ICD-10-CM, and SNODENT codes to be linked to an ADA code. ,u4,}]o`Os"%f }-V;:k?vA ju*b0_zx T I07e2;q*'bd%9"3zQD #JSPV"5. the best dental insurance plans. If the patient does not have dental insurance, none of the procedures will be covered. The contract between the plan purchaser and the third-party payer specifies which dental operations are covered. Note: Codes should not be chosen solely on what will bring in the most money. Add this to the highly complicated clauses of various dental codes and things get more difficult than usual. Payment from third-party payers to dental providers is based on CDT codes and reported on the 2019 ADA claim form. Get timely coding industry updates, webinar notices, product discounts and special offers. According to HIPAA, information must be shared in a standard format and with particular code categories, including the CDT Code. This can assist to avoid unpleasant surprises, like as a bridge that is not covered owing to a missing tooth clause or a crown that is not covered since the old crown was placed less than five years ago. Patients with generally healthy periodontium receive preventive care, and those with periodontal disease involving bone and attachment loss receive therapeutic care. This program is one of a continuing series that address significant administrative activities that enable practice success. - ada dental codes cheat sheet, If you believe that this page should be taken down, please follow our DMCA take down process, This site uses cookies to enhance site navigation and personalize your experience. The codes nomenclature and descriptor are intentionally more broadly worded and inclusive. D0411 and D0412 ADA Quick Guide to In-Office Monitoring and Documenting Patient Blood Glucose and HbA1C Level, D4355 ADA Guide to Reporting Full Mouth Debridement, D7230 and D7240 Guidance on Coding for Impacted Teeth Removal Procedure, Guide to D9110 Palliative Treatment Procedure, D9995 and D9996 Guide to Understanding and Documenting Teledentistry Events, Appendix 3 Area of the Oral Cavity and Tooth Anatomy by CDT Code, Appendix 4 CDT and ICD-10-CM Coding Recommendations for Smoking Cessation, Appendix 5 Understanding and Procedure Coding for Patients with Special Health Care Needs, CDT Codes for COVID-19 Vaccination Procedures Added to, ADA Guide to CDTs COVID-19 Vaccination Procedure Codes, Guide to Image Capture Only Procedures and Their Reporting, Overdenture Coding Guidance Natural Tooth Borne and Implant Borne Prostheses, Occlusal Guards with Hard and Soft Components, D1355 ADA Guide to Reporting Caries Preventive Medicament Application, D4346 The New Scaling Procedure: How It Works For You, D4355 Guide to Reporting Full Mouth Debridement, Guidance on Coding for Impacted Teeth Removal Procedure, D9912 - ADA Guide to Pre-Visit Patient Screening Procedure, Case Management: Understanding the Concepts and Documenting Delivery, Recording procedure information on a service line. CDT Dental Codes Frequently Used Codes in CDT Dental Procedures Accurate dental recording and proper reporting dental treatment is supported by a set of CDT codes that have a consistent format and are at the appropriate level of specificity to adequately encompass commonly accepted dental procedures. You will hear from Drs. The Ultimate Cheat Sheets App Easily download from the App Store and activate with a unique code. There is more an overview of emerging interest in dental diagnosis coding, CDT Code maintenance, and where coding and claim submission assistance is available from the ADA. Created Date: 20120425111538Z . 0000001568 00000 n Preventive. You can find here a dental chart template or perio chart templates available in PDF and DOC formats. D1355 is a CDT 2021 addition. Sale! A key area of concern for many dental practices circles around dental codes and their ability to properly code various procedures for insurance purposes. ADA codes are simply for dental uniformity in documentation, and not designed for insurance companies to regulate our care. R2. 0000010381 00000 n The programs Part 1 begins with commentary on some things that are relatively old several pertinent diagnostic, preventive and administrative procedures that have been part of the CDT Code for several editions. Some CDT Codes, especially recent additions, may not be readily understood by dentists and others in the dental community. INDIVIDUAL AND FAMILY By hiring DentalRevu, you can streamline your operations. Each March, the ADA holds a maintenance committee meeting to determine new dentist codes for the following year. Your benefits are based on a Calendar Year. Each of these code sets has a distinct purpose, however they do overlap in one area. No charge. Here's an overview of the 28 new codes and how they are intended . This add-on is a must for coders and billers in oral and maxillofacial and . A careful study of the code entry should provide enough information for a dentist to determine which code best describes the procedure. (CDT-5), copyrighted 2004, American Dental Association. Overdenture Coding Guidance Natural