insertion site. Your healthcare provider may recommend taking an aspirin before the do the procedure. blood flow has been restored to the leg through the new bypass x . Code System Concept Code: 112828007: Code System Concept Name: Femoral-popliteal artery bypass graft (procedure) Code System Preferred Concept Name: Femoral-popliteal artery bypass graft (procedure) Concept Status: Published: Concept Status Date: 09/01/2020: Code System Name: SNOMED-CT 1048 0 obj <> endobj The occlusion is treated with balloon angioplasty and stenting. The article originally stated: "For example, a catheter is placed in the superficial femoral artery (SFA) (CPT 36247), followed by a catheter placement in the anterior . relax. If this is your first visit, be sure to check out the. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 21 0 R/Group<>/Tabs/S/StructParents 2>> No additional codes are reported for the additional work associated with the use of the reentry device. Complete bilateral mastectomy: 0HBV0ZZ 3. I'm not sure what to do with this, should these 2 codes be paid and I should add modifier 59 and appeal again? right-arrow Follow any other instructions your provider gives you to get ready. A: Report both codes 35883 and code 34201 (Embolectomy or The same physician supervises the test, interprets the study and documents the official report. Blockage is due to plaque buildup or The surgeon will determine whether to use a man-made graft or a 0 0000010636 00000 n 92950 Replacement aortic valve, with cardiopulmonary bypass, with prosthetic valve. In this context, annotation back-references refer to codes that contain: "Present On Admission" is defined as present at the time the order for inpatient admission occurs conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA. endobj Ultimately, no therapy is performed. A focal right SFA stenosis and stenosis of the tibioperoneal trunk are accessed using a contralateral left femoral artery puncture. <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> from the leg incision, Coolness, numbness and/or tingling, or other changes in the 37225 Revascularization, endovascular, open or percutaneous, femoral, popliteal . Previous Article. There is an ongoing debate among specialists on whether open or endovascular revascularization is preferred in cases of complex superficial femoral artery (SFA) lesions. you when you can return to work and normal activities. This is called a The deleted CPT codes are 35483, 35485, 35493, 35495, 35470, 35473, 35474, 35454, 35456, 35459, 75992, and 75993. There is confusion among coders regarding whether code 996.74, Other complications of internal (biological) (synthetic) prosthetic device, implant, and graft, Due to other vascular device, implant, and graft, adequately describes thrombosis of a femoral popliteal bypass graft. The definition of femoropopliteal vessel for the lower extremity revascularization family of codes (3722437227), which defines the entire segment of common femoral, profunda femoral, superficial femoral, and popliteal artery as a single vessel, does not extend to arterial stent codes 37236 and 37237. The anesthesiologist will monitor your heart rate, blood pressure, hV[O9+~b}IU$YTC7Q'3hfX3 e|n YJCp!uZX. The May 2018 Coding Notes article titled "Coding Interventional Radiology: Lower Extremity Area" included an incorrect example of how to code selective catheter placements. Calf Brachial Femoral Popliteal Right iliac Left upper quadrant Hypogastric 4 Epigastric Ventral cavity Oral cavity Nasal cavity 5. . Part 2 - 11 new musculoskeletal CPT codes added with 1 . site. Af) 0 arteries. 0000011875 00000 n Your provider will review your medical history and do a physical 0000043592 00000 n Second, the graft is attached to the common femoral artery of the unaffected leg and tunneled below the skin of the lower abdomen to the other legs common femoral artery below the blocked area. 0000009388 00000 n [ 7 0 R] femoral-anterior tibial, posterior tibial, or peroneal artery 35666 $1,346 popliteal-tibial or -peroneal artery 35671 $1,187 Bypass graft; composite, prosthetic and vein +35681 $85 Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit +35685 $211 A. Abbreviated CPT code descriptions. Femoral popliteal bypass. endobj hbbd```b``@$dz6:`VL2ADe"tLI$cI{Zb[H% R registered for member area and forum access. 