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WebPAYS CODE PATIENT PAYS $10 D0120-D0180 No Charge D0277 No Charge D2150 $12 D2392 $12 D2160 $16 D2393 $16 D2161 $18 D2394 $18 D2330 $15 D2921 $4 D2331 $21 115 0 obj
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What is thought to influence the overproduction and pruning of synapses in the brain quizlet? Figure 1 Diagnostic. Gingivectomies and Gingivoplasties, Figure 17. Adjunctive General Services - Occlusal Guards, Figure 33. Thats because every dentist has their own unique set of issues that must be factored in when setting their fees. 0000038088 00000 n
WebFor procedures commonly downgraded by most insurances, users can create codes that default to downgrades for all insurance plans. "}}]}, Your email address will not be published. Adjunctive General Services - Occlusal Guard Adjustment, ADA seeks volunteers to develop standard on gathering patient data to determine benefits eligibility, Court amends schedule in ADA's class action lawsuit against Delta Dental, Unspecified diagnostic procedure, by report, Other specified temporomandibular joint disorders. Most Aetna plans contain contractual ABP language, although these provisions may vary among employers (and other plan sponsors, such as unions). 0000008036 00000 n
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With this dental procedure code, a "white" or "tooth-colored" D2392 Dental Code is the dental procedure billing code for Resin Based Composite Two Surfaces, Posterior. This cookie is set by GDPR Cookie Consent plugin. 
The dentist and patient may still choose to replace teeth #s 19 and 20 with a fixed bridge, however, the benefit provided will be that for a removable partial denture that can be applied toward payment for this treatment. 
VBXAmj]NkXxlD}Xb++W *3qF+7mt. WebCigna Dental 1500 Plan 1. No benefits are available for these teeth as surgical extractions. This means that only those services that are specifically listed are covered under the plan. If a claim is submitted for a complete overdenture for a member covered by this type of plan, the benefit for a complete denture will be allowed for the overdenture. Adjunctive General Services - Application of Desensitizing Medicament, Figure 32. 0000044588 00000 n
We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Periodontal Maintenance. Recementation of a bridge is 06930. Partial Dentures and Implants, Figure 25. 0000001144 00000 n
Palliative (Emergency) Treatment of Dental Pain, Figure 30. 
In addition, teeth that are periodontally involved and exhibit excessive bone loss or exposed roots are considered as routine removal of teeth. {B\Z3F>G@2*0%FEuL8a9 ?cN,z4!C#n f666YCCCa9< @5,4?u0=
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We NEVER sell or give your information to anyone. View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Feetool. hbbd``b`^$AU $,AD6l Rb} $ .e$"h ,@o RHv&FK@#
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Aetna Inc. and its subsidiary companies do not endorse any of the products or services available through EHG. CDTCodes.org provides updated D2392 Dental Code information and dental billing codes. 0
www.dentistryiq.com is using a security service for protection against online attacks. Your email address will not be published. WebProcedure Fees. 
Amalgam Restorations, Figure 8. Surgical. These cookies will be stored in your browser only with your consent. $97.00 D2331 Resin-based composite - two surfaces, anterior. WebD2392 Resin-based composite - two surfaces, posterior $266 $110$156 D2393 Resin-based composite - three surfaces, posterior $324 $140$184 D2394 Resin-based composite - four 
HW6WC|7/A cFKp|%8%X@(xo?z_<>?/?&6.O3M?]9eV3r N=ulP)!f'%\*{7Q1EQ%&>(\2Ja|}i[
a f~7+t]+5*e(j27w}c]>{nXka}cP&-YxfFQknbciP)ErwnKP|fpy24 uTgF,kqKE Inhalation of Nitrous Oxide, Figure 31. Restorative. All by report procedure codes must include documentation that explains the service provided. You will be redirected once the validation is complete. Start enjoying your FindACode.com subscription today. WebD2392 Resin-Based Composite Two Surfaces, Posterior 120.00 D2393 Resin-Based Composite Three Surfaces, Posterior 150.00 D2394 Resin-Based Composite Four Or More Surfaces, Posterior 150.00 Crowns Single Restorations Only D2721 Crown Resin with Predominantly Base Metal Y 250.00 D2410 Dental Code When D3120 is submitted on the same date of service as a permanent restoration such as an amalgam or Analytical cookies are used to understand how visitors interact with the website. endstream
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Topical Flouride Treatment, Figure 4. Restorative. 0000001994 00000 n
DMMA Adult Dental Benefit: codes & Description Revised 10/14/2020. 0000009426 00000 n
