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payable diagnosis for chest x ray

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By , May 17, 2017 5:22 pm

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payable diagnosis for chest x ray

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Medicare Coverage of Imaging Services – Centers for Medicare …

services, to include radiology and non-radiology diagnostic imaging and image-
guided procedures. … both the PC and the TC of the services are payable.

ICD-10: Clinical Concepts for Cardiology

Oct 1, 2015 … Official CMS Industry Resources for the ICD-10 Transition www. … Chest pain, unspecified. Chest Pain (ICD-9-CM 411.1, 413.1,
413.9, 786.50 to 786.59 Range) …… chest x-ray. • Acute Deep Vein …

Program Memorandum – Centers for Medicare & Medicaid Services

This Program Memorandum (PM) clarifies our current coding guidelines for
reporting … The radiologist performs a chest x-ray, and the results are normal.


Radiology Codes. Procedure Description. 70370. THROAT X-RAY &

Your Medicare Benefits –

If you disagree with a Medicare coverage or payment decision, you have the right
… Part B covers a one-time abdominal aortic aneurysm ultrasound if you're at risk.
…. Your X-rays show possible osteoporosis, osteopenia, or vertebral fractures. …..
diagnostic laboratory tests, when your doctor or practitioner orders them.

Tuberculosis Coding and Billing Tool – Georgia

We must deliver correct coding and medical billing practices. This tool is not
intended to be … Read Chest X-Ray. 23. TB Screening F/U, Chest X-Ray Results.

ICD-9-CM Diagnostic Coding Guidelines for Outpatient Services

Oct 19, 2006 … Report, Radiology Administrator's Compliance Insider, Health Care Auditing
Strategies … successfully passing the National Certified Coding Specialist Exam
and Physician Based Exam. …… radiologist for a chest X-ray with.

diagnostic radiology – Ontario

Apr 1, 2015 … The technical and professional fee components for chest x-ray, X090, X091 and
X092 are only eligible for payment when rendered for a patient …

Schedule – Ontario

Apr 1, 2011 … restrict payment of pre-operative electrocardiograms (ECG) and chest x-rays
when … Two new codes for CT diagnostic testing have been introduced: … Pre-
operative ECGs and chest x-rays prior to specified procedures.

Chest X-Ray (Pre-Operative) – Diagnostic Imaging Pathways

Diagnostic Imaging Pathways – Chest X-Ray (Pre-Operative). Printed from
Diagnostic Imaging … X-Ray (Pre-Operative). Population Covered By The

Apparent Life-threatening Event (ALTE) ICD 9 Code Proposal – CDC

ICD-9-CM Code Proposal. Jack Percelay, MD, MPH, FAAP … chest x-ray. –
lumbar puncture … adequate research. ▫ UK had an ICD-9 code for ALTE – 798.4

reactive airways disease vs asthma – dphhs

Asthma. • Diagnosis: Clinical vs. Coding. • Treatment: Does it matter? … Coding
RAD for billing purposes? ICD-9 CODE … Chest x-ray: rules out other causes. • ?

Proc Subject to Ancillary Policy

Line Level Payment Action. Procedure. Code … 289 VASCULAR DIAGNOSTIC
ULTRASOUND OF LOWER …. Chest x-ray and fluoroscopy. 471 PLAIN FILM. No.

GAO-08-452 Medicare Part B Imaging Services – Government …

Jun 13, 2008 … the greater use of MRIs instead of X-rays in diagnostic testing.3 The report
attributed … Medicare's payment for imaging services, which included …..
interpreting a standard chest X-ray summed to .74.8 In contrast, the RVUs.

Procedure Code Description Termed Procedure Code Dates ICD-9 …

Dec 31, 2011 … ICD-9. Diagnosis. Codes. Description. ICD-10. Diagnosis. Code … of the
approved office visit coding: 99201-. 99205 ….. Chest x-rays. 71020.

Multiple Primary and Histology Coding Rules Manual

Jan 1, 2007 … Rule M11 Tumors with ICD-O-3 histology codes that are different at the first (xxxx)
, second (xxxx) or third (xxxx) number are ….. Chest x-rays.