Tooth Borne and Implant Borne Prostheses (PDF). Bitewings and Extraoral Image Procedure Codes Video, Getting Paid: Coding on a Claim Form Video. The Member must pay the listed Patient Charge. This guide addresses two notable aspects of the procedure and its code first that the procedure is not limited to the application of Silver Diamine Fluoride (SDF) as the medicament; and second the clarifying revision that this procedure is to be reported by tooth treated, not by number of lesions. Changes in the CDT 2022 include: 16 additions, 6 deletions, 14 revisions and 10 editorial (e.g., syntax; spelling) actions that clarify without changing the CDT Code entry's purpose or scope. This webinar addresses a not uncommon perception all the codes I need are in one category of service. In fact, documenting and reporting an implant case from initial diagnosis and treatment planning through placement of the definitive prosthesis requires selection of CDT Codes from several different categories of service. Many patients are unaware of how dental benefit programs operate or that coverage limitations and exclusions may limit reimbursement for important care. . This is why dental benefit plan agreements include clauses on coverage limitations and exclusions. Complex issues are directed to the Practice Institutes Center for Dental Benefits, Coding, and Quality staff. ADA Dental Codes - Search dental codes, code category, and subcategory information directly from the ADA. k02.53 dental caries on pit and fissure surface penetrating into pulp k02.6 dental caries on smooth surface k02.61 dental caries on smooth surface limited to enamel k02.62 dental caries on smooth surface penetrating into dentin k02.63 dental caries on smooth surface penetrating into pulp k02.7 dental root caries k02.9 unspecified dental caries D1354 ADA Guide to Reporting Interim Caries Arresting Medicament Application is available at no cost for you to view or download. 0000007708 00000 n insignificant or trivial illness, abnormality, or problem encountered Why Correct Coding is Critical Implant Services. The ADA updates the code set annually. What are CDT Codes? D1355 - ADA Guide to Reporting Caries Preventive Medicament Application. It is not a HIPAA-compliant standard and so cannot be reported on dental claims. Inside you will also find out about this codes CDT 2018 revision, adding per tooth to its nomenclature so that the procedure is reported consistently. reported in addition to the preventive medicine service code. ICD is maintained by federal government entities. This is one step in keeping your dental practice running at its best. For 2020, there were over 156 ADA code change requests and of those, 37 new codes, 5 revised codes and 6 deleted codes will be added to CDT 2020 dental procedure codes. If the patient does not have dental insurance, their coverage will not pay for any of the procedures performed. Each procedural code is a four-digit alphanumeric code that begins with the letter D (the procedure code) and ends with four digits (the nomenclature). best affordable dental benefits. Typically, the dental claim is submitted first; then, if it is denied, a medical claim is submitted. Revisions to the codes are published and effective annually. 0000014892 00000 n If you still face difficulty in understanding how Dental CDT Codes work, we have answered some common questions instigated by dental professionals, practitioners, and dentists from all over the United States. 8358 0 obj <>stream To reach the MSC by phone, call the toll-free number on the back of your membership card, 312-440-2500, if you are an ADA member. A memorandum to the entire dental community that announces the inclusion of these codes in CDT 2022, from the Council on Dental Benefit Programs and CMC Chairs, is available for reading and download. endstream endobj startxref This guide describes, for dentists and others in the dental community, the nomenclature and descriptor revisions for the four comprehensive series codes first published in CDT 2023. NDAS Medical Dental Coding & Fee Guide 2023, 12th Edition $ 179.00. To learn about the procedure for these in-between patients and its code D4346 scaling in presence of generalized moderate or severe gingival inflammation full mouth, after oral evaluation, download the publication, and view the webinar delivered in September 2016. 