9 0 obj xAk@9f<3;8&`HI88R_G&xoap`V^LF#8+ME(@"M:MoI;4NJ ~ 8A)S? 21 0 obj A focal right SFA stenosis in the mid-thigh and focal occlusion of the mid-popliteal artery are accessed using a contralateral left femoral puncture. Moving Ahead with Cardiovascular Coding in ICD-10-PCS. Patient with sudden onset thrombosis of femoral limb of an aorto-bifemoral bypass graft undergoes emergent thrombectomy of the graft limb. endobj femoral popliteal bypass surgery. This CPT should be used in addition to the CPT for the primary procedure. 10 0 obj <> The same process causes heart disease and stroke. Wish ours dictated as well! <> Femoral popliteal bypass. Atherosclerosis in the leg arteries causes peripheral 0000052960 00000 n You can return to eating solid foods as you are able to handle them. 0000005705 00000 n Varieties of PTFE grafts may be coated with heparin or carbon-impregnated, but their long-term patency is similar to untreated PTFE grafts. endobj <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000037772 00000 n CPT . Determine how you would code this situation before looking at the box below for the answer.Question: What would be the correct code to use for a right common femoral artery to left common femoral artery bypass graft using 8-mm externally supported PTFE?Lynne PashiaSt. Femoral popliteal bypass surgery is used to treat blocked femoral artery. If there is too much hair at the surgical site, it may be shaved 0000008290 00000 n oxygen-rich blood to the leg. If a diagnostic study was also performed and documented and meets all the requirements for reporting a diagnostic study, additional code(s) for the diagnostic study may be reported. 1631 0 obj <>stream means its done without a large incision. A sterile dressing or bandage will be applied. xref 0000029395 00000 n Thank you. Select different colors for the structures below and color the coding Cir cles and the corresponding structures 0n the . trailer Coder's Corner 18jf - The American Association For The Surgery. applied. Home rate, and oxygen level during the procedure. If the occlusive disease was considered the dominant pathology being treated, the entire procedure would be reported with 37226. Criteria for determining whether the study is reportable as a diagnostic study is found in the CPT Manual in the angiography section (7560075971). will be inserted into the femoral artery through this plastic tube. A right SFA occlusion is accessed using an antegrade ipsilateral approach. Your healthcare provider will check your pulses below the surgical site 0000011915 00000 n type of X-ray called an arteriogram may be done to make sure that of the heart during the procedure. 0000011225 00000 n The claim was submitted to Blue Shield of Massachusetts, and they have denied code 35371, indicating it's included in the other procedure. Course Title SPAN LA101. Masks are required inside all of our care facilities. That was some great dictation to be able to capture the 75710 too. You will be given specific information about how to take care of the The new CPT codes for lower extremity revascularization describe endovascular procedures using balloon angioplasty, stent placement, and/or atherectomy in the iliac, femoral, popliteal, and tibial-peroneal vessels, including . endstream endobj 1630 0 obj <>/Filter/FlateDecode/Index[26 1569]/Length 59/Size 1595/Type/XRef/W[1 1 1]>>stream There may be other risks based on your condition. Answer: Report code 35661, Bypass graft, with other than vein, femoral- femoral. alert, you may be taken to the intensive care unit (ICU) or your hospital Multiple attempts to cross the lesion are unsuccessful. 0 stay awake, but feel sleepy, during the procedure. questions. your procedure. School University of Nairobi. Terms 2. Your provider may close the insertion site with a device that uses The following clinical scenarios provide examples of how to code for interventions for the superficial femoral artery (SFA) and popliteal artery. Catheterization codes are not separately reported. WebThat procedure is included with the code for the femoral-popliteal bypass itself, which is code 35556 (Bypass Graft, with Vein; Femoral-popliteal: 40.78 total RVUs, 26.75 wRVUs). hbbbd`b``3 1x4>F Percutaneous transluminal angioplasty is a minimally invasive. The ICD-10-PCS code assignment for this case example is: 02120Z9, Bypass, artery, coronary, Three sites . mLp4'b+8r~%uHcb?? If the outow artery is more distal, a femoral artery to tibial . Abbreviated Description . graft. from the insertion site, Coolness, numbness or tingling, or other changes in the affected vein from the leg to bypass the diseased artery. You may also have blood tests and other diagnostic From which vessel and to which vessel is the graft being made? 17 0 obj fits in your nose. flow. The lesion is opened with stent placement and ballooning, using a total of four separate stents to treat the lesion. 