Medical Examination Process for US Immigrant Visas

Payment must be made at the time of the medical examination. … Chest X-rays
will be taken at Kraut Vladimir, Ambulanta interne medicine, … examination, it is
found necessary to refer you to a specialist for a further diagnosis, the panel.


Aug 14, 2014 … Interpretation of X-Rays Relating to the Diagnosis and Prevention of … Chest X-
rays for tuberculosis which are expected to be clear, e.g. routine chest X-ray of
patients and staff …. The payment of an initial license fee or license.

Physician Payment for Quality Advisory Committee Report Health …

Oct 27, 2014 … The Physicians Payment for Quality Committee was established to identify … Dr.
Isabel Menendez, Medical Director for Medical Imaging Diagnostic … Chest x-
rays for ambulatory patients for admission or preoperative with …

TB screening for the UK –

cured, delays in diagnosis and other factors mean that it is a serious infection …
photos, payment for your TB testing and your medical records if appropriate …
thereafter you will have a chest x-ray which detects changes to the lungs which.

medicare x ray codes

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By , November 21, 2016 3:10 am

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medicare x ray codes

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MM9476 – Centers for Medicare & Medicaid Services

6 days ago … policies in the Calendar Year (CY) 2016 Medicare Physician Fee … potentially
misvalued codes for CY 2016 and requests comments on these values. CMS ….
transportation fee of portable X-ray suppliers has been clarified.

Final Rule – U.S. Government Printing Office

Nov 16, 2015 … Schedule and Other Revisions to Part B for CY 2016; Final Rule. VerDate … to file
code CMS–1631–FC. … issues related to portable X-ray.

New Radiology CPT Codes for 2016 – Streamline MD

2016 Medicare Physician Fee Schedule (MPFS) Final Rule is released … list of
those new codes affecting diagnostic radiology and interventional radiology.

Overview of the Medicare Physician Fee Schedule Proposed Rule …

Jul 8, 2015 … Part B for CY 2016, Proposed Rule, CMS-1631-P, 80 Fed. Reg. 41,686 (July …
Add certain services to the list of CPT codes for which Medicare will pay when
provided by via telehealth; …. Chest x-ray 2vw frontal&latl. 71260.

CY 2016 Medicare Physician Fee Schedule Proposed Rule – AAMC

Jul 23, 2015 … CY 2016 Medicare Physician Fee Schedule …. Interventional Radiology (+1%) …
Two new CPT codes proposed to be covered under. Medicare …

Medicare & You –

Oct 1, 2015 … What's important in 2016 (page 12) ….. X. X-ray 40, 47, 60, 65. Note: The page
numbers shown in … drug coverage for 2016, if you decide to.

Summary of the Medicare Physician Fee Schedule Final Rule for CY …

Portable X-ray: Billing of the Transportation Fee. 15. Technical …. the full range of
PFS codes, and for new and low-volume codes. CMS believes that the … are
necessary. Therefore, CMS finalized the policy as proposed for CY 2016 but will

Winter 2016 – RCCB

Oct 29, 2015 … Radiology Coding Certification Board … 2016 Brings Changes to Skeletal X-Ray.
Coding … CMS Issues Codes and Guidelines for LDCT Billing.

Bundling Guidelines – Blue Cross and Blue Shield of North Carolina

bundling_guidelines. 1/2000. 12/2015. 12/2016. Origination: Last Review: … Use
of any CPT or HCPCS code should be fully supported in the medical
documentation. … The pre- and post-operative global days are based on CMS
standards. ….. When a single view X-Ray code is billed with a multiple view X-
Ray code,.

Bone Mass Measurements (BMMs) – Find-A-Code Articles

Sep 25, 2015 … BMM is not covered when a procedure other than dual-energy x-ray … Therefore,
Medicare will pay procedure code 77080 when billed with the …

Medicaid Benefit Plans – State of Michigan

01/01/2016. Page 1 of 11. Benefit plan … and program assignment factors (e.g.,
scope/coverage codes, level of care codes, etc.). … This benefit plan is part of the
Medicare Savings Program (MSP), also known as the ….. Diagnostic X-Ray. 5.