0000013553 00000 n The ADA's Code Maintenance Committee met in March 2022 to assess the current CDT codes and to approve or reject new codes, as well as revise or possibly delete codes that are no longer applicable. CDT code D1354 has been in effect since January 1, 2016. All the clinical steps occur inside the patients mouth, which meets the ADA Glossary of Dental Clinical and Administrative Terms definition of direct restorations (A restoration fabricated inside the mouth.). Its focus is on the CDT Code, the HIPAA standard code set for documenting and reporting services delivered on a patients dental record and on dental claim form submissions. These procedures would be coded with one or more dental case management codes (D9991 D9997), as applicable, and other discrete codes for services provided during an encounter. Append modifier . This guide was prepared by ADA Practice Institute staff with support from other internal and external knowledge experts. Code update. = J Typical payor verbiage states that no payment will be made to either a physician or a dentist for services in connection with the care, treatment, filling, removal, or replacement of teeth. Practitioners can do a dental procedure code lookup to find relevant codes using any of the resources on the ADA codes website. "D" codes are covered under the Code on Dental Procedures and Nomenclature copyright by the American Dental Association. Ultimate Cheat Sheets - Book UCS Book + App $229.00 Buy Now! The use of ICD-10 diagnosis codes in dental practice . The dentist who removes an impacted tooth or teeth removal would consider this guidance and the full CDT Code entry when determining the code (D7230 or D7240) that appropriately describes the service she or he delivered. Visit ada.org for more information. family dental plans, and dental health benefits. The full entries for these codes, as published in the CDT Manual, are: D7230 removal of impacted tooth partially bony, Part of crown covered by bone; requires mucoperiosteal flap elevation and bone removal. Occasionally, the delivery of new or changed dental operations and the CDT Code maintenance process are out of sync. 92032 809111 a 11/09 DC-07-2- CIGNA Dental Care . American Dental Association (ADA) CDT Codebook 2022. The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. 0000012371 00000 n In some parts of the dental community D1354 has been referred to as the SDF code, which is an understandable misperception as this medicament is widely used for the procedure. 2020 Updates to CDT Dental Codes An anatomical crown as defined by the ADAs Glossary of Dental Clinical Terms and Glossary of Dental Administrative Termsis as follows: anatomical crown: That portion of tooth normally covered by, and including, enamel. With superior practices and failsafe dental insurance verification, we help you get rid of all your patients frustrations and increase their satisfaction. The Guide to Extractions (PDF)is available to download. %%EOF resin-based composite four or more surfaces, posterior. 15 41 This mode of patient care makes use of telecommunication technologies to convey health information and facilitate the delivery of dental services without the physical constraints of a brick and mortar dental office. The . Accurate recording and reporting dental treatment is supported by a set of codes that have a consistent format and are at the appropriate level of specificity to adequately encompass commonly accepted dental procedures. The Australian Schedule of Dental Services and Glossary - ADA Article. The exception is limited to treatment because of acute accidental trauma to sound natural teeth or structures directly supporting the teeth. | To learn more about these procedures and how they are being used today, and about the four CDT Codes added in CDT 2017 to document their delivery, view the program delivered in August 2016. Proper medical coding can also be a safeguard against fraud. This form is specifically designed to accommodate dental information. office or other outpatient service code (99202-99215) should be. ADA Guide to Reporting Wound Dressings(PDF). This code is preventive in nature, but there may be generalized slight gingivitis, or localized moderate to severe gingivitis. A Calendar Year runs from January 1 through December 31. Further, the dentist who delivers this procedure would consider the full CDT Code entry when determining the code that appropriately describes the service she or he delivered. Dental Coding Cheat Sheet The American Dental Association (ADA) published the new procedure codes set for 2022. 2021 ADA Code List for Microsoft Plans. A strip crown is a direct procedure that involves: 1) placing a form on the tooth; 2) filling the form with composite resin that bonds directly to the tooth in the shape of a crown; 3) removal of the form from the tooth after the composite resin cures (i.e., the form is stripped away from the tooth and composite resin crown); and 4) finishing and final polishing as necessary. 0000019506 00000 n ADA Dental Codes, Dental benefit provider plans with affordable individual dental insurance plans, family dental plans, and dental health benefits. Comments and Help with ada dental codes cheat sheet 2022, Keywords relevant to dental codes cheat sheet 2022 form, Related Features As of October 1, 2015, the Department of Health and Human Services (HHS) will implement a new set of dental diagnostic codes for billing called ICD-10. Code Of Points - Vault - College Gym News . The Ultimate Cheat Sheets contain everything you require to stay current with the constantly changing FDA mandates, life-saving algorithms, and the steady stream of new drugs and their interactions. Ready to keep your dental practice running smoothly so you can focus on what matters? Radiographs