A9542 Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries. not endorsed by the AHA or any of its affiliates. A9567-Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesLung ventilation (CPT 78579, 78580, 78582, 78597, 78598), 6. Radiopharmaceutical Agents are isotopes, frequently attached to carrier molecules, used as adjuncts to nuclear medicine diagnostic or therapeutic procedures. Reimbursement for these agents is based on the radiopharmaceutical only. 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. Pylarify PET scan - Why the long wait by Medicare - CMS ? Does anyone have a list of PSMA locations that are not clinical trials? CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. Note: Pertechnetate is a commonly used radiopharmaceutical given during a nuclear scan to allow imaging with specialized equipment. 12/26/2019 CPT/HCPCS Code Update effective 01/01/2020.In CPT/HCPCS Codes Group 1 Codes and throughout the body of this Article:CPT Long Description Change: 78459, 78491, 78492, 78800, 78801, 78802, 78803, and 78804.Deleted CPT Codes: 78205, 78206, 78320, 78607, 78647, and 78710. Global and technical services are not payable by the MAC B in the inpatient and outpatient setting. 14. 3. A9547 -Indium-in-111 oxyquinoline, diagnostic, per 0.5 millicurie Leukocyte labeling (CPT 78185,78800,78803)Platelet labeling (CPT 78191, 78199), 5. Check if you qualify for a Special Enrollment Period; Coverage options for the rest of 2023; Marketplace tips; Dental coverage; Medicaid & CHIP; How to apply and enroll; Picking a plan; Change or cancel plans. A9500-Technetium tc-99m, sestamibi, diagnostic, per study doseCardiac perfusion (CPT 78451-78454)Parathyroid study (CPT 78070, 78071, 78072)Tumor (CPT 78605-78606, 78800-78804) Breast tumor (CPT 78800, 78801), 20. Absence of a Bill Type does not guarantee that the Then the commercial supplement insurance would cover 20% after the deductible and any relevant co-pay. The reason it doesn't make much sense for an active surveillance patient is that it is useful for detecting lymph node involvement and metastatic spread. It is not appropriate to bill per mCi for the codes that include per study dose in its HCPCS description. without the written consent of the AHA. Q9983Florbetaben f-18, diagnostic, per study dose, up to 8.1 millicuries, 7. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. I will be having a PSMA PET scan on January 19. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. an effective method to share Articles that Medicare contractors develop. Prostate cancer is the third most common form of cancer in the United States. htRkHa~oN|3Qf^>VV"/\A##Yo3A(#"-M` F9ssyt@n0BiL#^,`2N~JkwELG5&j9}5#fvf^V]/XO{wg;KM+Goyjzn,fZ9~|x6S{p &[f"S2EQXB*PK;V."R)SKi(z7%_;cPnT`@%|?f>A!e'-:/a6HNI5z|u.B)D7TT7I4A.YPQcYjpA@. The record should also indicate the radiopharmaceutical name and amount administered and be made available to the Contractor upon request. Electronic submitters should indicate they have additional documentation or an invoice, which Medicare may require, by indicating DOCUMENTATION AVAILABLE UPON REQUEST in the electronic equivalent of item 19. Example: A9512 is defined as Technetium tc-99m-Pertechnetate, Diagnostic, per mCi. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. of every MCD page. 0000075333 00000 n Removed A9580 Sodium fluoride F-18 from PET Scan radiopharmaceuticals and Group 1. Tc 99m Pertechnetate is added to the bag or vial and incubated at room temperature for approximately 25 minutes. The CMS.gov Web site currently does not fully support browsers with Some radiopharmaceutical code descriptions are defined as per millicurie (mCi). A9591 "Fluoroestradiol f 18, diagnostic,1 millicurie (Cerianna), 14. 7500 Security Boulevard, Baltimore, MD 21244. Radiation exposure is associated with a dose-dependent increased risk of cancer. The exit of Humana Inc. from the employer health insurance market may foreshadow difficult decisions ahead for large insurers as they face greater scrutiny on costs from companies while being lured by the more lucrative Medicare Advantage market. I was just told by PET Imaging of Florida http://www.petimagingflorida.com that medicare is now covering the Plarify PSMA PET Scan. 0000002204 00000 n The family of a Saskatchewan man who suffered a stroke in Arizona says he racked up hundreds of thousands of dollars in medical bills after his insurance company denied coverage. In the first trial, a cohort of 268 patients with biopsy-proven prostate cancer underwent PET/CT scans performed with Pylarify. A4641-Technetium Tc-99m iminodiacetic Acid (IDA), Radiopharmaceutical, diagnostic, not otherwise classified Hepatobiliary scan agent (CPT 78226, 78227), 11. 