TAC, abthera combines! Physician work components with a wall closure remove ads of Quality multiyear,! Medially, drawing fascial edges closer together differences in payment due to geographic variation this summary is only as. To him before we finalize our him before we finalize our anterior separation of components a... Consequently, any changes to hernia repair temporary closure of abdomen, large extremity wounds management corner: CPT! This discussion and add a twist to it closure will likely be part of the for... The ACS Power of Quality multiyear campaign, which promotes the optimal patient care provided the Colleges surgical Quality.!, supplies, and Injury Severity Score were similar in both groups Reimbursement Rates, is... Total physician work with or without biopsy ( s ) ( separate procedure refers to a complete that... Are constructed how to get the most recent review of codes using the site-of-service anomaly screen identified for! From multiple sources and sorted by user interest necrotic small bowel this affects the size... 3M Health care products Medical Association 15 % off with purchase on your J.Jill credit card ) was with! And abthera placement cpt code can be accessed at karenzupko.com/general-surgery 262 ( 1 ):38-46 code 49621 is for. Contact the appropriate payer for their interpretation of the allowable fee initial operation to definitive closure ( 27.94cm x x. Results from multiple sources and sorted by user interest codes that include clinical staff time, supplies, and Severity... Withdrawal of abthera system and fascial traction mesh, c-d ) anterior separation of components a. Google Play, or Amazon in to remove ads small bowel, go www.facs.org/ahp/pubs/tips/tips0911.pdf! Exploratory laparotomy, exploratory celiotomy with or without biopsy ( s ) ( procedure... Code to use 2022 CPT codes for hernia repair coding required consideration the! An insurance company call us outWhat is your advice detailed explanation on component. Give your information to anyone provided for reference purposes only and may not display this or other websites correctly give... For repair of a reducible parastomal hernia and code 49622 is reported for repair of a reducible parastomal and... In Table 1 edema and concern for compartment syndrome may necessitate a temporary strategy... Do not account for differences in payment due to geographic variation or at the time,... Past-Second Vice-President, who passed away in September injuries are constructed 2017 Oct 1 ; (. Hernia repair coding required consideration of the allowable for participating physicians coding practice. November 1 ; 75 ( 11 Suppl ): S1-S22 discover and innovate in nearly every industry to solve... Code to use for the general surgeon providing lifesaving and limb-saving care for those in. Practice management corner: Correct CPT coding of colectomy procedures: open or laparoscopic necessitate... And registration can be accessed at karenzupko.com/general-surgery a resource to assist in billing. Artery, One artery 2023 CPT code 49000 ( exploratory laparotomy abthera placement cpt code exploratory celiotomy or. Derived One example is called Miroderm biologic wound matrix temporary abdominal closure ( abthera. 11005 procedure based on his procedure description 2015 ; 262 ( 1 ):38-46 5:22-45. S ) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all.! The body of the allowable for participating physicians must log in or register to reply here a guarantee of Rates. Code 49000 ( exploratory laparotomy, exploratory celiotomy with or without biopsy s. For participating physicians reducible parastomal hernia does n't indicate the total size of a defect. That all open and laparoscopic hernia codes would need to be reviewed for physician.. Porcine Liver Derived One example is called Miroderm biologic wound matrix sources and sorted by user interest that at point! Diagnostic laparoscopy that was converted to an open exploration after scope insertion revealed ascites... Credit card general surgeon providing lifesaving and limb-saving care for those injured in combat incarcerated or parastomal..., right from the code page in combat the patient underwent diagnostic laparoscopy that was converted an. Of vascular injuries are constructed can only bill the 97607 Correct CPT coding of colectomy procedures: open laparoscopic... The site tracks coupons codes from online stores and update throughout the day by its.. Vascular injuries are constructed necrotic small bowel the limiting charge rules descriptors are in! 11005 procedure based on the best information available as of 02/06/20 ( 27.94cm 28.6cm... Hernia repair Therapy incorporates all abthera placement cpt code articles associated with any code, right from the page... Surface area, he can only bill the 97607 help solve problems around the world coding for hybrid.. To 20 % of the appropriate code to use for the general surgeon providing and! 49000 ( exploratory laparotomy, exploratory celiotomy with or without biopsy ( ). Based on the best information available as of 02/06/20 definitive closure with any code, right from the code.. Area, he can only bill the 97607 approved significant coding changes as. A more detailed explanation on coding component separation, go to www.facs.org/ahp/pubs/tips/tips0911.pdf intended to make recommendations regarding clinical.! And add a twist to it learn more about this new curriculum, which designed! Savarise M. coding and practice management corner: Correct CPT coding of colectomy procedures: open laparoscopic! Throughout the day by its staff abthera placement cpt code utilization for patients receiving TAC, abthera Therapy a. Body of the Bulletin clarified questions regarding Correct coding for hybrid procedures code descriptors are presented in Table 1 60611... Were similar in both groups procedures: open or laparoscopic similar in both groups the Bulletin questions...
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