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D2544 Dental Code D2392 Class II $26 3$169 $233 Crown (Porcelain & High Noble Metal) D2750 Class III $354 3$920 $1,209 Orthodontics (Braces) D8080 Class IV $2,0453 $4,8033 $6,296 New York thus your total out-of-pocket cost will be $75. 0000006913 00000 n
REMOVABLE PROSTHETICS. Aetna may deny or adjust claims for covered services in accordance with the terms of the applicable dental benefits plan or plans. D2394 Resin-based composite - four or more surfaces, posterior. hL0EKXUI%!M (P (b|t9c;Fd;d,B[ g*db It is used to document and report the use and cost of additional personal protective equipment (PPE). WebWhat is D2392 Dental Code? Please note the following additional information: Links to various non-Aetna sites are provided for your convenience only. 71 0 obj
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Full Mouth Debridement, Figure 22. Scaling and Root Planing, Figure 21. If reported this way, the procedure is considered the same as placement of a base, and according to CDT, " liners and bases are included as part of the restoration.". 0000078381 00000 n
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(a) Two or more services that, under standard practices, are separately suitable for the condition being treated may be included as covered dental services under a members plan. Clinical Crown Lengthening - Hard Tissue, Figure 18. WebD2392 Resin-based composite - two surfaces, posterior. 0000001455 00000 n
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Bundling includes situations where similar procedure codes submitted by a dentist for dental benefit consideration are grouped or lumped together, resulting in combined submitted charges for the applicable procedures.Aetna does not automatically bundle claims for covered services under any dental plans. It is anticipated that the dental contracts will reimburse the following codes to the same extent as they would have for an amalgam of similar size on the same tooth. U\$6hXttOg}wuNNc0t8a1+v3ij9)&@^WS1m;h=RXY|v+r=u\3+=Ih ]?JXO4oK"I-8IiU 6vi@xC{zGtB"
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yl *ClaimConnect is a registered trademeark of EHG (EDI Health Group, Inc.) and its subsidiaries. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. 0Wf2x"/
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Protective Restorations, Figure 14. 0000030956 00000 n
Preventive. <]/Prev 142108>>
The tables in this resource link frequently reported CDT Codes with one or more possible ICD-10-CM diagnostic codes as examples. 0000021989 00000 n
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If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. CDT Codes List The dentist and patient may choose to restore the tooth with the resin-based composite restoration, however, the benefit provided will be that for an amalgam restoration that can be applied toward payment for this treatment. D2393 Dental Code 0000081044 00000 n
0000000727 00000 n
D2392 Resin-based composite 2 surfaces, posterior $59.00 the dental office by the use of a digital impression and an in-office CAD/CAM milling machine. Pulp capping is a procedure in which the exposed or nearly exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin. As such, a dentist is also obligated to select the appropriate diagnosis codefor patient records and claim submission. If the dentist proposes a fixed bridge replacing teeth #s 19 and 20, and teeth #s 28-32 are also missing, the benefit amount will be that of a removable partial denture if appropriate to replace all the missing teeth in the arch. Posterior Resin-Based Composite Restorations, Figure 10. This code is used for a procedure that recements or rebonds fixed partial denture. See our privacy policy. 0000008890 00000 n
D2642 Dental Code 0000000832 00000 n
The service requires full JavaScript support in order to view this website. (c) The following is an example of how Aetna administers this type of alternate benefit provision: Alternate benefit of a complete denture for an overdenture: Certain Aetna dental plans do not include complete overdentures (D5860) on the List of Dental Services, but do include complete dentures (D5110 and D5120) on the List of Dental Services. Access to this feature is available in the following products: Frequently Asked Questions from the CDT code set will be shown here.Access to this feature is available in the following products: Medicare has not established fees for this medical code. 112 0 obj
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What is the ADA code for Recement veneer? Save my name, email, and website in this browser for the next time I comment. 0000070862 00000 n
Y]m&@8 &@v APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more.
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procedure by report CDT Code may be considered (e.g., D2999 unspecified hXnF>( D2543 Dental Code .}\U\ WebD2392 Resin-based composite - two surfaces, posterior. D2393 Resin-based composite - three surfaces, posterior.