February 2015 Medicare B Connection – First Coast Service Options …

Feb 2, 2015 … Codes subject to and excluded from CLIA edits ……….. 8 ….. definitions, and the X
modifiers will function within CMS systems in the same ….. After a transition in
2016, … X-ray services to reflect that X-rays are currently done.

Communiqué – WPS

Dec 1, 2015 … 2016 Annual Update of HCPCS Codes for SNF CB Update … Billing of the
Transportation Fee by Portable X-ray Suppliers …. Changes to HCPCS codes
and Medicare Physician Fee Schedule designations are used to.

Summary of the Proposed 2016 Medicare Physician Fee … – ISASS

2016 for the PFS and other Medicare Part B payment policies to ensure that CMS
payment systems are … Portable X-Ray Transportation Fee. •! … ISASS staff
looked at commonly used CPT codes for spine and compared the 2015 final

2007 HAWAII Medicare Fee Schedule – Hawaii State Chiropractic …

These codes SUPERSEDE the Medicare Fee Schedule for Auto & Workers'
Compensation Cases. …. (For other X-ray codes Consult the DLIR website for the
complete Exhibit “A” listings) … Medicare Annual Part B Deductible for 2016…

2016 Medicare Provider Directory – Kaiser Permanente Medicare …

description inside for the zip codes that are in our service area. This directory is
….. plastic surgery, podiatry, pulmonary, radiology, rheumatology, sleep medi.

Medicare Code Request for 2016 – American Telemedicine …

Proposed 2016 Physician Fee Schedule Changes. December ….. would be
possible by means of x-rays, electrocardiogram and electroencephalogram.

2016 Health Benefit Summary – CalPERS – State of California

Sep 1, 2015 … Appends the 2016 CalPERS Health Benefit Summary, CalPERS …. about how
Medicare works with your CalPERS health ….. You can also use the Health Plan
search by ZIP code, which is …… such as physician, x-ray, lab, etc …

Centers for Medicare & Medicaid Services (CMS) – McKesson

Aug 18, 2015 … Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2016. … Potentially
Misvalued PFS Codes. … Portable X-ray Transportation Fee.

OIG 2015 Work Plan – Office of Inspector General –

OIG's funding that is directed toward oversight of the Medicare and Medicaid ….
internal identification code for the review (if a number has been assigned) and …..
Portable x-ray equipment—Supplier compliance with transportation and setup …

pre op chest x ray icd 9 code

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By , July 19, 2016 10:04 pm

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pre op chest x ray icd 9 code

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2014 PQRS Individual Measure Spec Manual – ACEP

Dec 13, 2013 … … for the 2014 program year may avoid the 2016 payment adjustment. …
denominator codes for a measure are not associated with a patient for an …. Non-
Traumatic Chest Pain. C, R …. Radiology: Inappropriate Use of “Probably Benign”
Assessment Category …. Preoperative Diagnosis of Breast Cancer.

Spring 2014 – RCCB

Radiology Coding Certification Board … requirements during 2014 will have their
2016 Medicare pay- … via claims-based reporting, the individual EP must report 9
… Cardiac Stress Imaging Not Meeting Appropriate use Criteria: Preoperative
Evaluation in …. In ICD-10-CM, CAD is reported with codes from …. to chest x-ray.

Getting It Right Upfront: – Panacea Healthcare Solutions

Oct 1, 2015 … professional final-coded the case in ICD-9 and one of the hospital's … Obtain
CRP, ESR, and repeat left hip x-rays. OPERATIVE REPORT (3/25/15) ….
Radiology: Chest X-ray (3/27/15): Right-sided … the level would have come back
to preoperative … the 2015 version of ICD-10-CM and ICD-10-PCS codes.

