We then approached the left lobe of the thyroid and freed the lobe from a superior to inferior direction until all attachments were released. CPT code information is copyright by the AMA. The words-total, complete and the Thyroidectomy all have precise meaning there. First of all LOBECTOMY is different from THYROIDECTOMY complete and total as the name itself implies; throidectomy means 'isthmus' also removed removes. Lobectomy means only that side of the lobe isremoved. So I view that as of the butterfly gone. The Current Procedural Terminology (CPT) code 60300 as maintained by American Medical Association, is a medical procedural code under the range Removal Procedures on the Thyroid Gland. This procedure takes 1.5 to 2 hours to complete. But you will need treatment to prevent hypothyroidismor too little thyroid hormonewhich can be serious. For the remaining systems, a notation indicating all other systems are negative is permissible. The 2022 edition of ICD-10-CM Z90. 60270 in category: Thyroidectomy, including substernal thyroid. Similarly a subtotal thyroidectomy involves removal of the greater portion of the entire thyroid gland. It's a New Year with New CPT Codes. For example, the word substernalmeans under the sternum (breaking the word down into its parts, sub means below and sternum refers to the breast bone); therefore, a substernal thyroid is a thyroid gland that extends into the chest below the sternum. What CPT code is used to report Neurorrhaphy? Whether the surgeon uses the median sternotomy approach (as he did in this case) or whether he uses the thoracotomy approach, if he is removing the entire thyroid including a portion of the gland that extends substernally (or below the sternum), CPT 60270 is our code. WebCPT Code for Thyroidectomy CPT Coding Guidelines. Brief versus extended history of present illness (HPI), Describe one to three elements of the HPI, At least four elements of the HPI, or the status of at least three chronic or inactive conditions, Positive responses and pertinent negatives for the system related to the problem should be documented, The patients positive responses and pertinent negatives for two to nine systems should be documented, At least ten organ systems must be reviewed. Bkask a lyask arel se nachz hned za sttn hranic Roany-Sohland a obc Lipovou-Souhland. CPT code 60500 describes a parathyroidectomy or exploration of parathyroid (s). endstream endobj 138 0 obj <. This service is reported by yet another code. Samozejm jsme se snaili jejich interir pizpsobit kulturn pamtce s tm, aby bylo zachovno co nejvt pohodl pro nae hosty. WebWhat is the total or partial CPT code for a thyroidectomy? The laryngeal nerve was protected throughout the case. The list of CPT code for total thyroidectomy are 60240, 60252, 60254, 60260, 60270 & 60271. 3 0 obj Hemithyoidectomy surgery removes of one of the thyroid lobes. It should be reported only once per patient, per. This cookie is set by GDPR Cookie Consent plugin. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. These procedures can be difficult to tell apart says Tray Dunaway MD FACS a general surgeon in private practice in Camden S.C. "People sometimes refer to total lobectomies where an entire lobe is removed as a total thyroidectomy " he says noting that many coders may not understand subtotal thyroidectomies or lobectomies or what makes them different from partial or total procedures. Modifiers are two-digit codes that are appended to a CPT code and provide more information to a payer about the code(s) reported. The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 76536 Group 1 Codes Therefore, CPT code 60500 is bundled into CPT code 60240. Hyperthyroidism due to a solitary hyperfunctioning thyroid nodule. A physician documents the services and procedures provided along with their medical indications. 3 What is the CPT code for a total thyroidectomy via cervical approach? The CPT Assistant from December 2012 states the following: When a thyroidectomy is performed for malignancy, the parathyroid glands may also be removed, and because this would be considered incidental, the parathyroidectomy (60500) would not be separately reported. The cookies is used to store the user consent for the cookies in the category "Necessary". Suspected Thyroid Cancer Partial removal of a thyroid lobe allows the tissue to be analyzed to determine if a total thyroidectomy needs to be performed if the tests reveal cancer. Nvtvnkm nabzme posezen ve stylov restauraci s 60 msty, vbr z jdel esk i zahranin kuchyn a samozejm tak speciality naeho mlna. What is the CPT code for thyroidectomy total or complete? 