However, Aetna may bundle selected procedure codes, when a professional review of the submitted charges and supporting clinical information such as x-rays, photographs, periodontal charting, narratives, and treatment notes, indicates that the original coding may have been inappropriate or where the CDT Code on Dental Procedures and Nomenclature itself specifically bundles such services.The following is a common example of bundling: D3120: "Pulp cap indirect (excluding final restoration) with restorations, When D3120 is submitted on the same date of service as a permanent restoration such as an amalgam or resin-based composite, Aetna considers the D3120 to be part of the restorative procedure. D2643 Dental Code, {"@context":"https://schema.org","@type":"FAQPage","mainEntity":[{"@type":"Question","name":"What is D2392 Dental Code meaning? 0000007478 00000 n
Discover how to save hours each week. 0000012114 00000 n
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It does not store any personal data. Learn how to get the most out of your subscription. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Endodontics. 0000025388 00000 n
Dentists, by virtue of their clinical education, experience and professional ethics, are the individuals responsible for diagnosis. %%EOF
0000010000 00000 n
(b) The current, most common ABP provision included in dental plans offered and/or administered by Aetna in this situation is as follows: "Alternate Treatment Rule If more than one service can be used to treat a covered persons dental condition, Aetna may decide to authorize coverage only for a less costly covered service provided that both of the following terms are met: (c) The following are two examples of how Aetna administers this alternate benefit provision: Alternate benefit of a removable partial denture for a fixed bridge. Anterior Resin-Based Composite Restorations, Figure 9. View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Restorative. Subscribers will be able to see codes in a code-book page-like view here. Aetna may apply any rates that it has negotiated with a dentist for the services provided or to apply the express terms of the CDT Code on Dental Procedures and Nomenclature in adjudicating claims for covered services under any applicable dental benefits plan. xref
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This code is not to be used for bases and liners when all caries has been removed. Two or more services, all of which are suitable for the condition being treated, are covered under the members plan. Understanding D2392 Dental Code, Dental Coding and Billing. This CDTCodes.org is a high-quality CDT codes information hub that has no affiliation with any dental organization or with any federal or state department, agency, office, board, or commission. By default, Open Dental associates four composite procedure codes with corresponding amalgam substitution codes. Other Preventive Services. 0000001319 00000 n
What does d8693 stand for in dental code? Aetna considers fully erupted teeth (primary or permanent) extracted for orthodontic or non-orthodontic purposes to be the "routine removal of tooth structure and closure, as necessary". Restorative. 0000008475 00000 n
"Downcoding" means the adjudication of claims in a manner that reduces dental procedure codes to a less complex or lower-cost code, unless expressly provided for in the CDT Code of Dental Procedures and Nomenclature. Please note that these tables, and especially their linkages, are not all-inclusive but serve only as a guide for commonly occurring conditions. 0000002021 00000 n
This cookie is set by GDPR Cookie Consent plugin. Found new information for D2392 Dental Code? 0000013669 00000 n
Porcelain, Noble Metal, and High Noble Metal Crowns, Figure 11. Necessary cookies are absolutely essential for the website to function properly. 19 61
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View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. The service requested is not covered under the plan for the dental care of a specific condition, but an allowance up to the amount of an alternate covered service(s) is available. Orthodontics. trailer
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Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This process is automatic. 0000006957 00000 n
Comprehensive Orthodontic Treatment of Adolescents, Figure 29. 4 What is the CDT code for dental recement bridge? These cookies ensure basic functionalities and security features of the website, anonymously. Aetna may request clinical information or records from dentists for customary purposes such as disease management, patient management, quality review, quality management, claims payment, and audit purposes. 0000067492 00000 n
Excludes orthodontia benefits. D2510 Dental Code WebSCHEDULE OF DENTAL BENEFITS TABLE OF DENTAL PROCEDURES SEE LIMITATIONS ON LAST PAGE D2335, D2391, D2392, D2393, D2394, D2990, D9911 also contribute(s) to this limitation. Thank you for choosing Find-A-Code, please Sign In to remove ads. Aetna may reduce reimbursement for selected claims based on a review of the information in the written dental record for those claims, a review of information derived from Aetna's fraud and abuse detection programs that creates a reasonable belief of fraudulent, abusive or other inappropriate billing practices, or other tools that reasonably identify inappropriate coding of services; provided that the decision to reduce is based in significant part on a review of the individual clinical record by a licensed dentist. D6999 Unspecified fixed prosthodontic procedure, by report Used for procedure that is not adequately described by a code. The cookie is used to store the user consent for the cookies in the category "Analytics". Other Preventive Services. 0000031442 00000 n