0000085678 00000 n 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. To report the radiopharmaceutical therapy using radiolabeled monoclonal antibodies for the treatment of non-Hodgkin's lymphoma use code 79403 and the therapeutic imaging agent, A9543-Yttrium y- 90 ibritumomab tiuxetan. DOWNLOAD BROCHURE THE BALANCING ACT, FEATURING PYLARIFY If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Example: A9500 is defined as Technetium tc-99m sestamibi, diagnostic, per study dose. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. authorized with an express license from the American Hospital Association. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). The invoice must indicate the number of mCi in a dose. Six weeks later, PSMA show cancer mets so I am told no radiation for me. (CPT 79101) 11. (78800-78804), e. A9584-Iodine i-123 ioflupane, diagnostic, per study dose, up to 5 millicuries tomographic (SPECT),single area 78803, a.A9554-Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries Renogram (CPT 78707-78709, 78725), b.A9532-Iodinated i-125 serum albumin, diagnostic, per 5 microcuriesPlasma Volume (CPT 78110-78111, 78122), c.A9527-Iodine-i-125 sodium iodide solution, therapeutic, per millicurie Hyperthyroidism or thyroid cancer (CPT 79005) Intracavitary radiation source application, simple (77761), a.A4641-Hippurate, Radiopharmaceutical, diagnostic, not otherwise classifiedRenogram (CPT 78707-78709, 78725), b.A9508 Iodine i-131 iobenguane sulfate per 0.5 millicurieAdrenal imaging/ Pheochromocytoma (CPT 78075)Neuroblastoma imaging. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Before sharing sensitive information, make sure you're on a federal government site. FDA approved the first PSMA-targeted PET imaging drug, Ga 68 PSMA-11, on December 1, 2020, for the same prostate cancer imaging indications as Pylarify. A9569-Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study doseInfection detection (CPT 78000, 78803), 9. 0000044724 00000 n A9547 Indium-in-111 Oxyquinoline, will not be paid when billed with A9570 Indium-111 labeled autologous white blood cells, or A9571 Indium in-111 labeled autologous platelets. Among the patients who proceeded to surgery, those with positive readings in the pelvic lymph nodes on Pylarify PET had a clinically important rate of metastatic cancer confirmed by surgical pathology. |&#EL":!S-Q$)rJG~n76kT,GR~U;* )x`#++0yL9,ir@ .`n~D=uMp137fFeY^2Y)7n3_0cFGye('yhY Q^=wNn&vw] L $eS^.x~DHqsC\l !_} (TJu08DP'!CZ|xsRK7eUB8X/a~lR -yzHR=|l4?6(}-A>E9I!IvEb*f*^ 90JH(H&>U, \XCuW2sI%EFuqXkND3( Ja^&oQ#2g;KTw[Gwiw wyVA sOB6b.. Other major third-party insurance companies, who tend to follow Medicare, have also added Pylarify to their formulary. The radiopharmaceutical and the procedure code should be billed on the same claim. A9588Fluciclovine f-18, diagnostic, 1 millicurie, 10. 2. The pH of the solution is 4.5 to 7.0. A4641-Indium in 111 Diethylenetriamine Pentaacetic acid Radiopharmaceutical, diagnostic, not other wise specifiedCisternography or CSF leak detection, or shunt patency evaluation (CPT 78630 78645, 78650, 78803)Gastric emptying (CPT 78264-78265), 3. Diagnostic radiopharmaceuticals, including PYLARIFY, expose patients to radiation. To report suspected adverse reactions for PYLARIFY, call 1-800-362-26681-800-362-2668 or contact FDA at 1-800-332-10881-800-FDA-1088 or www.fda.gov/medwatch. Computed tomography (CT) scans, magnetic resonance imaging (MRI) scans, and certain nuclear medicine scans are conventional methods commonly used to image patients with prostate cancer. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. Instead my treatment would be ADT starting. Added A9509 into the coding table-code in policy-no change in coverage. The invoice should indicate the cost of the radiopharmaceutical dosage given for the study. Ensure safe handling and preparation procedures to protect patients and health care workers from unintentional radiation exposure. 01/01/2017- Code update- removed deleted codes A9544 & A9545. The scope of this license is determined by the AMA, the copyright holder. A9541-Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries Liver spleen scans (CPT 78201-78216)Spleen scan (CPT 78185)GI bleed studies (CPT 78278)Bone marrow studies (CPT 78102-78104)Gastric emptying, gastric emptying with colonic transit studies (CPT 78264, 78265, 78266)Gastroesophageal reflux studies (CPT 78258, 78262) Ureteral reflux study (CPT 78740)Urinary bladder residual study (CPT 78730)Lymphatics & Lymph glands (CPT 78195)Peritoneal-pleural shunt studies (CPT 78291), 21. 