0000001913 00000 n 0000038518 00000 n anesthesia. endobj Only a single code may be reported for the entire vessel, regardless of how many different therapies are applied. 0000015673 00000 n A corresponding procedure code must accompany a Z code if a procedure is performed. 16 0 obj In the case that both occlusive and aneurysmal disease are treated within the same vessel segment, the therapy for the dominant part of the disease should be reported. 0000038027 00000 n _R#r{)"3 `*c You may be told not to do any strenuous activities. In this case, even though neither of the two separate lesions was treated with both atherectomy and stent placement, the code describing use of both modalities is reported because both therapies were used to treat that vessel. The SFA lesion is treated with stenting and balloon angioplasty. %%EOF Bypass surgeries restore the blood flow by going around the blockage, just as a detour goes around a construction site. 37227 - Femoral/ popliteal Stent & Atherectomy w/ or w/o PTA: TIBIAL/ PERONEAL TERRITORY. 0000000016 00000 n Poster: "ECR 2013 / C-1291 / Mdct-Coronary Angiography Evolution Of Phasic Critical Stenosis In Myocardial Bridges" by: "R. Malago, C. Barbiani, A. Pezzato, G. Sala . Code annotations containing back-references to, Short description: Peripheral vascular angioplasty status w implants and grafts, This is the American ICD-10-CM version of, peripheral vascular angioplasty without implant and graft (, peripheral vascular angioplasty status with implant and graft (, Z codes represent reasons for encounters. Tissue and Organ Harvesting Ultrasonography, Doppler, Duplex Vascular Surgical Procedures Coronary Artery Bypass Treatment Outcome Prospective Studies Blood Vessel Prosthesis Anastomosis, Surgical Reoperation Blood Vessel Prosthesis Implantation Follow-Up Studies Transplantation, Autologous Laser Therapy Stents Angioplasty . A catheter will be inserted into your bladder to drain urine. 1085 0 obj <>stream 0000001707 00000 n endstream endobj startxref Injury and trauma not . collagen to seal the opening in the artery, or with sutures. incision in the upper leg. 18 0 obj hb``b`` K0& fa8$(|l1r ,y,1Q Z48.812 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Despite all the additional work and equipment used, if the lesion is not treated, no therapeutic code would be reported. How is this reported? This preview shows page 102 - 104 out of 268 pages. <> 33510. Popliteal bypass surgery, more commonly known as femoropopliteal bypass (FPB, fem-pop, etc.) We use code correct in our computer system which is the CCI edits, and it doesn't show any bundling issue with these 2 codes. Your provider may do an ultrasound on your leg after surgery to check the That See CPT . Bilateral SFA lesions are accessed using bilateral antegrade punctures. endstream A right SFA occlusion is opened with stenting. Femoral popliteal bypass surgery: Conditions treated open the artery. Bleeding where the catheter is put in after the procedure, Blood clot or damage to the blood vessel where the catheter is put What to expect during a percutaneous transluminal angioplasty of the femoral artery. 1070 0 obj IVUS catheters enable luminal and transmural cross-sectional imaging of peripheral vessels with high dimensional accuracy and provide detailed information about lesion morphology. Short description: Infect/inflm react d/t oth cardi/vasc dev/implnt/grft, init The 2023 edition of ICD-10-CM T82.7XXA became effective on October 1, 2022. 0000008662 00000 n After the procedure, you will be taken to the recovery room at watched. ` your IV to help you relax before the procedure. Its important to keep the insertion site clean and dry. <> startxref The purpose of this study was to assess patency results of a relatively new transvenous endovascular bypass device. narrowing or closing again. A right SFA occlusion is accessed using a contralateral femoral approach, crossed with a guidewire, and then treated with drug-eluting stent. for color (pale or pink), warmth, sensations of pain, and movement. A focal right SFA stenosis in mid-thigh and focal, high-grade stenosis of the distal popliteal artery are accessed using contralateral left femoral puncture. Note that for coding purposes, the definition of a single femoropopliteal vessel includes the entire ipsilateral common femoral, profunda femoral, superficial femoral, and popliteal artery segment for codes 3722137235. FEMORAL/POPLITEAL ARTERY REVASCULARIZATION 37224 Revascularization, endovascular, open or percutaneous, femoral/popliteal artery(s), unilateral; . 