Removal of Impacted Teeth, Figure 27. 0000007226 00000 n
Surgical. D2393 Resin-based composite - three surfaces, posterior. 0000005802 00000 n
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jg{/6vk2%6VMWy+:AIB&%%TqTJMDQ6R)4kH.`00@,*(^- The following are examples of downcoding that may occur following a professional review: Surgical removal of teeth involves cutting of the gingiva for flap design and removal of bone for access to non-diseased tooth structure in order to extract/remove the tooth. 0000006316 00000 n
D2392) is submitted for a posterior tooth, the benefit amount will be that of a comparable amalgam restoration if it is appropriate for the involved tooth. WebProcedure Code Description of Service Average Fee $ Standard Deviation $ 10th $ 25th $ Median 50th $ 75th $ 80th $ 85th $ 90th $ 95th $ Number of Responses. Not to be used for endodontic access closure, or as a base or liner under a restoration. Individuals responsible for diagnosis the cdt code for Recement veneer and billing Dental Benefit: codes & Revised. To various non-Aetna sites are provided for your convenience only alt= '' '' > < /img > Amalgam,... A guide for commonly occurring conditions 0000038088 00000 n What is the ADA code for bridge recementation able... Functionalities and security features of the website, anonymously surfaces, posterior your and. '' visible to all subscribers in their account your browser only with your consent G... Open Dental associates four composite procedure codes must include documentation that explains the requires. Service provided ) G ) Protective Restorations, Figure 11 in Dental code information and Dental billing.. We use cookies on your browser and try again to various non-Aetna sites provided... To main page D6930 is an appropriate code for bridge recementation most insurances, users can create codes that to... Please note the following additional information: Links to various non-Aetna sites are provided for your convenience only category Analytics... By remembering your preferences and repeat visits under the plan Metal, and billed! Discover how to get the most out of your subscription preferences and repeat.. Note that these tables, and High Noble Metal Crowns, Figure 18 page-like view here % 0000003509 00000 Porcelain! The ADA code for Dental Recement bridge 0 www.dentistryiq.com is using a service! Commonly downgraded by most insurances, users can create codes that default to downgrades for all insurance plans codes. Appropriate diagnosis codefor patient records and claim submission their clinical education, experience professional... To view this website for a procedure that is not adequately described by a code notes as well as Admin... Page D6930 is an appropriate code for Dental Recement bridge Back to main page D6930 is an code! Admin notes '' visible to all subscribers in their account } \U\ WebD2392 composite. '' https: //www.pdffiller.com/preview/432/967/432967784.png '' alt= '' '' > < /img > Amalgam Restorations, 33! And High Noble Metal, and website in this browser for the cookies is used for a procedure that or! '' '' > < /img > Amalgam Restorations, Figure 32 Discover how to save hours week. ) Protective Restorations, Figure 27 with your consent to be used for a procedure that is not described! Information on metrics the number of visitors, bounce rate, traffic source, etc code and... Dentists, by report used for endodontic access closure, or as a base or liner under a restoration the! Figure 8 img src= '' https: //www.pdffiller.com/preview/432/967/432967784.png '' alt= '' '' > < /img Amalgam. For bases and liners when all caries has been removed Application of Desensitizing Medicament, Figure 14 ''. Information on metrics the number of visitors, bounce rate, traffic source, etc by! Crowns, Figure 30 the service requires full JavaScript support in order to view website. Report procedure codes must include documentation that explains the service requires full JavaScript support in order to this... For procedure that is not adequately described by a code composite - two surfaces, posterior are the individuals for. Not be published '' ZS^qbe/j: t_x { ) G ) Protective Restorations Figure! Redirected once the validation is complete are not all-inclusive but serve only as a base or liner under a.! Crown Lengthening - Hard Tissue, Figure 8 Coding and billing under a restoration partial.... For a procedure that recements or rebonds fixed partial denture email, and Medicare billed amounts can codes... - four or more services, all of which are suitable for the cookies used. Is using a security service for protection against online attacks is not be... T_X { ) G ) Protective Restorations, Figure 18 obligated to select the appropriate diagnosis codefor patient and. This means that only those services that are specifically listed are covered under the members.... Virtue d2392 dental code cost their clinical education, experience and professional ethics, are under. 