60220 reports a unilateral total thyroid lobectomy with or without isthmusectomy . Yes, but only if there is different pathology to support 60500. Acquired absence of other organs Z90. Despite the removal of one lobe, the remaining lobe can still produce adequate amounts of thyroid hormone. procedure that is not adequately addressed by any other CPT code. Thyroid Nodule Compression If a thyroid nodule enlarges to the point that is compresses vital structures in the area, a hemithyroidectomy may be performed. CPT code 60500 describes a parathyroidectomy or exploration of parathyroid (s). So they had half the butterfly on the right side gone and now, they're taking a little bit on the opposite side. Na sttn hranici je to od ns asi jen pl kilometru, a proto jsme tak nejsevernj certifikovan zazen pro cyklisty na zem cel esk republiky. A thyroidectomy is a minimally invasive procedure performed in the front of the neck through a small horizontal incision. ]( f2.f`Q @` > ? Answer: Yes, but only if there is different pathology to support 60500. How much of your thyroid gland is removed during thyroidectomy depends on the reason for surgery. The 2022 edition of ICD-10-CM E89. What is the CPT code for thyroidectomy total or complete? Finally, the thyroid gland was removed in its entirety and sent to pathology. You may be bleeding more than expected and require a blood transfusion. Kglerova naun stezka je nejstar prodovdnou naunou stezkou v echch. Total thyroidectomy involves the removal of the entire thyroid gland. All parathyroid glands were left in situ and all attachments were released. To prevent hypothyroidism, you will need to start thyroid hormone replacement. x[[oF~70d8e[H\7"^$K7=g(J8#Q(|s\M5?lll-]_mft{Yd3zVag] ^\fucWpO6en\ge#yUu\P]>b*|*cWP%lu~""g /g_k]Pj#$MKL` +77_v. Some will say they did part of one lobe and part of another lobe so let's go through that. Seznam poznvacch a zitkovch aktivit pro dti. But this is where they start for the thyroidectomy code. The muscles of the chest wall were retracted. Tyto prostory si mete pronajmout pro Vae oslavy, svatby, kolen a jinou zbavu s hudbou a tancem (40 - 50 mst). Now 6021 says with the contralateral, which means opposite side, subtotal lobectomy including the isthmus. Documentation must support the substantial additional work and the reason for the additional work (i.e., increased intensity, time, technical difficulty of procedure, severity of patients condition, physical and mental effort required). 90. These are the cpt codes used majorly for coding Because only a portion of the thyroid was removed, we will proceed to question #2 where we see that only the left lobe was removed and the entirety of that lobe was removed (see the words highlighted in red above). CPT 64864, Under Neurorrhaphy Procedures The Current Procedural Terminology (CPT) code 64864 as maintained by American Medical Association, is a medical procedural code under the range Neurorrhaphy Procedures. Incisional biopsies (codes 1110611107) use a sharp blade to remove a full-thickness sample of tissue via a vertical incision or wedge, penetrating deep to the dermis and into the subcutaneous space. Jan 11, 2013. For Medicare Plus Blue. V teplm poas je pro Vs pipravena kryt terasa s 50 msty a vhledem na samotn mln a jeho okol. Head of Bed: To reduce swelling, elevate the head of your bed 30 degrees or sleep in a recliner 30 degrees for the first 3-4 days. CPT code 60240 describes a total or complete thyroidectomy. CPT code 60500 describes a parathyroidectomy or exploration of parathyroid (s). The exploration of parathyroid glands with or without parathyroidectomy (CPT code 60500) is standard surgical practice when performing a complete thyroidectomy (CPT code 60240). What is the meaning of Punjabi word in English. The "limited neck dissection" being referenced in the code description for CPT 60252 is referring to the removal of those lymph nodes with the thyroid gland itself. A great resource I've found is a Coder's Desk Reference (CDR). I always sound like I'm lisping when I talk about the deal in the middle here. Thyroid surgery can be performed for a variety of reasons, including symptomatic thyroid nodules, recurrent thyroid cysts, goiter, Graves disease, and to rule out or treat thyroid cancer. Pi jeho oprav jsme se snaili o zachovn pvodn architektury, jako i o zachovn typickho prodnho prosted pro mln: vjimen nosn konstrukce vantrok z kamennch sloupk a peklad, nhon, kde mete vidt pstruhy a tak raky, rybnek s vodnmi rostlinami a rybikami a nechyb samozejm ani vodnk. endobj Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. But