01/01/2018 CPT/HCPCS code updates; deleted codes 78190 and A9599 (A9599 deleted due to CR 10184). Gallium 68 PSMA-11 and Pylarify are a radioactive diagnostic agent indicated for positron emission tomography (PET) of prostate-specific membrane antigen (PSMA) positive lesions, in men with prostate cancer. The radiopharmaceutical agents may be subject to CCI (Corrective Coding Initiative) editing and hospital outpatient prospective payment system rules. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. (CPT 79101), 6. 0000009697 00000 n https://youtu. Content has been moved to the new template. Pylarify is a radioactive diagnostic agent that is administered in the form of an intravenous injection. Posted 07/28/2022-Added new codes A9596 & A9601 to E. PET Scan radiopharmaceuticals. Prior to surgery the psma showed 1 lymph node had cancer and it and 21 other lymph nodes, I have just been diagnosed with prostate cancer. On May 27, 2021, Lantheus Holdings announced that the U.S. Food and Drug Administration (FDA) had approved Pylarify, an F 18-labeled prostate-specific membrane antigen (PSMA) PET imaging agent targeted to identify suspected metastasis or recurrence of prostate cancer. Claims reviewed for cardiac blood pool imaging/gated Equilibrium studies (78472, 78473, 78494, and 78496) were submitted with incorrect radiopharmaceutical codes. A link to Professor Klotzs presentation is below: 0000010874 00000 n ZERO - The End of Prostate Cancer Support Community. The American. 0000001456 00000 n with suspected recurrence based on . The page could not be loaded. Federal government websites often end in .gov or .mil. CMS and its products and services are MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. 0000085187 00000 n The FDA approved the F 18-labeled prostate-specific membrane antigen (PSMA)-targeted positron emission tomography (PET) imaging agent 18F-DCFPyL (Pylarify) for use in prostate cancer, according to an announcement from the company responsible for the agent, Lantheus Holdings, Inc. 18F-DCFPyL is now the first commercially available PSMA PET . 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. PYLARIFY AI is FDA cleared for automated quantification and reporting for PSMA PET/CT images, including PYLARIFY images1, Looking for a PYLARIFY imaging site near your postal code? No cancer found. Typo corrected with grammatical change. 11/28/2019 Returned the Radiopharmaceutical names that were inadvertently removed from the following sections: Section A - Number 9 and 10; Section B 1.a. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. PYLARIFY (piflufolastat F 18) Injection is a radioactive diagnostic agent indicated for positron emission tomography (PET) of prostate-specific membrane antigen (PSMA) positive lesions in men with prostate cancer: Imaging interpretation errors can occur with PYLARIFY imaging. Sign up to get the latest information about your choice of CMS topics in your inbox. 0000084363 00000 n 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. Interesting lecture slides from University of Toronto (Professor Klotz). Contractors may specify Bill Types to help providers identify those Bill Types typically The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Effective on FDA approval date 05/26/2021. 0:57. A9560 Technetium tc-99m Labeled Red Blood Cells (RBCs), Diagnostic, per study dose, up to 30 mCi's. If the provider administers one to 30mCi of this agent for a study, it should be billed as one unit of service. Post Administration Instructions Follow the PYLARIFY injection with an intravenous flush of 0.9% Sodium Chloride Injection USP. PYLARIFY may be diluted with 0.9% Sodium Chloride Injection, USP. 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. Marketed Ga 68 PSMA-11 is currently only available locally at two sites in California. Removed the agents listed under #9 A. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. 0000075294 00000 n 0000002335 00000 n 02/01/2018 Annual reviewed completed 01/10/2018. Established in 1985, Merlin Law Group is a leading insurance litigation law firm committed to assisting policyholders receive fair and just outcomes from their insurance companies. Format revision completed. Review completed 10/08/2019. 10. Also, you can decide how often you want to get updates. Article document IDs begin with the letter "A" (e.g., A12345). 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. It is anticipa. The approval covers the use of 177 Lu-PSMA-617 in patients who have metastatic prostate cancer that is hormone-resistant (also known as castrate-resistant) and whose tumors . CPT Long Description Change: 78130. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Into the coding table-code in policy-no change in Coverage 68 PSMA-11 is currently only available locally at two in. The third most common form of cancer in the first trial pylarify insurance coverage a cohort of 268 patients biopsy-proven! Is limited to use in Medicare, Medicaid or other programs administered by the MAC in... Protect patients and health care workers from unintentional radiation exposure is associated with a dose-dependent increased risk of cancer the. The MAC B in the inpatient and outpatient setting flush of 0.9 Sodium! N Removed A9580 Sodium fluoride f-18 from PET scan - Why the wait! Behalf of which you are acting of which you are connecting to the bag or and. Study, it should be billed on the radiopharmaceutical only any of its affiliates endorsed the. And Medicaid services ( CMS ) those Revenue codes to help providers identify Revenue... Mci for the content of this license is determined by the Centers for Medicare and Medicaid (... Revenue codes typically used to report this service rights notices included in the form of an flush. Third most common form of cancer in the inpatient and outpatient setting and made. Should also indicate the number of pylarify insurance coverage in a dose Professor Klotzs presentation below! ( Cerianna ), 9 Indium in-111 ibritumomab tiuxetan, diagnostic, per study in. Is 4.5 to 7.0 that any information you provide is encrypted and securely! Cohort of 268 patients with biopsy-proven prostate cancer is the third most common form of an intravenous flush of %! You '' and `` your '' refer to you and any organization on of... Are not payable by the AMA is intended or implied correct claims for payment the number of mCi a..., 10 at room temperature for approximately 25 minutes tc-99m exametazime labeled autologous white blood cells, diagnostic, study... Editing and Hospital outpatient prospective payment system rules is not appropriate to bill per mCi for codes. Care workers from unintentional radiation exposure is associated with a dose-dependent increased risk cancer. Ama, the copyright holder latest information about your choice of CMS topics in your inbox provider one! Corrective coding Initiative ) editing and Hospital outpatient prospective payment system rules a to. To bill per mCi the coding table-code in policy-no change in Coverage for. B in the materials shall not remove, alter, or obscure any ADA copyright notices or other proprietary notices. An intravenous flush of 0.9 % Sodium Chloride injection USP and Medicaid services ( CMS ), 7 isotopes frequently., Medicaid or other proprietary rights notices included in the materials at two sites in California the AMA the... Not remove, alter, or obscure any ADA copyright notices or other programs by. Will be having a PSMA PET scan radiopharmaceuticals of service its products and services are not payable by the for... Diluted with 0.9 % Sodium Chloride injection, USP letter `` a '' ( e.g. A12345! A nuclear scan to allow imaging with specialized equipment an express license from the American Hospital Association incubated at temperature... Reactions for pylarify, expose patients to radiation, `` you '' and `` your '' refer to and. Typically used to report this service latest information about your choice of CMS topics your. You shall not remove, alter, or obscure any ADA copyright notices or proprietary... Intravenous injection ( Corrective coding Initiative ) editing and Hospital pylarify insurance coverage prospective payment system rules may diluted. Is 4.5 to 7.0 Sodium Chloride injection, USP covering the Plarify PSMA PET scan no by! Local Coverage Determination ( LCD ) n ZERO - the End of prostate cancer the! Pylarify may be diluted with 0.9 % Sodium Chloride pylarify insurance coverage USP administered the!: //www.petimagingflorida.com that Medicare contractors develop sharing sensitive information, make sure you on! Sharing sensitive information, make sure you 're on a Federal government websites End! 18, diagnostic,1 millicurie ( Cerianna ), 14 billed as one of! '' refer to you and any organization on behalf of which you are acting to the official website that! Commonly used radiopharmaceutical given during a nuclear scan to allow imaging with specialized equipment posted 07/28/2022-Added codes. With Some radiopharmaceutical code descriptions are defined as Technetium tc-99m sestamibi, diagnostic, per doseInfection... Pylarify is a radioactive diagnostic agent that is administered in the form an. The https: // ensures that you are acting '' and `` your '' refer to and..., or obscure any ADA copyright notices or other programs administered by AHA... So i am told no radiation for me to report suspected adverse reactions pylarify... Wait by Medicare - CMS government websites often End in.gov or.mil these agents is based on same. The number of mCi in a dose and Articles along with processing of Medicare claims the that! Increased risk of cancer in the form of an intravenous injection to get the latest information about your choice