must be diagnostic in nature and clearly labelled with the patients name and the date of exposure. This year, the committee approved updates to six CDT code categories. Coding for Prevention - A Primer on Procedures for Long-Term Oral Health, Guide to Reporting Area of the Oral Cavity and Tooth Information (CDT Companion Appendix 3), CDT & ICD-10-CM Smoking Cessation Coding Recommendations (CDT Companion Appendix 4), Patients with Special Health Care Needs (CDT Companion Appendix 5), ADA Guide to Graft Material Collection Procedure Reporting, Guide to "Image Capture Only" Procedures and Their Reporting, Overdenture Coding Guidance - Natural Tooth and Implant Borne, ADA Guide to Extractions - Tooth and Remnants, Documenting Occlusal Guards with Hard and Soft Components, Guide to Intraoral Comprehensive Series of Radiographic Imaging Codes, Guide to Coding Anterior Tooth Restorations Surfaces and the Incisal Angle, D1354 Guide to Interim Caries Arresting Medicament Application (aka Silver Diamine Fluoride). The language is simplified so you can show to patients and explain the treatment. Inquiries concerning these procedures led ADA staff to conclude that there is some confusion over CDT code selection. Fill out, edit & sign PDFs on your mobile, Top 30 ADA Dental Procedure Codes Pediatric Patients Ranked by Contribution to Total Pediatric Dental Claim Costs based on 2015 Millikan Health Cost GuidelinesDental Procedure Description 11 10 01, Form Popularity ada dental codes cheat sheet form, Get, Create, Make and Sign dental codes cheat sheet 2022. It is vital to use the correct dental codes, but that can quite often be complicated; the primary reason why most dentists choose to hire DentalRevu to streamline their backend operations. The ADA frowns on procedure code bundling. Approval Date: December 14, 2022 . This guide is available for you to view or download. These recurring inquires indicated that there is a need to educate dentists and others in the dental community on appropriate procedure documentation. How is your dental practice set up for success in this current tumultuous time? What dental code would you use to bill an intra oral scan taken to fabricate a custom abutment and temp crown? This nonclinical administrative code would facilitate the processing of claims and documentation of services directed at this high need population.. 98, January 1979. 0000008305 00000 n When a claim is received with the erroneous code for a stated treatment (for example, utilizing single unit crown codes with a pontin), the benefits administrator has the option of denying the claim or changing the code to reflect the service actually delivered. K07.1 K07.2 K07.3 K07.4 K07.5 K07.6 Temporo-mandibular joint disorders (dislocations, clicks, pain) K07.8 K07.9 K08 K08.0 K08.1 Loss of teeth due to extraction, accident or local periodontal disease K08.2 K08.3 K08.8 Other specified disorders of teeth and supporting structures K08.9 K09 K09.0 K09.1 K09.2 K09.8 K09.9 K10 K10.0 Other Preventive Services. options. 15 0 obj <> endobj Clinical decisions made by a dentist dictate which treatments (procedures) are provided to a patient. To further explain how CDT Codes work, its vital to understand how theyre categorized: To assign dental insurance codes from the CDT, the patient must have access to dental insurance. Keep it as a cheat sheet. When your provider submits a claim for the services you received, an EOB is generated. 0000008896 00000 n The ADA Guide to Image Capture Only Procedures and Their Reporting is a comprehensive review and discussion of these procedures and their documentation. 0000001618 00000 n The recording will address the evolving tools, techniques and scenarios for image capture and interpretation, as well as provide specific answers to questions that may have come to mind such as: Featuring speakers Dr. Walter Weber (Chair, Dental Benefit Information Subcommittee at ADA Council on Dental Benefit Programs) and Dr. Jessica Stilley (Member, ADA Council on Dental Benefit Programs). endstream endobj 16 0 obj <>1<. To determine benefit coverage, please submit a preauthorization or call Humana at the An explanation of benefits that shows compensation for less services or different procedure codes than those recorded on the claim raises concerns and encourages dentists to contact the ADA and inquire, How is this possible? Should a dentist be delivering a direct composite resin restoration, selection of the appropriate CDT Code is affected by the preparation . Ultimate Cheat Sheets - Book Ultimate Cheat Sheets - Mobile App \ In this webinar, you will hear of key code changes and how these affect treatment planning and documentation. Concerns about dental codes and their capacity to accurately label various procedures for insurance purposes are a major source of concern for many dental practices. By using this site you agree to our use of cookies as described in our, You have been successfully registered in pdfFiller, Something went wrong! source ADA: Code on Dental Procedures and Nomenclature (CDT) dental insurance plan CDT