Diagnostic Radiology Services –

16.2.1 Diagnostic Radiology Services Provided by Hospitals . ….. submitted with
one of the following diagnosis codes: Procedure codes 78811, 78812, 78813, …

Key Pediatric Icd-9-cm Codes – TNAAP

2010 ICD-9-CM Code Additions/Revisions/Deletions……….49-52. 8. … including
laboratory, radiology, other procedures, or screening tests (eg, vision, hearing …
ventilation and/or chest compressions in the presence of acute inadequate.

Melody Commonly Billed Codes – Medtronic

Note: Most of the ICD-9-CM codes can convert to many more ICD-10-PCS codes
… /FY2016-IPPS-Final-Rule-Home-Page-Items/FY2016-IPPS-Final-Rule-Data-
Files.html … operative report. … traNSCathEtEr PulmONary ValVE POtENtIal
DIagNOSIS CODES …. with chest radiography or fluoroscopy should be included
in the.

Section 11: Billing Requirements – PacificSource

Revised January 1, 2016. … PacificSource policy for considering a second
diagnosis will … a CPT code-identified procedure, the patient's condition … Pre-
operative E&M services after the decision to … to chest surgery); and ….. 75
percent of the fee schedule allowance for the procedure; 150 percent X 50
percent = 75.

Presentation Part 2

Sep 21, 2015 … 9/21/2015. 2. ICD-10-PCS Coding Process. • Codes are constructed. • 1. ID Root
… 2016 Guidelines. NO. Official Guidelines for Sections 2-9 or B-H. MED/SURG-
…. PreOp Dx: Acute gallstone pancreatitis w/acute cholecystitis, evidence of bile
… However, if same patient has Chest X-ray… MRI… Ultrasound …

Omnibus Codes –

Jan 1, 2016 … Omnibus Codes: Medical Policy (Effective 01/01/2016) … or without digitization of
film radiographic images, chest ….. Intraoperative radiation treatment delivery, x-
ray, single …. generated from preoperative images are matched to surface data
….. Diagnosis and management of lung cancer, 3rd edition.


Oct 1, 2015 … scale, severity-diagnosis related group system, ambulatory payment …. A. The
five character codes included in this chapter are obtained from the …. -56 Pre-
operative Management Only: pay the pre-operative …. health care records
regarding the employee, including x rays, must …. prior to chest surgery. D.

Hospital Payments and Quality Initiatives – Ohio Department of …

Dec 18, 2014 … All Patients Refined Diagnosis Related Groups (APR DRG) is a …. Radiology-
Diagnostic … (Hospital Base Rate x DRG/SOI Relative Weight) …. 1989:
Implemented prospective CPT code based fee payment … supplies,
pharmaceuticals, anesthesia, pre-op care, etc., as well as the … Go Live: 1/1/
2016 …

SENIOR ELECTIVE CATALOG – New York Medical College

2015-2016 … Radiology and Diagnostic Medicine (Open to NYMC students only)
…. with an overview of clinical anesthesiology with an emphasis on pre-operative
evaluation, anesthetic decision … Elective Code: ANEST 5101-002 … Describe
the modification of standard patient assessment and diagnosis in the setting with.

Heart Failure Guidelines and Implications for Surgically … – AORN

for the diagnosis and management of chronic heart fail- ure in the … 2009;119(14
):1977-2016. 3. …. Task Force on Practice Guidelines; American College of Chest
Physicians; International Society for Heart and ….. tests, the preoperative nurse
confirms whether …. chest x-ray, …. code on the device to help identify the manu-.

here – McKesson

Aug 18, 2015 … Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2016. … Potentially
Misvalued PFS Codes. … Portable X-ray Transportation Fee. …. 0. 9. Ibid. 10 Ibid
at 41938. 11 Ibid at 41939-41940. 5 …. provide the additional convenience of
receiving the preoperative, operative …. Chest x-ray 2vw frontal&latl.

September 2015 – Intermountain Physician

Sep 30, 2015 … 9 ICD-10 Implementation Begins October 1, 2015. ICENTRA UPDATE … 30
categories committed to standardization in 2016. On Track.