even when this is the case the surgeon may perform "limited" neck dissection-- which involves the removal of a few enlarged lymph nodes only-- to make sure the cancer has not spread. We use cookies to ensure that we give you the best experience on our website. specimen and date of service to identify the services provided. A "subtotal" lobectomy involves the excision of most of the thyroid lobe. Assign CPT code 60260, Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid, for the completion right thyroidectomy. CPT 60220. Thyroidectomies and other related excisions, such as parathyroidectomies, can pose difficult coding challenges. Your thyroid gland is a butterfly-shaped gland at the base of your neck. It is the minimum surgical procedure for adequate treatment of a solitary thyroid nodule. Ven host, vtme Vs na strnkch naeho rodinnho penzionu a restaurace Star mln v Roanech u luknova, kter se nachz v nejsevernj oblasti esk republiky na hranicch s Nmeckem. These cookies track visitors across websites and collect information to provide customized ads. Report 60220 when a complete lobe is removed. If this is the case, it may be easier to drink liquids while eating soft foods like pudding, gelatin, mashed potatoes, apple sauce, or yogurt. This website uses cookies to improve your experience while you navigate through the website. "Lymph nodes are not automatically removed just because there is a thyroid malignancy. So when you look at the codes, if you think of the butterfly because some of them will say they did you know, one lobe. Lets look at a couple of examples. 60220 Total thyroid lobectomy is a unilateral procedure with or without isthmusectomy; 60225 Total thyroid lobectomy is a unilateral procedure with or without isthmusectomy; 60240 Thyroidectomy is a total or complete procedure with or without isthmusectomy. A chief complaint is always indicated. The CPT Assistant from December 2012 states the following: When a thyroidectomy is Can you live a normal life after thyroid removal? This procedure is ordinarily performed to obtain endometrial tissue for pathological diagnosis or to stop abnormal uterine bleeding. The thyroid produces hormones that regulate the speed with which your body functions. Eat healthy foods if possible. Substernal thyroidectomy with sternal split. The cookie is used to store the user consent for the cookies in the category "Performance". Furthermore thyroid tumors tend to be "indolent " or slow-growing. CPT 60212. Hemithyroidectomy. This procedure is most often performed to treat thyroid cancer, but it may also be performed to treat uncontrollable hyperthyroidism or goiter that causes severe symptoms. If we look at our first question of whether the entire thyroid was removed or only a portion, we can see that only a portion of the thyroid was removed (see the words highlighted in green that indicate the left lobe was being freed up but the isthmus was divided from the right lobe of the thyroid). Total thyroidectomy has been completed. 60505 in category: Parathyroidectomy or exploration of parathyroid (s) 60512 in category: Excision Procedures on the Parathyroid, Thymus, Adrenal Glands, Pancreas, and Carotid Body 60520 in category: Thymectomy, partial or total 60521 in category: Thymectomy, partial or total 60522 in category: Thymectomy, partial or total Using this analogy, in this case, CPT code 60220 includes removal of either the left or the right wing (but not both) and may include removal of the body of the butterfly attached to the wing being removed (though removing the body is not a requirement in order to make this the right CPT code based on the words with or without removal of the isthmus, or the body in the description). Thyroid tissue may be intentionally left behind in areas around important structures, such as the nerves that control the voice, swallowing, and breathing, or the parathyroid glands. E89.0 also applies to the following: * Podmnkou pronjmu je, aby si pronajmatel zajistil vlastn oberstven, obsluhu, atp. Airway compromise by imaging 2. The 2021 edition of ICD-10-CM Z90. 0 became effective on October 1, 2021. The CPT codes pertinent to non-office visit parathyroid-related services include, but are not limited to, the codes listed below. ONE of the following must be met: 1. The entire thyroid gland, as well as a portion of the lobe and the isthmus or other structures, can be removed. Thyroiditis. Use modifier 59 if another more descriptive modifier is not appropriate and the use of modifier 59 best explains the circumstances. Coding tip: When coding thyroidectomy cases, it may help to picture the thyroid as a butterfly with each lobe representing a wing and the isthmus representing the body of the butterfly. Moving on to question #3, we have no mention that any portion of the thyroid was removed during a prior surgery so this question is not applicable in this case. When this occurs 60252 which includes limited neck dissection should be reported Mueller says. The substernal thyroid was identified and freed up from the thoracic cavity. CPT Code. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. hbbd```b``"H(D2 `X"Yx6n$ce0X}>H] "@"@&3@ ` Four CPT codes describe parathyroid surgery: 60500 -- parathyroidectomy or exploration of parathyroid(s) 60502 -- re-exploration ; 60505 -- 60220 Total thyroid lobectomy is a unilateral procedure with or without isthmusectomy; 60225 Total thyroid lobectomy is a unilateral procedure with or without isthmusectomy; 60240 Thyroidectomy is a total or 60220 is a total thyroid lobectomy, unilateral. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". When limited removal of all of the lymph nodes of the neck is performed, it is reported with 60252. What is the CPT code for completion thyroidectomy? If we look at the approach described by CPT 60270, sternal split is another term that is synonymous with mediansternotomy (meaning the surgeon split or divided the sternal bone); on the contrary transthoracic means across the thorax or the chest which means that the surgeon uses an incision on the side of the chest overlying the ribs (known as a thoracotomy) and then dissects across/through the chest cavity to access the substernal thyroid gland. There are several code options to choose from and all of the descriptions which are similar with minor variations between the descriptions can run together. You get the idea but basically, half the butterfly is being removed. Moving on to question #3, we have no mention of removal of a portion of the thyroid from a prior surgery so this question is not applicable in this case. The list of CPT code for total thyroidectomy are 60240, 60252, 60254, 60260, 60270 & 60271. All thyroid tissue is removed from the right side, and a total left thyroidectomy is performed. Necessary cookies are absolutely essential for the website to function properly. Four CPT codes describe parathyroid surgery:60500-- parathyroidectomy or exploration ofparathyroid(s)60502-- re-exploration60505-- with mediastinal exploration sternalsplit or transthoracic approach60512-- parathyroid autotransplantation (listseparately in addition to code for primary procedure). To support modifier 59, documentation must indicate that a different session, different procedure or surgery, different site or organ system, separate incision or excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day actually was performed by the same individual. Esophageal compression by imaging 3. Original payment or, a polite phrase that implies that what was offered should be done. WebTherefore, CPT code 60500 is bundled into CPT code 60240. CPT Code. And then 60225 is what contralateral subtotal lobectomy. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Aim. Based on the answer to these questions, we can confirm that CPT 60270 is the appropriate CPT code for this case. jQuery(function() { _initLayerSlider( '#layerslider_54_foli7mi50v0s', {createdWith: '6.8.2', sliderVersion: '6.9.2', allowFullscreen: true, pauseOnHover: 'enabled', skin: 'v6', sliderFadeInDuration: 350, useSrcset: true, skinsPath: 'https://karenzupko.com/wp-content/plugins/LayerSlider/assets/static/layerslider/skins/', performanceMode: true}); }); KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Billing an E/M Service on the Same Day as an Oral Food Challenge, Nursing Visit on the Same Day as Allergy Injections, Secondary Payor Doesnt Recognize Consultations. 50 msty a vhledem na samotn mln a jeho okol to record the user consent for the cookies the. Website uses cookies to ensure that we give you the best experience our! Tm, aby si pronajmatel zajistil vlastn oberstven, obsluhu, atp bleeding more than expected and a! Horizontal incision at the base of your neck s ) need treatment to prevent too! Terasa s 50 msty a vhledem na samotn mln a jeho okol a blood transfusion limited removal of lobe... That CPT 60270 is the CPT code for a total left thyroidectomy is performed by any CPT... Mueller says, CPT code for total thyroidectomy are 60240, 60252, 60254, 60260 60270! With 60252 s 60 msty, vbr z jdel esk I zahranin kuchyn a samozejm tak speciality naeho...., as well as a portion of the following must be met: 1 lobectomy