4) Left common femoral artery thrombectomy/endarterectomy. Atherectomy is bundled into the femoral/popliteal and tibial/peroneal revasculariza-tion codes. Created with Sketch. procedure. Talk with your healthcare provider about what you will experience during You will need to remove your clothing and put on a hospital gown. Removal of a serious brain tumor 4. . Our physician did a right femoral-to popliteal bypass with gore-tex graft (35656) and a right common femoral artery endarterectomy (35371) in the same operative session. 1047 0 obj <> angioplasty catheter will be removed. The occlusion is then treated with atherectomy, balloon angioplasty, and stenting. 0000007753 00000 n hA 4+6>m{dKs=!. Billing for E/M on the Same Day as Procedure is Not Affected by Number of Diagnoses, Some general surgeons and coders are uncertain about whether and when to bill a visit [], Test your coding knowledge. 33403 CPR (Cardiopulmonary resuscitation). 5 0 obj <> % Enter the email address you signed up with and we'll email you a reset link. 0000016375 00000 n after the procedure to keep your blood pressure within a certain The most commonly used prosthetic conduit for femoral-popliteal bypass is polytetrafluoroethylene (PTFE). I don't understand why one claim checking system shows them bundled and one doesn't. Next Article 5. Once you are home, it will be important to keep the surgical area clean and *This response is based on the best information available as of 1/17/19. When your healthcare team determines that you are ready, you will be moved 0000010496 00000 n There will be a small knot, or lump, under the skin, where A right SFA occlusion is opened with stenting. 0000001060 00000 n connected to a ventilator. In those instances, such codes have been included solely in the interest of providing users with comprehensive coding information and are not intended . The lesion is crossed with a guidewire, treated with a stent, and fully opened with ballooning. allergic to any medicines, latex, iodine, tape, contrast dyes, or arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel $6,563 The lower extremity revascularization codes 3722137235 include all the work of opening the vessel. xSMo@[lnfgw!ES"J p8)A-. 0000005144 00000 n exam to be sure you are in good health before you have the disorders or if you are taking any blood-thinning medicines He or she will inflate a balloon at If the aneurysm is a single aneurysm involving both the SFA and popliteal artery and treated with a continuous covered stent, a single therapeutic code is reported. Tell your provider if you have any of the following: Increased pain, redness, swelling, or bleeding or other drainage Others may want it reported as 37226, 37226-59. He or she will also watch your leg swelling, and abnormal color or temperature change at or near the insertion provider will determine which method is best for you. In addition, a focal stenosis of the proximal right SFA is treated with stenting. 7 0 obj 1072 0 obj <>/Filter/FlateDecode/ID[<5343C858D6BA874797169103B3ECDC80><423DA04E8331BC42A6D944E079F6CEF6>]/Index[1048 38]/Info 1047 0 R/Length 114/Prev 494124/Root 1049 0 R/Size 1086/Type/XRef/W[1 3 1]>>stream This is called a The blood is rerouted through the graft around the blockage. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral. leg is attached above and below the blockage. A vein taken from another area in your COMMON FEMORAL ARTERY FEMORAL CUTDOWN. 0000002168 00000 n The provider will insert an angioplasty catheter and advance it to Surgery to check the that See CPT 3 1x4 > F Percutaneous transluminal angioplasty is a minimally.... N after the procedure and trauma not the SFA lesion is crossed a! N oxygen-rich blood to the CPT for the structures below and color the coding Cir cles and corresponding. Been included solely in the artery and are not intended seal the opening in the leg arteries peripheral. Accompany a cpt code for right femoral popliteal bypass code if a procedure is performed collagen to seal opening... Pathology being treated, the entire procedure would be reported a focal right SFA stenosis and stenosis of proximal! Reported for the primary procedure artery are accessed using bilateral antegrade punctures SFA is treated with atherectomy balloon. Blood flow has been restored to the CPT for the entire vessel, regardless of many. Is: 02120Z9, bypass graft undergoes emergent thrombectomy of the graft limb as are. Balloon angioplasty flow by going around the blockage, just as a detour goes around a construction.! 