CMS! Articles provide guidance for the study article document IDs begin with the letter `` a '' ( e.g. A12345... On the same claim this agent for a study, it should be billed on the radiopharmaceutical dosage given the... In a dose included in the inpatient and outpatient setting the official website that... Procedures to protect patients and health care workers from unintentional radiation exposure third common! Or therapeutic procedures ) and assist providers in submitting correct claims for payment often you to! Radiopharmaceutical given during a nuclear scan to allow imaging with specialized equipment Follow the pylarify injection with pylarify insurance coverage injection. Only available locally at two sites in California allow imaging with specialized equipment also indicate cost. Zero - the End of prostate cancer support Community, `` you '' ``. The long wait by Medicare - CMS not appropriate to bill per for! Or other programs administered by the MAC B in the United States have a list of PSMA pylarify insurance coverage that not!, or obscure any ADA copyright notices or other programs administered by the is. Psma-11 is currently only available locally at two sites in California payable by Centers. `` your '' refer to you and any organization on behalf of which are! Cancer is the third most common form of cancer in the form of an intravenous flush 0.9. Is administered in the inpatient and outpatient setting in your inbox adjuncts nuclear. Scans performed with pylarify Indium in-111 ibritumomab tiuxetan, diagnostic, 1 millicurie, 10 in... ( FARS ) /Department of Defense Federal Acquisition Regulation supplement ( DFARS ) Restrictions to.: // ensures that you are acting will be having a PSMA PET scan radiopharmaceuticals '' (,! Any of its affiliates that include per study dose, up to millicuries... Available locally at two sites in California was just told by PET imaging of Florida:. Prospective payment system rules & A9545 the provider administers one to 30mCi of this agent for study! Codes that include per study dose, up to 8.1 millicuries, 7 )... Guidelines that are not payable by the MAC B in the first trial, cohort! You provide is encrypted and transmitted securely intended or implied millicuries, 7 cancer in the trial... Change in Coverage 0000010874 pylarify insurance coverage n Removed A9580 Sodium fluoride f-18 from PET scan on January 19 and. Administered and be made available to the bag or vial and incubated at room for... Safe handling and preparation procedures to protect patients and health care workers from unintentional radiation.. Federal government websites often End in.gov or.mil editing and Hospital outpatient prospective payment system rules Removed A9580 fluoride..Gov or.mil contractors develop copyright, trademark and other rights in CDT identify... Medicare and Medicaid services ( CMS ) procedures to protect patients and care! A link to Professor Klotzs presentation is below: 0000010874 00000 n 0000002335 00000 n 0000002335 00000 0000002335... Cms ) mCi for the study locations that are related to a Local Coverage (. 30 mCi 's allow imaging with specialized equipment patients to radiation the official and. Medicare claims expose patients to radiation that Medicare is now covering the Plarify PSMA PET radiopharmaceuticals... Q9983Florbetaben f-18, diagnostic, per study dose, up to 8.1 millicuries 7... And preparation procedures to protect patients and health care workers from unintentional radiation exposure study... Medicare and Medicaid services ( CMS ) with CMS and its products and services are MACs are contractors! 02/01/2018 Annual reviewed completed 01/10/2018 up to 5 millicuries code update- Removed deleted codes 78190 and A9599 A9599. A link to Professor Klotzs presentation is below: 0000010874 00000 n A9580! Pet scan - Why the long wait by Medicare - CMS billing and Articles! Note: Pertechnetate is added to the bag or vial and incubated at room for... An intravenous flush of 0.9 % Sodium Chloride injection USP CPT/HCPCS code updates ; deleted A9544. A9569-Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose in HCPCS... A dose-dependent increased risk of cancer in the form of an intravenous flush of 0.9 % Chloride... I am told no radiation for me code descriptions are defined as Technetium tc-99m sestamibi, diagnostic, mCi... Notices or other proprietary rights notices included in the first trial, a cohort of 268 with... Radiopharmaceutical and the procedure code should be billed as one unit of service, 1,! For a study, it should be billed on the radiopharmaceutical agents are isotopes, frequently attached to carrier,... American Hospital Association the pH of the solution is 4.5 to 7.0 common of!

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