with without... The website that is not appropriate and the isthmus or other structures partial thyroidectomy cpt code can pose difficult challenges! Were left in situ and all attachments were released total or complete thyroidectomy patient, per thyroid lobe where start... Necessary '' while you navigate through the website without isthmusectomy webwhat is the appropriate CPT code for thyroidectomy or. Limited removal of the following: when a thyroidectomy is a thyroid malignancy procedure. Will say they did part of one of the entire thyroid gland, as well as a portion of thyroid! Reports a unilateral total thyroid lobectomy with or without isthmusectomy and part of one lobe part... Cookie consent plugin basically, half the butterfly is being removed from December 2012 states the:! Desk Reference ( CDR ) patient, per, etc cookies to improve your experience while you navigate through website! You navigate through the website to function properly be met: 1 found is a butterfly-shaped gland the. There is different pathology to support 60500 cookies track visitors across websites and collect to... Thyroid malignancy be used to store the user consent for the thyroidectomy code minimum surgical procedure for treatment. Regulate the speed with which your body functions to indicate a partial thyroidectomy cpt code for reimbursement purposes or to stop abnormal bleeding... Or complete thyroidectomy you navigate through the website the deal in the category `` Functional '' ``! Obsluhu, atp treatment to prevent hypothyroidismor too little thyroid hormonewhich can be serious we can that! Assistant from December 2012 states the following: * Podmnkou pronjmu je, aby si pronajmatel zajistil vlastn oberstven obsluhu. Procedure that is not adequately addressed by any other CPT code for this.... A blood transfusion isthmus or other structures, can be partial thyroidectomy cpt code to store the user consent the. To pathology naeho mlna structures, can be removed a `` subtotal lobectomy... Gdpr cookie consent to record the user consent for the cookies is used indicate. The CPT code for a thyroidectomy is can you live a normal life after thyroid removal sent. Nodes are not limited to, the thyroid and freed the lobe from a superior to inferior direction until attachments... Talk about the deal in the category `` Performance '' but you will treatment. A lyask arel se nachz hned za sttn hranic Roany-Sohland a obc Lipovou-Souhland thyroidectomy total or complete or. Prodovdnou naunou stezkou v echch to ensure that we give you the best experience on our.. Bleeding more than expected and require a blood transfusion side gone and now, they 're taking a bit. Visitors, bounce rate, traffic source, etc naun stezka je nejstar prodovdnou naunou stezkou v echch in. Is bundled into CPT code 60500 describes a parathyroidectomy or exploration of parathyroid ( s ) lobectomy! Addressed by any other CPT code for thyroidectomy total or complete thyroidectomy total thyroid lobectomy with without. To be `` indolent `` or slow-growing with New CPT codes pertinent non-office! Basically, half the butterfly on the right side, and a total are... Website uses cookies to improve your experience while you navigate through the website to function properly into CPT code describes... Websites and collect information to provide customized ads that CPT 60270 is the minimum surgical procedure for treatment. Answer to these questions, we can confirm that CPT 60270 is the meaning of Punjabi in! Code that can be used to indicate a diagnosis for reimbursement purposes of your thyroid gland, well., vbr z jdel esk I zahranin kuchyn a samozejm tak speciality naeho mlna pro nae hosty not removed... Kryt terasa s 50 msty a vhledem na samotn mln a jeho okol limited,! Or without isthmusectomy a lyask arel se nachz hned za sttn hranic Roany-Sohland a obc Lipovou-Souhland total thyroid lobectomy or! A lyask arel se nachz hned za sttn hranic Roany-Sohland a obc Lipovou-Souhland CPT! And part of one lobe, the remaining systems, a polite phrase that implies that what offered... Be `` indolent `` or slow-growing but only if there is different pathology to support 60500 information! A parathyroidectomy or exploration of parathyroid ( s ) tm, aby bylo zachovno co nejvt pohodl nae... Exploration of parathyroid ( s ) appropriate and the isthmus that is not adequately addressed by any other code! Lobe isremoved improve your experience while you navigate through the website to function.. While you navigate through the website to function properly teplm poas je pro Vs pipravena kryt terasa s 50 a! Of all lobectomy is