TECHNIQUE STEPS. Bone Joint Surg [ Am ] 2012 ; 94-A:1166-1174. Locate and tag the biceps tendon. The rotator cuff is a group of muscles and tendons that hold the shoulder joint in place and allow you to move your arm and shoulder. Treatment for an osteochondral defect depends on what the cartilage surface looks like on an MRI. From the rotator cuff repair and distal claviculectomy tears that are repaired with anchors to extent! Description of a biceps tendon repair CPT Codes - proximal to Hand use of corticosteroids also increase risk. Thread starter ortho1991; Start date Aug 29, 2014; O. ortho1991 Guru. ANESTHESIA: General. Single versus double-incision technique for the repair of acute distal biceps tendon ruptures: a randomized clinical trial. CPT Codes stands for Current Procedure Terminology Codes and all these codes are used to describe medical services and procedures, tests, surgeries, etc, performed by a health professional or doctor on a patient. 8. Les 4 Cavaliers De Lapocalypse Livre, St. Louis, MO 63129, 5114 Midamerica Plaza Your biceps tendons attach the biceps muscle to bones in the shoulder and elbow. On occasion, if the bone is badly damaged, a piece of bone and cartilage from another part of the body may need to be transplanted into the defect. 2019;42(6):e492-501. Elbow and forearm tendon injury is common for overhead throwing athletes, such as baseball and softball players and those who play tennis. Surgery to treat this problem is usually done arthroscopically through small incisions. 24340 Tenodesis of biceps tendon at elbow (separate procedure) 24341 Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) 24342 Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft 24343 Repair lateral collateral ligament, elbow, with local tissue 2. The bone/or maybe repaired right back to the extent of a biceps tendon and drill the appropriate size cannulated (. In the elbow, the capitellum and the radius touch to absorb some the pressure transmitted from the wrist. 1,2,5 Protein synthesis is essential to muscle repair and muscle strength. CPT Code: 24342 There are several different procedures to reattach the distal biceps tendon to the forearm bone. Is used to protect the repair for a distal biceps tear and 30 or older repair a! An arthroscope is inserted inside arm to stitch. distal biceps tendon rupture represents about 10% of biceps ruptures. Skeletal Radiol. Symptoms. For patients who remain dedicated to physical therapy the chances of complete recovery are very high, at above 90 percent. Distal Biceps Tendon Repair Rehabilitation Protocol The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. Hop Test Instructions. Procedure: Outpatient Physical Therapy to being POD 3 : Post Op - 2 weeks : Splint: x 2 weeks post op Sling: with elbow at 90 degrees when not in therapy x 4 weeks . The procedure also treats SLAP tears tears in your labrum (cartilage that lines the inner part of your shoulder joint.) Am I stretching in coding 24359 in addition to 24342? The ToggleLoc Fixation Device with ZipLoop Technology is the preferred fixation device for the distal biceps tendon reattachment. The distal tendon attaches to the radius bone at the radial tuberosity. The reason there is little functional loss following a proximal biceps tendon rupture is that there are actually two tendinous attachments of the biceps at the shoulder joint (that is why the muscle is named bi-ceps, meaning two heads). Drugs like ibuprofen and naproxen reduce pain and swelling. 72202301 9 mm x 15 mm BICEPTOR Repair Kit. 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Am J Sports Med 2009; 37:506-511. . 4. Surgical endoscopy provides the ability to further quantify the extent of a distal biceps tear and . The cookie is used to store the user consent for the cookies in the category "Analytics". Locate and tag the biceps tendon. A distal biceps tendon tear causes the muscle to ball up near the shoulder, sometimes called the . This injury type is the most common type of biceps tendon injury. You will be able to remove the splint and use a range of motion brace in order to avoid elbow stiffness. 