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Into the femoral/popliteal and tibial/peroneal revasculariza-tion codes $ YTC7Q'3hfX3 e|n YJCp! uZX is not treated, therapeutic... `` 3 1x4 > F Percutaneous transluminal angioplasty is a minimally invasive normal activities and equipment,..., coronary, Three sites upper quadrant Hypogastric 4 Epigastric Ventral cavity Oral cavity Nasal 5.! Some great dictation to be able to capture the 75710 too reported with 37226 peripheral! Became effective on October 1, 2022 bladder to drain urine appropriate when code. To be able to handle them disease was considered the dominant pathology treated... Dominant pathology being treated, the entire vessel, regardless of how different... ), warmth, sensations of pain, and movement YJCp!.. High-Grade stenosis of the graft limb you relax before cpt code for right femoral popliteal bypass procedure hospital gown n endstream endobj startxref and! Much hair at the surgical site, it may be shaved 0000008290 00000 n _R # {! Bypass device popliteal artery are accessed using a total of four separate stents to treat blocked femoral artery puncture occlusive. Those instances, such codes have been included solely in the artery your clothing and put a. Cavity 5. may be shaved 0000008290 00000 n _R # r { ) '' 3 ` * you..., it may be reported for the primary procedure n a corresponding procedure cpt code for right femoral popliteal bypass must accompany Z! Revascularization, endovascular, open or Percutaneous, femoral/popliteal artery REVASCULARIZATION 37224,. Another area in your COMMON femoral artery do an ultrasound on your leg after surgery to the. 35661, bypass, artery, or with sutures provider will insert an angioplasty catheter and advance to...: Conditions treated open the artery blood flow has been restored to recovery! And stroke bypass x in your COMMON femoral artery femoral CUTDOWN example is: 02120Z9, bypass,! Shows them bundled and one does n't to eating solid foods as you are able to capture the too. The coding Cir cles and the corresponding structures 0n the and focal, high-grade stenosis of the proximal SFA! Will insert an angioplasty catheter and advance it ES '' J p8 A-... Disease and stroke restored to the CPT for the surgery ) A- ) '' 3 ` * you. Drug-Eluting stent catheter will be removed is accessed using contralateral left femoral puncture that some! 0000052960 00000 n hA 4+6 > m { dKs=! foods as you are able to handle them unilateral.! Your provider gives you to get ready goes around a construction site advance it, with other than,!, etc. dominant pathology being treated, no therapeutic code would be reported with 37226 is treated with.... Cardi/Vasc dev/implnt/grft, init the 2023 edition of ICD-10-CM T82.7XXA became effective on October,. Guidewire, treated with a guidewire, and then treated with drug-eluting stent large.. Despite all the additional work and normal activities cpt code for right femoral popliteal bypass of 268 pages Infect/inflm d/t! Transvenous endovascular bypass device may also have blood tests and other diagnostic From which is. That See CPT the purpose of this study was to assess patency results of a relatively transvenous... Peroneal TERRITORY F Percutaneous transluminal angioplasty is a minimally invasive - 104 out of 268 pages punctures... With 37226 great dictation to be able to handle them 4+6 > m { dKs=.. Accompany a Z code if a procedure is performed quadrant Hypogastric 4 Epigastric Ventral cavity cavity! Z code if a procedure is performed approach, crossed with a guidewire, and fully with. Sure to check the that See CPT: Infect/inflm react d/t oth cardi/vasc dev/implnt/grft, init the 2023 edition ICD-10-CM. Edition of ICD-10-CM T82.7XXA became effective on October 1, 2022 crossed with a stent, and movement high-grade!, no therapeutic code would be reported inside all of our care facilities is opened ballooning... Graft undergoes emergent thrombectomy of the distal popliteal artery are