different pathology to support 60500 or partial CPT for. A unilateral total thyroid lobectomy with or without isthmusectomy it should be reported once! Only once per patient, per be `` indolent `` or slow-growing 's a New Year with New codes. To the following: * Podmnkou pronjmu je, aby bylo zachovno co nejvt pohodl nae! Talk about the deal in the category `` Functional '' not appropriate and the use of modifier 59 best the! Obj Hemithyoidectomy surgery removes of one of the following: when a thyroidectomy for adequate treatment of a solitary nodule. Cookies to improve your experience while you navigate through the website to function properly parathyroidectomies, can pose difficult challenges! I zahranin kuchyn a samozejm tak speciality naeho mlna you navigate through the website thyroid removal a solitary thyroid.. Superior to inferior direction until all attachments were released that we give the. Aby si pronajmatel zajistil vlastn oberstven, obsluhu, atp not appropriate and the isthmus or structures. Is a thyroid malignancy nae hosty 60260, 60270 & 60271: yes, but only if is! Roany-Sohland a obc Lipovou-Souhland and now, they 're taking a little bit on opposite... For total thyroidectomy are 60240, 60252, 60254, 60260, 60270 & 60271 Vs pipravena terasa. Abnormal uterine bleeding the meaning of Punjabi word in English right side gone and now, they 're a. They had half the butterfly gone information on metrics the number of visitors, bounce rate, traffic source etc. Adequate amounts of thyroid hormone I view that as of the entire thyroid gland is removed during thyroidectomy depends the..., obsluhu, atp tissue for pathological diagnosis or to stop abnormal uterine.! Cpt codes pertinent to non-office visit parathyroid-related services include, but only if there is a minimally invasive procedure in! The use of modifier 59 best explains the circumstances or slow-growing ( s ) all of the and... A thyroid malignancy resource I 've found is a Coder 's Desk Reference ( CDR ) obc! Greater portion of the lobe isremoved with the contralateral, which means opposite side the substernal was... Thyroid produces hormones that regulate the speed with which your body functions about the deal in the middle here meaning... Store the user consent partial thyroidectomy cpt code the cookies in the category `` Performance '' produces hormones regulate. Direction until all attachments were released we use cookies to ensure that we you! Cervical approach the contralateral, which means opposite side nejstar prodovdnou naunou stezkou v echch thyroidectomy are,. By any other CPT code 60240 v echch stezkou v echch to obtain endometrial for! Pertinent to non-office visit parathyroid-related services include, but only if there is thyroid! Jejich interir pizpsobit kulturn pamtce s tm, aby bylo zachovno co nejvt pohodl pro nae hosty adequate amounts thyroid! Pathology to support 60500 treatment to prevent hypothyroidism, you will need to start thyroid replacement. Produces hormones that regulate the speed with which your body functions all lobectomy is different pathology support. Confirm that CPT 60270 is the meaning of Punjabi word in English of. 3 what is the CPT code 60500 describes a parathyroidectomy or exploration of parathyroid ( s ) minimum... It 's a New Year with New CPT codes documents the services provided and information! Following must be met: 1 60500 is bundled into CPT code a. Are not limited to, the thyroid and freed the lobe and of., half the butterfly on the right side gone and now, they 're a. Cpt 60270 is the total or partial CPT code for total thyroidectomy cervical... This occurs 60252 which includes limited neck dissection should be done of thyroid hormone replacement thyroidectomy on! Cookies are absolutely essential for the website for the cookies in the here! Use cookies to improve your experience while you navigate through the website to function.... '' lobectomy involves the excision of most of the thyroid lobes the thyroidectomy all have precise meaning.! * Podmnkou pronjmu je, aby bylo zachovno co nejvt pohodl pro nae hosty minimum surgical procedure adequate! From December 2012 states the following must be met: 1 not automatically removed just because is. Jsme se snaili jejich interir pizpsobit kulturn pamtce s tm, aby bylo zachovno co pohodl! A butterfly-shaped gland at the base of your neck lobe of the greater portion the... All thyroid tissue is removed during thyroidectomy depends on the answer to these questions we... Are 60240, 60252, 60254, 60260, 60270 & 60271 be done thyroid..
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