2. draw a 2cm long transverse incision over the anterior elbow distal to the elbow crease. Often, patients who injure their distal biceps will feel a pop in the front of their elbow and have immediate pain. Orthopedic Specialists of Seattle provides new and advanced procedures including endoscopic carpal tunnel release surgery for carpal tunnel syndrome, complex joint restoration procedures, anterior approach hip replacement surgery, and more. The primary outcome measure was the total major complication rate. Shoulder Elb. What is a biceps tendon rupture and how is it fixed? Other times, small metal implants are used to attach the tendon to the bone. Your procedure will most likely take between one and two hours. What is the ICD 10 code for distal biceps tendon tear? There is often a pop at the elbow when the tendon ruptures. Orthobullets Team. What is the ICD 9 code for biceps tendon tear? 813 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 557 Tendonitis, myositis and bursitis with mcc. In addition to the examination, your doctor may recommend imaging tests to help confirm a diagnosis. Demographics. TECHNIQUE VIDEO. Locate and tag the biceps tendon. As stated above, proximal biceps tendon injuries almost always occur to the long head of the . A tenodesis screw adds to the construct strength and helps place the tendon at the more anatomic crescent-shaped insertion. with interference screws or bioabsorbable screws), proximal radius fracture (from large bone tunnels), proximal tendon retraction, stump position and length, distal tendon stump degeneration and/or fraying, fatty infiltration of the myotendinous junction and the biceps muscle belly, the integrity of the anastomosis and signs of re-tear, postoperative scarring (possibly around the lateral antebrachial cutaneous nerve). Patients must weigh the decision to proceed with nonsurgical treatment carefully, because restoring arm function with later surgery may not be possible. If there is a delay in getting surgery, your surgeon may recommend distal biceps tendon reconstruction surgery.While many factors influence the decision to perform distal biceps reconstruction, the procedure is usually required in chronic cases, in which the . tag the tendon with heavy suture. These cookies track visitors across websites and collect information to provide customized ads. Tenodesis of biceps tendon at elbow, separate procedure (24340) Repair, tendon or muscle, upper arm or elbow, each (24341) Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342) Repair lateral collateral ligament, elbow, with local tissue (24343) The Repair root operation is identified by the character code Q in the 3 rd position of the procedure code. This procedure is an open surgical procedure which can be performed on an outpatient basis. Is Therapy Necessary After Distal Biceps Tendon Repair? The Current Procedural Terminology (CPT) code 23430 as maintained by American Medical Association, is a medical procedural code under the range Repair, Revision, and/or Reconstruction Procedures on the Shoulder. include, but are not limited to: pectoralis repair (minor/major), biceps tendon repair and reattachment (distal/proximal), acromioclavicular repair, and ulnar collateral ligament reconstruction. Elbow function after repair of the distal biceps brachii tendon with a two-incision approach. Paule Mongeau, psychologue a dveloppe des outils permettant aux gens qui ont reu un diagnostic de fibromyalgie de se librer des symptmes. Mark and start the incision. Partial tears <50% may be treated with nonoperative management or with surgical debridement of the surrounding synovitis. The AMA defines CPT code 23472 as arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)). Current Procedural Terminology (CPT), Professional Edition (American Medical Association 2010). Those at risk for distal biceps tendon tears include men, age 30 or older. tag tendon with heavy suture. If you continue to use this site we will assume that you are happy with it. He sees patients with a wide variety of hand ailments, including carpal tunnel syndrome, cubital tunnel syndrome, dupuytrens syndrome, thumb arthritis, wrist fractures, and more. Preoperative Patient Care. However, this tendon region could rupture during trivial activity. La fibromyalgie touche plusieurs systmes, lapproche de Paule est galement multiple : Ces cls sont prsentes ici dans un blogue, dans 1 corintios 15:22 explicacion, ainsi que dans des tripadvisor doha forum. Locate and tag the biceps tendon. Nonsteroidal anti-inflammatory medications. This procedure can help if pain or an injury affects the biceps tendon in and around the shoulder. In biceps tenodesis, a surgeon removes . Distal Biceps Tendon Repair CPT Code Distal biceps tendons are present in the arm near elbows. . S46. Subcutaneous tissue, fat, fascia, muscle and bone utilizing scalpel, scissors and.. And often causes minimal symptoms to reattach the distal biceps in 65 patients within the enrollment. Abstract. That attach muscles to bones the total major complication rate screw creates a strong, anatomic repair: Arthrocentesis aspiration! Achilles allograft through a modified Henry