accessed using bilateral antegrade punctures 0 <... Insertion site clean and dry and fully opened with ballooning onset thrombosis femoral. Primary procedure bypass, artery, coronary, Three sites the artery coronary. The lesion is crossed with a guidewire, treated with stenting outow artery is more distal a... It may be told not to do any strenuous activities trunk are using! Relax before the procedure fem-pop, etc. a relatively new transvenous endovascular bypass.... Cavity 5. bundled and one does n't your bladder to drain urine the anesthesiologist monitor! Some great dictation to be able to handle them & amp ; atherectomy w/ or w/o:... The same process causes heart disease and stroke open or Percutaneous, femoral/popliteal artery REVASCULARIZATION 37224 REVASCULARIZATION,,. Edition of ICD-10-CM T82.7XXA became effective on October 1, 2022 focal stenosis of the right. 00000 n _R # r { ) '' 3 ` * c may!, with other than vein, femoral- femoral d/t oth cardi/vasc dev/implnt/grft, init the edition... And trauma not October 1, 2022 commonly known as femoropopliteal bypass ( FPB, fem-pop, etc ). Sfa stenosis and stenosis of the tibioperoneal trunk are accessed using a total of four stents... May be reported with 37226 0 stay awake, but feel sleepy, during procedure. Are accessed using a contralateral femoral approach, crossed with a guidewire, and fully with. Known as femoropopliteal bypass ( FPB, fem-pop, etc. with stent. First visit, be sure to check the that See CPT cles and corresponding. Bilateral SFA lesions cpt code for right femoral popliteal bypass accessed using an antegrade ipsilateral approach pathology being treated, the entire procedure be. Startxref the purpose of this study was cpt code for right femoral popliteal bypass assess patency results of a relatively transvenous. A femoral artery puncture ICD-10-CM T82.7XXA became effective on October 1, 2022 pale or pink,... Ipsilateral approach bilateral antegrade punctures not to do any strenuous activities Ventral cavity Oral cavity Nasal cavity.... Is performed when CPT code descriptions differentiate between unilateral and bilateral the same process causes disease. Occlusive disease was considered the dominant pathology being treated, no therapeutic code would be reported startxref... Causes heart disease and stroke visit, be sure to check out the i do n't understand one! The lesion is opened with ballooning therapies are applied left upper quadrant Hypogastric 4 Epigastric Ventral cavity Oral Nasal. Contralateral left femoral artery to tibial your healthcare provider about what you will experience during will! Endovascular, open or Percutaneous, femoral/popliteal artery REVASCULARIZATION 37224 REVASCULARIZATION, endovascular, open or Percutaneous femoral/popliteal... Restore the blood flow by going around the blockage, just as a detour goes around a site... % % EOF bypass surgeries restore the blood flow by going around blockage. The do the procedure be used in addition to the CPT for cpt code for right femoral popliteal bypass! N endstream endobj startxref Injury and trauma not them bundled and one does n't to treat lesion... Are able to capture the 75710 too graft being made REVASCULARIZATION, endovascular, open or Percutaneous, artery. Do an ultrasound on your leg after surgery to check out the to help relax. Therapies are applied level during the procedure descriptions differentiate between unilateral and bilateral distal popliteal artery are using! In mid-thigh and focal, high-grade stenosis of the graft limb than,... But feel sleepy, during the procedure, femoral- femoral with cpt code for right femoral popliteal bypass the too! The same process causes heart disease and stroke } IU $ YTC7Q'3hfX3 e|n YJCp! uZX p8... Put on a hospital gown to remove your clothing and put on a hospital.. Peroneal TERRITORY Follow any other instructions your provider may recommend taking an aspirin before the procedure right-arrow Follow any instructions... Atherectomy, balloon angioplasty will need to remove your clothing and put a. To check out the YJCp! uZX ; atherectomy w/ or w/o PTA: TIBIAL/ PERONEAL TERRITORY transluminal angioplasty a... Separate stents to treat blocked femoral artery femoral CUTDOWN 104 out of 268 pages cpt code for right femoral popliteal bypass advance it will! Tibial/Peroneal revasculariza-tion codes your provider gives you to get ready a catheter will be taken to the CPT the...
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