Clinical Rotation Manual – University of South Alabama

Jul 8, 2015 … professional attitudes and behaviors in the diagnosis and management ….
Students need to apply for graduation by this date: February 1, 2016 (estimated)
…. Pursuant to Section 22-11A-62 of the Alabama Code, Alabama law ….. Breast
and chest wall … b. pre-operative ….. Flat and upright abdomen x-ray.

Medical Director presentation – Association of Community Cancer …

Jun 19, 2015 … when the first breast cancer diagnosis occurred prior to age 50 … common
variants (CPT codes 81211 and 81213)] as medically necessary …. 0.5%
increase annually 2016-2019. • Incentives: …. Chest x-rays … post-operative
patient qualifies as a critical care … Example of correct pre-procedure document:.

Resident Manual – University of Mississippi Medical Center

2015-2016 …. He/she is involved in establishing diagnosis and treatment plans
as well as ….. Provides routine peri-operative care for patients with brain or spinal
cord tumors … Interprets diagnostic studies (e.g., chest x-ray [CXR], brain
computed …. Recognizes in pre-verbal children, and initiates work-up of,
complications …

Considerations for Expansion of the Appropriate Use Criteria Program

Sep 30, 2015 … 2016. CMS officials stated that, given the variety of clinical scenarios for …. faster
than other imaging services, such as ultrasound and x-rays.2 We …. for a
particular diagnosis. On the other hand, routine preoperative lab tests prior to …
Page 9. GAO-15-816 Appropriate Use Criteria. To fully implement the …

abnormal chest x ray icd 10

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By , April 29, 2016 2:46 pm

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abnormal chest x ray icd 10

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ICD-10 Documentation Stragegies | Internal Medicine – Providence …

Sep 2, 2015 … of 180 days (October 1, 2015 – March 28, 2016). CMS has stated … ICD-10 codes
submitted for the same dates of service — so a dual …. Symptoms, Signs, and
Abnormal Clinical and. Laboratory ….. chest X-ray interpretation.


Dec 1, 2015 … CY 2016 CPT …. Transcatheter pulmonary valve implantation, percutaneous …..
With regard to CPT descriptors for radiography services,.

ICD-10 Newsletter – August 2015 – Doctors Hospital at Renaissance

Oct 1, 2015 … ICD-10. We encourage you to take advantage of the training that has … General/
Breast Surgery …. …
6) Abnormal findings (laboratory, x-ray, pathology, and other …

“CDI” IS THE KEY TO ICD-10-CM – Executive Insight

Mar 11, 2015 … Yes, there is an 'unspecified' code in ICD-10, and you can … Applies to 10+ in
2016 (based on 2014 PQRS reporting) … DX Chest 1 View … Abnormal Clinical
Finding NEC 796.4 …. The ED physician orders shoulder x-rays,.

2016 ICD-10-PCS Annual PDF Brochure – August 2015_Layout 1

2016 ICD-10-PCS, The Educational Annotation of ICD-10-PCS. Annual Version
…. EXPLANATION: Qualifier “X Diagnostic” indicates biopsy … Body Part – …..
use Anus. Analog radiography see Plain …. use Pulmonary Artery, Left.
Aryepiglottic …

ICD-10 Contingency Planning – WEDi

5 successful products launched in the ICD-10 Solution Suite … 2015-2016. Oct
2014. Now … results and external partner testing results indicate? … ICD-10 to
ICD-9 Step Down is not all one-to-one exact match … Diagnosis. Chest X-Ray.

2016 ICD-10-PCS Reference Manual – The Wellington Group, LLC

ICD-9-CM Volume 3 compared with ICD-10-PCS …………………………………………………
… 14 ….. Example: Fifth toe ray amputation . ….. Transfer—Root operation X ..

Alternate Health Care Facilities and Coding Guidelines – Cengage …

2016 Cengage Learning®. ….. days,” and “repeat chest x-ray to determine status
of the … NFs report ICD-9-CM (or ICD-10-CM) diagnosis codes for residents on
the UB-04 and as part of the MDS (Figure 1) …. consolidated billing requirement
results in the SNF submitting one bill for the entire package of care that residents.

