CPT code for the rapid flu test. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Rapid Test Kit McKesson Consult Infectious Disease Immunoassay Influenza A + B Nasal Swab / Nasopharyngeal Wash / Nasopharyngeal Aspirate Sample 25 Tests CLIA Waived. You can use the Contents side panel to help navigate the various sections. Bacterial swab specimen; specimen received in grossly leaking transport container; dry specimen; specimen submitted in fixative or additive; specimen received in expired transport medium or incorrect transport device; inappropriate specimen transport conditions; specimen received after prolonged delay in transport (usually more than 72 hours); wooden shaft swab in transport device; unlabeled specimen or name discrepancy between specimen and test request label, Isolate and identify influenza virus as an etiologic agent in cases of influenza and viral pneumonia, Shell vials or equivalent multiwell plate culture with fluorescent antibody staining. Point-of-care tests for influenza Large number on the market - some separate influenza A from influenza B - some specific for influenza H5 Detect either antigen or neuraminidase activity Vary in the number of steps (4-8) and in the time to perform the test (10-30 mins) THIS MAY REPRESENT A DIFFERENT SESSION OR PATIENT ENCOUNTER, DIFFERENT PROCEDURE OR SURGERY, DIFFERNET SITE OR ORGAN SYSTEM, SEPARATE INCISION/EXCISION, SEPARATE LESION, OR SEPARATE INJURY (OR AREA OF INJURY IN EXTENSIVE INJURIES) NOT ORDINARILY ENCOUNTERED OR PERFORMED ON THE SAME DAY BY THE SAME PHYSICIAN. Accessed 4/27/21. Follow manufacturers instructions, including handling of respiratory specimens, as described in the device package insert. Testing schedules may vary. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 87636: Infectious agent detection by nucleic acid (DNA or RNA); severe . hbbd```b``z"gIi MD>*{`S`0 Draft articles have document IDs that begin with "DA" (e.g., DA12345). NPA* (versus an FDA-cleared influenza A and B molecular assay) A: 97.8%, B: 99.1%. Evaluation of the Diagnostic Performance of a SARS-CoV-2 and Influenza Sometimes, a large group can make scrolling thru a document unwieldy. If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. Changes to the CPT code set are considered through an open editorial process managed by the CPT Editorial Panel that collects broad input from the health care community and beyond to ensure CPT content reflects the coding demands of digital health, precision medicine, augmented intelligence, and other aspects of a modern health care system. Positive and negative included. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Thanks. copied without the express written consent of the AHA. Neither the United States Government nor its employees represent that use of such information, product, or processes The AMA does not directly or indirectly practice medicine or dispense medical services. PDF COVID-19 Coding and Reporting Information CPT , HCPCS, and ICD - ASCO Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. Content And Storage. Rapid Flu A & B, RSV, SARS-CoV-2 PCR Lab Code FABRCV Epic Ordering . CONTENTS: 25 Test Cassettes, 25 Sterile Swabs, 25 Extraction Reagent Capsules, 1 Positive Control Swab, 1 Negative Control Swab, 1 Procedure Card, 1 Instructions for Use. Information for Clinicians on Rapid Diagnostic Testing for Influenza. Your MCD session is currently set to expire in 5 minutes due to inactivity. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. DISCLOSED HEREIN. Direct comparison of Alere i and cobas Liat influenza A and B tests for rapid detection of influenza virus infection. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the The test is intended for use in the simultaneous rapid in vitro detection and differentiation of SARS-CoV-2, influenza A virus, and influenza B virus nucleocapsid protein antigen , but does not . If your session expires, you will lose all items in your basket and any active searches. The AMA does not directly or indirectly practice medicine or dispense medical services. Sign up to get the latest information about your choice of CMS topics in your inbox. The Medicare program provides limited benefits for outpatient prescription drugs. apply equally to all claims. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be An endocrinologist shares necessary steps to take to protect your kidneys. Indicate a specific test number on the test request form. Reproduced with permission. The AMA leverages its strength by removing the obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises. Rapid qualitative test that detects Influenza type A and type B antigens directly from nasal swab, nasopharyngeal swab, and Nasopharyngeal aspirate / wash specimens. FDA) now requires that all Rapid influenza diagnostic tests (RIDTs) achieve 80% or higher sensitivity compared with RT-PCR. Centers for Disease Control and Prevention (CDC) recommendations: Use rapid diagnostic tests with high sensitivity and specificity. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). The American Medical Association is the physicians powerful ally in patient care. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. A positive result (on testing of an upper respiratory tract specimen) in a person who recently received intranasal administration of live attenuated influenza virus vaccine (LAIV) may indicate detection of vaccine virus. Complete absence of all Bill Types indicates damages arising out of the use of such information, product, or process. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". Data for the 2017 to 2018 influenza season indicates that 84.1 percent of positive samples were influenza A, while 15.9 percent were influenza B. Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. Immunofluorescence (IF) - Direct (DFA) or Indirect (IFA) Fluorescent Antibody Staining (antigen detection): If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. HOWEVER, WHAN ANOTHER ALREADY ESTABLISHED MODIFIER IS APPROPRIATE IT SHOULD BE USED RATHER THAN MODIFIER -59. QuickVue Influenza A+B Test | Quidel The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. Reporting negatives and combined reporting in 30 minutes. The UW Clinical Virology Laboratory in the Department of Laboratory Medicine and Pathology incorporates the modified FDA approved Panther Fusion Flu A/B/RSV assay for the rapid detection and differentiation of human influenza A/B, and respiratory syncytial virus (RSV) using real-time PCR. For a better experience, please enable JavaScript in your browser before proceeding. Collect respiratory tract specimens as early in the illness as possible (within 3-4 days of illness onset). The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Follow manufacturers instructions, including handling of respiratory specimens, as described in the device package insert. AMA Releases New COVID-19 and Flu Combo Codes COVID/FLU/RSV Respiratory Panel, Rapid PCR - University of Washington End User License Agreement: Performed: Avg. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. They can identify the presence of influenza A and B, and they work by detecting the parts of the flu virus called antigens that trigger an immune response. In accordance with the above revision, the CPT Editorial Panel approved a new category I code, 87811, to report infectious agent antigen detection by immunoassay with direct visual observation. Shell vials or equivalent multiwell plate cell culture; identification (additional CPT codes/charges will apply) if culture results warrant. 7500 Security Boulevard, Baltimore, MD 21244. If you would like to extend your session, you may select the Continue Button. Objective: To present our experience regarding the use of a rapid diagnostic test for seasonal influenza A and B. Test code: 11177. Sofia 2 with Advance Result Technology (ART) delivers accurate, objective and automated results in as few as three minutes. Neither the United States Government nor its employees represent that use of such information, product, or processes recommending their use. 2009;13(1):15-18. Rapid Influenza Diagnostic Tests (RIDTs) | CDC 2012; 156;500-511 3. Anterior nasal swabs (self-collected under healthcare provider (HCP) supervision or HCP-collected) are also considered . J Clin Microbiol. Code 87804 (infectious agent antigen detection by immunoassay with direct optical observation; influenza) is appropriate for these tests, which are Clinical Laboratory Improvement Amendments (CLIA) waived (ie . Please do not use this feature to contact CMS. Status Covid-19/Flu A&B $537.62/Box of 25 DocRx 33225 - MDSupplies Table 2: Available FDA-Cleared Rapid Influenza Diagnostic Tests (Antigen Detection Only) 1. The revision clarifies the proper reporting for antigen tests that are read by a machine, as compared to those which can be visually interpreted without a machine. PDF Article - Billing and Coding: Influenza Diagnostic Tests (A59056) The scope of this license is determined by the AMA, the copyright holder. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". The QuickVue Influenza A+B est has been shown to detect cultured avian influenza; as with other rapid tests for T influenza, the ability of the QuickVue Influenza A+B est to detect influenza Type A in patients infected with H5N1 T has not been established. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). Molnlycke Exufiber absorption comparison. For use with Sofia 2 and Sofia. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Reproduced with permission. End Users do not act for or on behalf of the CMS. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. used to report this service. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. The Xpert Xpress SARS-CoV-2/Flu/RSV PLUS test is a rapid, multiplexed real-time RT-PCR test intended for the detection and differentiation of SARS-CoV-2, influenza A, influenza B, and respiratory syncytial virus (RSV) viral RNA in specimens collected from individuals suspected of respiratory viral infection consistent with COVID-19. The views and/or positions presented in the material do not necessarily represent the views of the AHA. The CDC says some rapid flu tests are only 50-70% accurate Doctors of the Baylor University Medical Center in Dallas aren't solely on tests but are also keeping an eye on patient symptoms. Rapid Immunoassay for Direct Detection and . Effective March 5, 2020. AMA announces CPT code for antigen tests in the fight against COVID-19 This instructional video reviews the items included in the McKesson Consult Flu Test Kit and provides an overview of step-by-step instructions for using this test kit. opportunity for Oseltamivir (Tamiflu) treatment for positive patients, Results available in approximately 2-4 hours, Article - Billing and Coding: Influenza Diagnostic Tests (A58817). It is the responsibility of each laboratory to . PDF Commonly Ordered COVID-19, Influenza, and RSV Clinical Diagnostic Performance of Rapid Sofia Influenza A+B Test Compared to Luminex X-Tag If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Unless specified in the article, services reported under other of the Medicare program. End User Point and Click Amendment: PDF CPT Assistant guide: Coronavirus (SARS-CoV-2); October 2020 Specify the exact specimen source/origin (eg, nasopharynx). DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY. that coverage is not influenced by Bill Type and the article should be assumed to LOINC 95942-9 Influenza virus A and B and SARS-CoV+SARS-CoV-2 (COVID-19 Of these, only two showed a positive RAD test for Influenza A. CMS believes that the Internet is In most instances Revenue Codes are purely advisory. If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. COVID, Flu A/B, and RSV Panel | Diagnostic Laboratory of Oklahoma Download the latest guides and resources for telehealth services. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. Some older versions have been archived. When we billed Medicare for both of these CPTs they were denied . Re-evaluation of test . Information for Clinicians on Rapid Diagnostic Testing for Influenza. The AMA assumes no liability for data contained or not contained herein. Influenza A and B Antigen Immunoassay | Diagnostic Laboratory of Oklahoma Absence of a Bill Type does not guarantee that the 86308-QW, heterophile antibodies; screening. The code joins other COVID-19 testing codes already approved by the CPT Editorial Panel, an independent body convened by the AMA that has the sole authority to expedite the review of proposed changes and additions to the CPT code set. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. without the written consent of the AHA. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Find information about the summary of panel actions, a document prepared after each meeting of the CPT editorial panel. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. preparation of this material, or the analysis of information provided in the material. Quidel Sofia Influenza A+B FIA Kit - Fisher Sci Influenza A/B PCR, RAPID | OHSU End User Point and Click Amendment: COVID-19/Flu A&B . This page displays your requested Article. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. (the prototype used was POCT rapid Strep screening). RIDTs usually involve inserting a swab into your nostril to get a sample. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Description. As laboratory tests, Medicare will cover these codes at 100% of their allowed amount with no deductible or coinsurance applied. CPT code approved for SARS-CoV-2 antigen testing XLSX kjc.cpu.edu.cn ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, Information for Clinicians on Rapid Diagnostic Testing for Influenza, VIRUS ISOLATION; TISSUE CULTURE INOCULATION, OBSERVATION, AND PRESUMPTIVE IDENTIFICATION BY CYTOPATHIC EFFECT, VIRUS ISOLATION; TISSUE CULTURE, ADDITIONAL STUDIES OR DEFINITIVE IDENTIFICATION (EG, HEMABSORPTION, NEUTRALIZATION, IMMUNOFLUORESCENCE STAIN), EACH ISOLATE, VIRUS ISOLATION; CENTRIFUGE ENHANCED (SHELL VIAL) TECHNIQUE, INCLUDES IDENTIFICATION WITH IMMUNOFLUORESCENCE STAIN, EACH VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA B VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA A VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY [FIA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTITATIVE; INFLUENZA, A OR B, EACH, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, INCLUDES REVERSE TRANSCRIPTION, WHEN PERFORMED, AND AMPLIFIED PROBE TECHNIQUE, EACH TYPE OR SUBTYPE, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-TYPES, INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, FIRST 2 TYPES OR SUB-TYPES, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-TYPES, INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, EACH ADDITIONAL INFLUENZA VIRUS TYPE OR SUB-TYPE BEYOND 2 (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL (IE, VISUAL) OBSERVATION; INFLUENZA. The sensitivity values of the kit were 97.5%, 97.9%, and 33.33% for SARS-CoV-2, IAV, and IBV, respectively, in samples with a viral load below 20 Ct values. McKesson Brand #181-36025. Manipulation & E/M. and, driving the future of medicine to tackle the biggest challenges in health care. Set yourself up for success with tips and tools on choosing a residency program. RT-PCR or other amplification methods to detect viral nucleic acids, Results available in < 24 hours (often in less than 2-4 hours), Detects from 1-2 to up to 20 respiratory pathogens from 1 specimen. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. 2023 Laboratory Corporation of America Holdings. Unless specified in the article, services reported under other CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration 87804-QW, infectious agent antigen detection by immunoassay with direct optical observation; influenza. Prompt detection of influenza A and B viruses using the BD - PubMed * For positive Flu only or RSV only. In the United States, a number of RIDTs are commercially available. Please help me in coding this. The Panbio COVID-19/Flu A&B Rapid Panel test kit was used in the assays. DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY. Applicable FARS\DFARS Restrictions Apply to Government Use. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom Rapid qualitative test that detects Influenza type A and type B antige . Paulson J. Effective immediately, coders . All Rights Reserved. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Issue briefs summarize key health policy issues by providing concise and digestible content for both relevant stakeholders and those who may know little about the topic. THE UNITED STATES You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. 3M Rapid Detection Flu A + B Test: A new diagnostic test for rapid detection of influenza A and influenza B. Mol Diagn Ther. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care. authorized with an express license from the American Hospital Association. Applications are available at the American Dental Association web site. ICD-9 code for sports physicals. New CPT codes for multi-virus tests detect COVID-19 and flu "JavaScript" disabled. The American Medical Association (AMA) released two new CPT codes October 7 for reporting antigen tests that detect the novel coronavirus (COVID-19) and influenza. registered for member area and forum access. Concurrent detection promises to conserve important testing resources, allowing for ongoing surveillance of influenza while testing for the novel coronavirus.. Alere BinaxNOW Influenza A and B Test Kits - Fisher Sci Rapid influenza diagnostic tests (RIDTs) RIDTs, also called flu antigen tests, are the most common type of flu test. Some articles contain a large number of codes. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. an effective method to share Articles that Medicare contractors develop. The ability to use just one swab during a healthcare visit, rather than four separate tests, aims to decrease discomfort, lessen cost demands for doctors and lab workers . Rapid Influenza Diagnostic Tests | CDC CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Tests will be run in the order of receipt only, tests remaining at the end of each shift will be reordered under NCVQLT for transport to UW Virology. CPT code (s): 87804 (x2) Methodology: Optical Immunoassay. Revenue Codes are equally subject to this coverage determination. Contractors may specify Bill Types to help providers identify those Bill Types typically Similarly, tests (and CPT codes) for which there are no accompanying ICD-10 codes in the associated Billing and Coding Article will require registration with MolDX . Each month, the Senior Physician Sectionhighlights membersand individualsto showcase their work and current efforts. The codes are for multi-virus tests that can detect both COVID-19 and other viruses, like the flu. 1. Federal government websites often end in .gov or .mil. Influenza A/B and RSV PCR w/ Subtyping. You must log in or register to reply here. Rapid influenza diagnostic tests (RIDTs) are immunoassays that can identify the presence of influenza A and B viral nucleoprotein antigens in respiratory specimens, and display the result in a qualitative way (positive vs. negative) (1). Accessed 4/27/21. It is typified by the Quidel's QuickVue Influenza test. Flu (Influenza) Test: Types, Purpose, Procedure & Results For more information, please view the literature below. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Explore reports on this topic from the Council on Medical Education presented during the AMA Interim and Annual Meetings. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Please visit the. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES The physician makes the determination to run both influenza A and B tests and a rapid . Learn more with the AMA. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. 8,384. Clinical significance: Influenza is an acute viral disease that is seasonal in incidence, occurring in the colder months.
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