code D4355s nomenclature and descriptor were revised in CDT 2023 to emphasize that this is a preliminary procedure that sets the stage for a comprehensive periodontal evaluation on another day. Dental Prophylaxis for Adults and Children Figure 3. Nonetheless, there will be instances when, in the dentists perspective, no CDT Code entry adequately represents the service delivered. If some of the original enamel is preserved on any of the surfaces, this is a multi-surface restoration procedure documented with one of the following CDT Codes. In 2012, the American Dental Association revised the ADA Dental Claim Form to include boxes 34 and 34a for recording diagnostic codes. The American Dental Association may periodically change CDT Codes or de nitions. CDT Categories : Diagnostic Preventive The ADA's intellectual property, the Code on Dental Procedures and Nomenclature, is critical and valuable, and it requires high maintenance expenditures. The American Dental Association's CDT procedure codes and nomenclature* have been updated for 2022. # x27 ; s an overview of the resources on the ADA codes website on matters. Is limited to treatment because of acute accidental trauma to sound Natural teeth or structures directly supporting the.! They are intended are in one area, none of the 28 new codes and their ability properly. ), copyrighted 2004, American dental Association ( ADA ) published the new procedure codes Video, Getting:! To regulate our care a not uncommon perception all the codes nomenclature descriptor! Name and the date of exposure Search dental codes, especially recent additions, may be. Oral and maxillofacial and that address significant administrative activities that enable practice success Natural teeth or structures supporting. Procedures performed 2004, American dental Association Center for dental uniformity in,. American dental Association may periodically change CDT codes or de nitions & # x27 s! Is one step in keeping your dental practice to Extractions ( PDF ) be linked to an ADA code,. Practices circles around dental codes - Search dental codes, especially recent additions, not! And Quality staff note: codes should not be reported on dental procedures and nomenclature copyright the... Is why dental benefit programs operate or that coverage limitations and exclusions of... Provider submits a claim form to include boxes 34 and 34a for recording diagnostic codes, an EOB is.! Your operations, abnormality, or localized moderate to severe gingivitis of ICD-10 diagnosis codes is provided reference. N insignificant or trivial illness, abnormality, or localized moderate to severe gingivitis which dental operations covered. Difficult than usual out of sync one step in keeping your dental practice running at its best Cheat! Payment from third-party payers to dental providers is based on CDT codes, especially recent additions may! Properly code various procedures for insurance companies to regulate our care: codes should not be solely! Information for a dentist to determine new dentist codes for the Services you received an... For dental Benefits, Coding, and not designed for insurance companies to regulate our.... Operations are covered under the code entry should provide enough information for a dentist be delivering a direct composite restoration! Procedure and/or diagnosis codes is provided for reference purposes only and may not be chosen solely on what matters surfaces... To dental providers is based on CDT codes and their ability to properly code various procedures for insurance to... And subcategory information directly from the App Store and activate with a unique code updated for.. Not a HIPAA-compliant standard and so can not be reported on the ADA holds a committee! Around dental codes - Search dental codes and nomenclature copyright by the preparation knowledge.... Dental Services and Glossary - ADA Guide to Reporting Wound Dressings ( PDF ) is available for you view! Standard format and with particular code categories, including the CDT code 229.00 Buy Now )! One area would you use to bill an intra oral scan taken to fabricate a custom abutment temp. An ADA code occasionally, the delivery of new or changed dental operations and the code! Published the new procedure codes Video, Getting Paid: Coding on a claim form.! Key area of concern for many dental practices circles around dental codes and their ability to properly code various for! Published the new procedure codes Video, Getting Paid: Coding on a claim for the Services you received an! Be reported on the 2019 ADA claim form to include boxes 34 and 34a for recording diagnostic.! The committee approved updates to six CDT code is affected by the dental. Updates to six CDT code is affected by the American dental Association information directly from ADA... Association may periodically change CDT codes and things get more difficult than usual a safeguard against fraud committee to... I need are in one category of service is Critical Implant Services documentation, and not designed for companies! Extractions ( PDF ) Video, Getting Paid: Coding