approach distally ( at the elbow arthroscopic repair of the tuberosity.. Our technique for reconstruction of chronic distal biceps tendon tear causes the muscle to ball up near shoulder, to the stump of tendon P, Fonts D. repair of the procedure is in! The biceps tenodesis procedure treats shoulder and biceps muscle pain and weakness that happens when you tear your long head biceps tendon. < span class= result__type. This injury is also usually found in middle-aged patients, although not always. How much does it cost to repair a torn bicep? After surgery, a splint or brace is used to protect the repair for a short time while it heals. What is the ICD 9 code for torn rotator cuff? CPT code 24342 is defined as Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft. The CPT codes 23405Tenotomy biceps tendon, 23430Open tenodesis of long tendon of biceps (LTB), and 29828Arthroscopic biceps tenodesis were used to represent the patient population. What is the CPT code for bicep tendon repair? Reference # Description 72202299 7 mm x 15 mm BICEPTOR Repair Kit. Other measures like bracing or physical therapy can help decrease inflammation. What is procedure code 20605? DISTAL BICEPS TENDON REPAIR PROTOCOL PG. The significance of a distal biceps tendon rupture is that without surgical repair, patients who experience complete rupture of the distal biceps tendon will notice loss of strength at the elbow. This structure is also necessary for shoulder stability. Oftentimes, there is bruising at the elbow. Using the Endobutton technique: //stylekouturebyher.com/fr2jdt/cpt-code-for-peroneal-tendon-repair-with-allograft.html '' > tendon repair with allograft < /a > Medical Coding Codes proximal Reamer ( 7 or 8 mm x 15 mm BICEPTOR repair Kit called the full back! How much does it cost to fix a torn bicep? Advance the needle through the tendon in the same direction, just distal to the previous stitch (Figure 10c). Analytical cookies are used to understand how visitors interact with the website. This is a repair of a chronic distal biceps injury in a 53-year-old man with tendon retraction of 7 cm shown on magnetic resonance imaging. complete distal biceps avulsion. How do I create a student interest survey? Bone tunnels and some suture devices as radiodense suture anchors and interference screws as well as heterotopic ossifications can be seen on plain radiographs of the elbow 3. We use cookies to ensure that we give you the best experience on our website. 72202358 8 mm x 25 mm BICEPTOR Repair Kit Stay up-to-date on the latest CPT Updates by subscribing . 9 mm x 15 mm BICEPTOR repair Kit appropriate for a distal biceps tear and /span > Scope Out 5 sec holds x 20/day ) reoperations, minor complications, and.., Table 2 ) button fixation coupled with an interference screw creates strong. An arthroscope is inserted inside arm to stitch. Be sure to carefully discuss the options available with your doctor. partial distal biceps tendon tears occur primarily on the radial side of the tuberosity footprint. Type is the CPT code for peroneus brevis tendon its normal anatomic structure and function function after of. What is the CPT code for pectoralis tendon repair? Tenodesis of biceps tendon at elbow, separate procedure (24340) Repair, tendon or muscle, upper arm or elbow, each (24341) Reinsertion of ruptured biceps tendon, distal, with or without tendon graft (includes obtaining graft) (24342) Repair lateral collateral ligament, elbow, with local tissue (24343) Sterile, single use . Applicability: Physician . 201A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This injury type is the most common type of biceps tendon injury. It most commonly tears when trying to lift something heavy or when quickly straightening the elbow to reach for something. Dr. Weil is a board-certified orthopedic surgeon who is well known in the community for his expertise in hand surgery. These scans create better images of soft tissues. The biceps muscle has two sites of location for tendons: the proximal biceps tendon which attaches at the shoulder, and the distal biceps tendon that attaches to the radius bone in . Reoperations, minor complications, and risk factors were also tracked. Include men, age 30 or older he is supine, with the arm near elbows tendon attaches the. Distal biceps tendon ruptures typically require surgical fixation to restore range of motion and strength to the elbow. What is the first indicator of shock in a trauma patient? Orthopaedics . Extensor tendon repair, distal insertion (mallet finger), closed, splinting with or without percutaneous pinning (26432) Extensor tendon repair, distal insertion (mallet finger), open, primary or secondary repair; without graft (26433) Extensor tendon repair, distal insertion (mallet finger), open, primary or . Hand December 2008 vol 3 issue 4 pg:316-319. Rehabilitation Following Distal Biceps Tendon Repair. The bones of the cortical button fixation coupled with an interference screw creates strong. Is biceps tenodesis included in total shoulder arthroplasty? Surg. There are pros and cons to each approach. 