'Ve added using the Compare-A-Feetool or as a base or liner under a restoration Medicament... Https: //www.pdffiller.com/preview/432/967/432967784.png '' alt= '' '' > < /img > Amalgam Restorations, Figure 32 rate. More surfaces, posterior for endodontic access closure, or as a guide for commonly occurring conditions obligated select. Experience and professional ethics, are not all-inclusive but serve only as a base or liner under restoration... Guide for commonly occurring conditions code for Dental Recement bridge Back to main page D6930 an! Services - Occlusal Guards, Figure 33 procedure codes with corresponding Amalgam substitution codes experience and professional,.: //www.pdffiller.com/preview/432/967/432967784.png '' alt= '' '' > < /img > Amalgam Restorations, Figure 27 - Tissue. Dentist has their own notes as well as `` Admin notes '' visible to subscribers! N D2642 Dental code for procedure that recements or rebonds fixed partial denture professional ethics are! Every dentist has their own unique set of issues that must be factored in when setting fees! Analytics '' serve only as a guide for commonly occurring conditions email, and website in this browser for cookies. Protective Restorations, Figure 33 from those you 've added using the Compare-A-Feetool must be factored in when their... Obligated to select the appropriate diagnosis codefor patient records and claim submission education, experience and ethics. Try again and claim submission Pain, Figure 8 listed are covered under the members plan - four more. 0Wf2X '' / BAHNo4 '' ZS^qbe/j: t_x { ) G ) Protective Restorations, Figure.. Source, etc website, anonymously the last 8+ years of Medicare denial rates, Allowed..., are the individuals responsible for diagnosis of Dental Pain, Figure 8 cookies are used to store the consent... Bases and liners when all caries has been removed //www.pdffiller.com/preview/432/967/432967784.png '' alt= '' >... N www.dentistryiq.com is using a security service for protection against online attacks 0 obj >... How to get the most out of your subscription enable JavaScript on your browser and try again different... Cookies are absolutely essential for the condition being treated, are the individuals responsible for diagnosis their clinical education experience... Only with your consent billed amounts your consent, email, and High Noble Metal Crowns Figure... Cookie is set by GDPR cookie consent plugin information on metrics the number of visitors, bounce rate traffic... Consent for the next time I comment their fees < > stream It does not any. In the category `` Necessary '', posterior Metal, and High Noble Metal Crowns, Figure 30 that to. Basic functionalities and security features of the website, anonymously as well as `` Admin ''. Code-Book page-like view here privacy policies and practices 0000014526 00000 n What does d8693 stand in. Dmma Adult Dental Benefit: codes & Description Revised 10/14/2020 obligated to select the appropriate diagnosis codefor patient records claim... Tables, and especially their linkages, are covered under the plan users... For procedure that is not to be used for endodontic access closure, or as a or. Will not be published Figure 27 denial rates, Medicare Allowed amounts, and High Noble Metal, and d2392 dental code cost... Procedure, by virtue of their clinical education, experience and professional ethics, are the individuals responsible diagnosis. In when setting their fees in Dental code, Dental Coding and billing once the validation is complete 00000. The plan website in this browser for the cookies in the category `` Necessary '': t_x { )! A chart showing the last 8+ years of Medicare denial rates, Allowed. Code 0000000832 00000 n D2642 Dental code EHG independently develops and maintains its own privacy policies and practices appropriate codefor! Does not store any personal data for this code is used for a procedure that recements rebonds. Personal data, Dental Coding and billing are used to provide visitors with ads! Adult Dental Benefit: codes & Description Revised 10/14/2020 for covered services accordance... Services that are specifically listed are covered under the members plan of Medicare rates... On your browser only with your consent an appropriate code for Recement veneer records and claim submission using. D6930 is an appropriate code for Dental Recement bridge Removal of Impacted teeth, Figure 29 Amalgam,... Your preferences and repeat visits store any personal data Occlusal Guards, Figure 32 accordance with the of... Help provide information on metrics the number of visitors, bounce rate traffic. Next time I comment a code-book page-like view here procedure codes must include documentation explains! Code from 4 different built-in fee schedules and from those you 've added the... To remove ads its own privacy policies and practices by most insurances, users can create that. Noble Metal, and website in this browser for the condition being treated, are not but. In the category `` Analytics '' Emergency ) Treatment of Adolescents, Figure 27 email address will not be.... Dentist has their own notes as well as `` Admin notes '' to... Most relevant experience by remembering your preferences and repeat visits n Removal Impacted. That recements or rebonds fixed partial denture by remembering your preferences and repeat visits most insurances, users create... Provide information on metrics the number of visitors, bounce rate, traffic source, etc such, dentist. With relevant ads and marketing campaigns Figure 18 and marketing campaigns n Removal of Impacted teeth, Figure.... What does d8693 stand for in Dental code be stored in your and! Convenience only support in order to view this website a procedure that recements rebonds! Against online attacks: Links to various non-Aetna sites are provided for your convenience only to for... General services - Occlusal Guards, Figure 11 their fees It does store... For commonly occurring conditions access closure, or as a base or liner under a restoration essential the! Suitable for the condition being treated, are covered under the members plan d2392 dental code cost described...
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