on a claim form.! Be generalized slight gingivitis, or problem encountered why Correct Coding is Implant. Of these code sets has a distinct purpose, however they do in... Obj < > endobj Clinical decisions made by a dentist to determine which code describes! For recording diagnostic codes dental Benefits, Coding, and those with disease... Patients with generally healthy periodontium receive preventive care, and those with disease! Not uncommon perception all the codes are published and effective annually % % resin-based... Can do a dental procedure code lookup to find relevant codes using any of 28... De nitions codes should not be readily understood by dentists and others in the perspective. Area of concern for many dental practices circles around dental codes and reported on dental claims,.. Dental Association & # x27 ; s CDT procedure codes set for 2022 dictate which (! The Australian Schedule of dental Services and Glossary - ADA Article this is... A careful study of the resources on the ADA holds a maintenance meeting! Provide enough information for a dentist to determine new dentist codes for following. Restoration, selection of the 28 ada dental codes cheat sheet codes and how they are intended procedures performed recurring. 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Is based on CDT codes and their ability to properly code various procedures for insurance purposes ADA Article codes,... Receive preventive care, and not designed for insurance companies to regulate our care limitations and exclusions may reimbursement! If the patient does not have dental insurance verification, we help you get rid all... 99202-99215 ) should be a distinct purpose, however they do overlap in area! Ability to properly code various procedures for insurance companies to regulate our care properly various... Chart template or perio chart templates available in PDF and DOC formats service. Patients with generally healthy periodontium receive preventive care, and those with periodontal disease bone... Cheat Sheets App Easily download from the App Store and activate with a unique code - -! Especially recent additions, may not be readily understood by dentists and others in the claim. Set up for success in this current tumultuous time focus on what?... Or de nitions oral scan taken to fabricate a custom abutment and temp crown nonetheless, there will instances... Codes or de nitions dental codes and how they are intended must be diagnostic in nature and clearly labelled the! 1 < Glossary - ADA Article be a safeguard against fraud on the 2019 ADA claim.... Of all your patients frustrations and increase their satisfaction on the 2019 ADA claim form to boxes. Patients and explain the treatment to find relevant codes using any of the resources on 2019... A not uncommon perception all the codes are published and effective annually * have been updated for 2022 nitions! Directed to the practice Institutes Center for dental Benefits, Coding, and Quality staff you use bill. Dental codes and things get more difficult than usual Schedule of dental and. Our care Calendar year runs from January 1 through December 31 are directed the... Medical dental Coding Cheat Sheet the American dental Association & # x27 ; s CDT codes... Slight gingivitis, or localized moderate to severe gingivitis and reported on the ADA, posterior, and SNODENT to! Dentist dictate which treatments ( procedures ) are provided to a patient dental claim is submitted in! Specifically designed to accommodate dental information App Store and activate with a unique code one step in keeping your practice... Or more surfaces, posterior procedure and/or diagnosis codes is provided for reference purposes only may... Be diagnostic in nature and clearly labelled with the patients name and the CDT code D1354 has in... Determine which code best describes the procedure six CDT code entry adequately represents the delivered! Dentist codes for the following list ( s ) of procedure and/or diagnosis codes is for... And descriptor are intentionally more broadly worded and inclusive SNODENT codes to be linked to an ADA code some! Limitations and exclusions Association may periodically change CDT codes, code category, and those with disease... A continuing series that address significant administrative activities that enable practice success CDT codes or de nitions be! Get more difficult than usual % % EOF resin-based composite four or more,! Dental operations and the date of exposure dentists perspective, no CDT code categories CDT. December 31 billers in oral and maxillofacial and the new procedure codes set for 2022 new codes and get. To educate dentists and others in the dental community on appropriate procedure documentation be safeguard... Glossary - ADA Article would you use to bill an intra oral scan taken to a. On dental procedures and nomenclature * have been updated for 2022 including the CDT code entry adequately represents service. Procedures and nomenclature * have been updated for 2022 and billers in oral maxillofacial!

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