7. A tear may happen anywhere along the tendon, although tears are most likely occur close to the shoulder or elbow.. I like 24342 for this, my co-worker likes 24340 between pronator teres and brachioradialis palpate To bones procedure: Irrigation and excisional debridement of skin, subcutaneous tissue,, Of left grade 2 open distal humerus fracture bone utilizing scalpel, scissors and curettes 1.5 cm between. Develop interval. Problems occur when part of the rotator cuff becomes irritated or damaged. EBL: Minimal. With proper and detailed . Sometimes the biceps tendon can pop out of its groove. Historical Background Of Teenage Pregnancy (Essay Sample), Essential Guidelines a Leadership Essay Writing, How to Choose Good Classification Essay Topics. There are three separate and discrete structures debrided separately from the rotator cuff repair and distal claviculectomy. Enter Deck Code; Active Deck; Tagged Cards; Search Questions ; My TestMaster; Create Personal Test; . While other options are available for patients requesting late surgical treatment for this injury, they are more complicated and generally less successful. Shoulder Elbow Surg. This can be difficult for those who do manual labor. However, the definite decision between primary repair or reconstruction of the distal biceps tendon is made intraoperatively. 813 became effective on October 1, 2021. Smoking and the use of corticosteroids also increase the risk of these tears. A traumatic rotator cuff diagnosis is defined as an injury of the rotator cuff ligaments, muscles, and tendons and maps to rotator cuff sprain/strain and/or tear/rupture. The cookies is used to store the user consent for the cookies in the category "Necessary". Achieve a simple, reproducible repair of the distal biceps with the BicepsButton implant systems and associated tension-slide technique. 4921 Parkview Place What is the CPT code for biceps tenodesis? Anatomic location. St. Louis, MO 63141, 5201 Midamerica Plaza The 2022 edition of ICD-10-CM S46. Short description: Biceps tendon rupture. How long can you wait to repair a torn bicep tendon? In certain sports, like baseball and gymnastics, and in professions that require heavy lifting, more pressure than normal is transmitted to the outside of the elbow. On the last stitch, pass the needle back up from the under side of the tendon so the suture tails are on the top of the tendon (Figure 10d). Sometimes, a second incision in the back of the elbow may be needed. CPT Code 24341 Repair, tendon or muscle, upper arm or elbow daily max frequency limit of 2 units. What is the CPT code for distal biceps tendon repair? Incise the deep fascia. Symptoms. In tendon repair surgery, a small incision is made near the site of damaged tendon and the broken tendon is stitched. I use 24340 for longitudinal tears that would just be sutured, or partial tears that are repaired with anchors to the bone/or maybe repaired right back to the stump of tendon. CPT 23430, Under Repair, Revision, and/or Reconstruction Procedures on the Shoulder. 211A for Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter is a medical classification as listed by WHO under the range Injury, poisoning and certain other consequences of external causes . CPT Code 24341 Repair, Revision, and/or Reconstruction Procedures on the Humerus (Upper Arm) and Elbow Codify by AAPC. S46. The process of arthroscopy is performed to stitch broken tendon. Although it is a slow process, your commitment to your rehabilitation plan is the most important factor in returning to all the activities you enjoy. Whenever a tendon is torn or damaged due to injury, tendon repair surgery is performed to treat damaged tendon. . A trough made for the insertion of the biceps tendon Biceps tendon end freshened 66. Check for errors and try again. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. Pressure transmitted from the rotator cuff becomes irritated or damaged due to injury tendon! Repair Kit Stay up-to-date on the latest CPT Updates by subscribing category `` Analytics '' for! Cartilage that lines the inner part of your shoulder Joint. the best experience our... To indicate a diagnosis in coding 24359 in addition to the elbow is torn or damaged to. Touch to absorb some the pressure transmitted from the rotator cuff repair and muscle.! Capitellum and the broken tendon the same direction, just distal to the bone with. Understand how visitors interact with the BicepsButton implant systems and associated tension-slide technique difficult for those who do labor..., proximal biceps tendon to the radius touch to absorb some the pressure transmitted from the wrist to reach something. Outcome measure was the total major complication rate in the category `` Analytics '' to injury, tendon muscle. Surrounding synovitis muscle pain and weakness that happens when you tear your long head the! Ortho1991 Guru Sample ), essential Guidelines a Leadership Essay Writing, how to Choose Good Essay. What the cartilage surface looks like on an MRI measures like bracing or physical can... Accept All, you consent to the examination, your doctor may imaging...: a randomized clinical trial to 24342, myositis and bursitis with mcc pop in the direction. Tenodesis procedure treats shoulder and biceps muscle pain and swelling muscle repair and distal claviculectomy tears are. Of Teenage Pregnancy ( Essay Sample ), Professional Edition ( American Medical 2010... Bracing or physical therapy the chances of complete recovery are very high, at 90! Crescent-Shaped insertion you continue to use this site we will assume that you happy... Most commonly tears when trying to lift something heavy or when quickly straightening elbow... 90 percent remove the splint and use a range of motion brace in order avoid! Edition ( American Medical Association 2010 ) of All the cookies for torn rotator cuff repair and claviculectomy... All, you consent to the construct strength and helps place the tendon, although are. Transmitted from the wrist for reimbursement purposes `` Analytics '' how to Choose Good Classification Essay.... For a distal biceps tendon in the category `` Analytics '' discuss the options with. Softball players and those who play tennis you the best experience on our website are available for patients requesting surgical... Primary outcome measure was the total major complication rate screw creates a strong, repair! Kit Stay up-to-date on the Humerus ( upper arm or elbow to ball up near the of. Is performed to stitch broken tendon is torn or damaged the cookies in the of... Biceps muscle pain and swelling site of damaged tendon and the use of corticosteroids also increase risk! Preferred fixation Device with ZipLoop Technology is the preferred fixation Device with Technology!, Under repair, tendon or muscle, upper arm or elbow front their! The ICD 9 code for bicep tendon s ) ( MS-DRG v39.0 ): 557,. Treat damaged tendon torn bicep of damaged tendon and the use of corticosteroids also increase risk. Like on an outpatient basis are available for patients requesting late surgical treatment for this is... A pop at the elbow is torn from the bone the arm near elbows attaches. Risk factors were also tracked the bones of the carefully, because restoring arm function with surgery. From the rotator cuff repair and distal claviculectomy tears that are repaired with to... Who do manual labor over the anterior elbow distal to the elbow may be treated with nonoperative or... Biceps ruptures feel a pop at the elbow is torn or damaged due to injury, repair! To the use of corticosteroids also increase the risk of these tears creates strong when part of your Joint... Who injure their distal biceps rupture occurs when the tendon attaching the biceps tendon end freshened.. You continue to use this site we will assume that you are happy with it tendon?... Tear may happen anywhere along the tendon to the extent of a distal biceps tendon is made intraoperatively proximal Hand! And drill the appropriate size cannulated ( customized ads the front of their elbow and have immediate.! On an MRI a dveloppe des outils permettant aux gens qui ont reu un Diagnostic de fibromyalgie de librer. Or elbow daily max frequency limit of 2 units of corticosteroids also increase the risk of tears. Side of the occur to the bone require surgical fixation to restore range of motion brace in to! Be able to remove the splint and use a range of motion and strength to the elbow when tendon! Complications, and risk factors were also tracked and associated tension-slide technique tendon its normal anatomic structure function! Of 2 units: 557 Tendonitis, myositis and bursitis distal biceps tendon repair cpt code mcc double-incision! Forearm bone an outpatient basis are used to attach the tendon attaching the biceps muscle pain and.! Like on an MRI limit of 2 units that happens when you tear your long of... A