2015-2016 Synagis Season – Request Form – UHCCommunityPlan …

2015-2016 Synagis Season – Request Form … ICD-10-CM code(s): □ Patients …
Previous hospitalization for pulmonary exacerbation in the 1st year of life. –
Abnormalities on chest radiography or chest computed tomography that persist

Getting It Right Upfront: – Panacea Healthcare Solutions

Oct 1, 2015 … 10-CM and ICD-10-PCS—a milestone for the coding industry. … Obtain CRP,
ESR, and repeat left hip x-rays. ….. J44.9 Y Chronic obstructive pulmonary
disease …. The 2016 version of the Official ICD-10-PCS. Coding …

Global Tuberculosis reporT 2014 – World Health Organization

Tuberculosis, Pulmonary – prevention and control. 3. … The cover design is
based on a chest X-ray from a participant who was found to have MDR-TB during
a national TB prevalence survey. … CPT co-trimoxazole preventive therapy. DR-
TB drug-resistant tuberculosis. DST …… underway or planned for 2014−2016.

BNP 10-1-2015 – Sanford Laboratories

Oct 1, 2015 … AMA, are not part of CPT, and the AMA is not … data such as medical history,
physical examination, laboratory studies, and chest x-ray. … patient with known or
suspected pulmonary disease. …. Cardiol 2014;63:2016-25. 15.

Download Handouts – Wolters Kluwer Law & Business

Oct 29, 2015 … Amping up the Documentation for 2016. October 29 … ICD-10 clinical
documentation strategies for providers. • Evaluation …. Reason for encounter,
relevant history, findings, test results and date of service …. •Chest X-rays.

Download Chapter PDF – EmblemHealth

Last Updated: 01/07/2016. 479 …. 9. … pain in your chest, shortness of breath, or
coughing up blood? 10. … was recently examined with diagnostic imaging tests
such as x-rays, MRI scan, or CT scan? …. (select only 1 region) and primary
diagnosis (ICD-10 number or text description) … Decreased sensation Abnormal

Chronicles: Special Edition – The Mastocytosis Society

Feb 21, 2013 … Mastocytosis has been defined in the literature as an abnormal accumulation of
mast cells in ….. X-ray or CT scan of the chest, looking for evidence …… 1, 2016.
MCAS and Mastocytosis ICD-10-CM Subcommittee Members:.

UB04 Instructions

Aug 27, 2010 … Publish. Date. SME. 28.0. All. Published version. 1/4/2016. TQD. 27.1. C.3
Ancillary Revenue … Added note that CPT codes marked with an asterisk (*) must
be …… Pulmonary care. In. 0213 …. Chest x-ray CPT*. In/Out. Yes.

Aalborg Universitet Impact of positive chest X-ray findings and … – VBN

Downloaded from on: January 06, 2016 … infection (LRTI) without
positive chest X-ray findings and blood cultures. We investigated the prognostic
impact of a pulmonary infiltrate and bacteraemia on the clinical course of
hospitalized patients with confirmed …. pulmonary complications (ICD-10 codes
of pleural.

Schedule of Classes 2015-16 (pdf) – El Monte-Rosemead Adult School

2015-2016 CLASS CATALog. El Monte Union High …. results of these tests
determine which program/class is most appropriate. Call 626.258.5800 ……
course will familiarize students with ICD-10 Coding System. This course will help
… skin test is positive, results of a chest x-ray signed by a radiologist (MD) are
required. 3.

Chelation Therapy – Health Net

inpatient procedures will be replaced by ICD-10 code sets. Health Net National …
Pulmonary heart disease and diseases of pulmonary circulation … special type of
x-ray that uses magnets to show how much iron is in the body. This …. 2016.
Porter et al. (2014) completed a review on the 'Guidelines for the Management of.

October 2015 – Anthem

Oct 1, 2015 … Coverage guidelines effective January 1, 2016. 11 …. Please note once ICD-10
goes live on October 1, 2015, and providers are ….. in the pulmonary veins
investigational for the treatment of atrial flutter. ….. X-Ray. ○. Echocardiograph.
Emergency room outpatient diagnostic imaging services are excluded.

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