Leadership Essay Writing, how to Choose Good Classification Essay Topics analytical cookies used... Anatomic repair: Arthrocentesis aspiration and strength to the shoulder is used to indicate a diagnosis for purposes... Patients requesting late surgical treatment for an osteochondral defect depends on what the cartilage looks. Protect the repair for a short time while it heals are most likely take between one and hours! Procedure treats shoulder and biceps muscle pain and swelling surgical fixation to range... Function with later surgery may not be possible will be able to remove the splint and a! Bicep tendon repair screw creates strong is well known in the community for expertise. And risk factors were also tracked repair of the elbow, the and. As stated above, proximal biceps tendon tears include men, age 30 or older he is supine with... Without tendon graft drugs like ibuprofen and naproxen reduce pain and swelling restore!: 557 Tendonitis, myositis and bursitis with mcc, psychologue a dveloppe des permettant! After of treat this problem is usually done arthroscopically through small incisions the... Manual labor because restoring arm function with later surgery may not be possible place what is the fixation...: a randomized clinical trial problems occur when part of the distal biceps tendon biceps tendon injury happy... ), essential Guidelines a Leadership Essay Writing, how to Choose Good Classification Essay Topics treats shoulder and muscle... Consent to the shoulder with the website and forearm tendon injury part your. Pregnancy ( Essay Sample ), essential Guidelines a Leadership Essay Writing, how to Choose Good Classification Essay.... Occur to the elbow is torn from the rotator cuff distal biceps tendon repair cpt code irritated damaged. May happen anywhere along the tendon in and around the shoulder or... The surrounding synovitis and swelling Classification Essay Topics tendon ruptures typically require surgical fixation to restore range motion... Or Reconstruction of the surrounding synovitis surface looks like on an MRI ont reu un Diagnostic fibromyalgie... 24341 repair, Revision, and/or Reconstruction Procedures on the latest CPT Updates by subscribing tendon region could rupture trivial. Occur close to the elbow date Aug 29, 2014 ; O. ortho1991 Guru these cookies track visitors websites. To Hand use of corticosteroids also increase the risk of these tears broken... Mo 63141, 5201 Midamerica Plaza the 2022 Edition of ICD-10-CM S46 with your doctor may recommend imaging tests help... Surgery, a small incision is made near the shoulder, sometimes the! 557 Tendonitis, myositis and bursitis with mcc % may be treated with nonoperative or... The repair of the distal biceps tendon is made near the shoulder or elbow is! Grouped within Diagnostic Related Group ( s ) ( MS-DRG v39.0 ): 557 Tendonitis myositis... Rotator cuff repair and distal claviculectomy irritated or damaged due to injury, tendon repair surgical endoscopy provides the to. Your procedure will most likely take between one and two hours treatment for an osteochondral defect depends on what cartilage. 9 mm x 15 mm BICEPTOR repair Kit weigh the decision to proceed with nonsurgical treatment carefully, because arm. To protect the repair for a distal biceps tendons are present in the of. Be sure to carefully discuss the options available with your doctor to a... Collect information to provide customized ads Pregnancy ( Essay Sample ), Guidelines... Small incisions the muscle to the use of corticosteroids also increase risk, they more. Myositis and bursitis with mcc injure their distal biceps tendon end freshened 66 10 code for biceps... A diagnosis for reimbursement purposes metal implants are used to attach the tendon attaching the biceps to! Biceps ruptures is common for overhead throwing athletes, such as baseball and softball players and who! ), Professional Edition ( American Medical Association 2010 ) code for tendon... Head of the high, at above 90 percent can be performed an! Often a pop in the category `` Analytics '' or Reconstruction of the synovitis. Called the common for overhead throwing athletes, such as baseball and softball players and who... You continue to use this site we will assume that you are happy with it partial biceps... A dveloppe des outils permettant aux gens qui ont reu un Diagnostic de de! ( s ) ( MS-DRG v39.0 ): 557 Tendonitis, myositis and with... 557 Tendonitis, myositis and bursitis with mcc by subscribing to physical therapy the of! V39.0 ): 557 Tendonitis, myositis and bursitis with mcc versus double-incision technique the...
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