2024 Cpt trigger finger

Jersey Finger is a traumatic flexor tendon injury caused by an avulsion injury of the FDP from the insertion at the base of the distal phalanx. Diagnosis is made clinically with a finger that lies in slight extension at the DIP relative to other fingers in the resting position. Radiographs may show a bony avulsion if present.. Front royal dealerships

Trigger finger, also known as stenosing tenosynovitis, is a condition in which one or more of your fingers gets stuck in a bent position or straightens with a snap, like a trigger being pulled and released. Trigger finger affects the tendons in your fingers, which control movement. When straightening and bending your finger normally, the ...Apr 1, 2024 · No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Trigger point injection CPT codes include: 20552 CPT code: This code is used when one or two muscle groups are injected. 20553 CPT code: This code is used when three or more muscle groups are injected.The CPT codes for injections into trigger points (which are based on the number of muscles treated) include –. 20552 – Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) 20553 – Injection (s); single or multiple trigger point (s), 3 or more muscles. However, only a single code from 20552 or 20553 should be reported on ...No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately.Trigger finger is a common finger aliment, thought to be caused by inflammation and subsequent narrowing of the A1 pulley, which causes pain, clicking, catching, and loss of motion of the affected finger. Although it can occur in anyone, it is seen more frequently in the diabetic population and in women, typically in the fifth to sixth decade ...Mar 23, 2023 ... Trigger finger surgery can help rid you of pain and recover full mobility of your fingers. Here's what you should know about this simple and ...In cases of trigger finger, liquid corticosteroids are injected into the base of the affected finger or thumb. Corticosteroids are thought to work by reducing swelling, allowing the tendon to move freely again. This can sometimes happen within a few days of having the injection, but it usually takes a few weeks.This policy applies only to trigger point injections and does not apply to dry needling or acupuncture. Modifier 50- bilateral should not be reported with CPT codes 20552 or 20553. Utilization Parameters. No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code ...Oct 1, 2010 · DX: Ring finger trigger. Tenosynovitis. An oblique incision centered over the LT ring finger A1 pulley was made in the palm. I dissected down to the A1 pulley. I placed retractors to proctect the neurovascular bundles. I release the A1 pulley, which was significantly thickeded proximally to the palm and distally to the level of the A2 pulley. Find the CPT and ICD codes for trigger finger surgery and diagnosis, including the most common combo (727.03, 26055) and submenus (718.44, 719.24). Learn the coding index and the difference between CPT and ICD codes.originate from palmar plate. A1 pulley most commonly involved in trigger finger. Cruciate pulleys. function to prevent sheath collapse and expansion during digital motion. facilitates approximation of annular pulleys during flexion. 3 total at the level of the joints. Flexor Pulley System-Thumb. Oblique pulley (3-5mm)Apr 2, 2006 · But when the patient's symptoms don't improve, surgeons may choose to perform a trigger finger release. The problem: Some coders review trigger finger release documentation and overlook the appropriate code, 26055 ( Tendon sheath incision [e.g., for trigger finger]). Files related to Tendon sheath incision eg, for trigger finger) (26055) Find Window. X. Type in text to find: Tendon Sheath / Pulley procedure CPT Codes. Hand Surgery CPT Codes, sorted by number. Trigger Finger Codes. Dupuytrens Codes.Apr 24, 2024 · Trigger Finger Release with UltraGuideTFR and Real-Time Ultrasound Guidance. Using direct ultrasound visualization, identify the relevant anatomical structures of the finger and hand. After visually confirming the anatomy, UltraGuideTFR is inserted through a small incision at the distal palmar crease just proximal to the A1 pulley. Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Other symptoms may include pain and stiffness in the fingers and thumb. The condition is also known as stenosing tenosynovitis. The ring finger and thumb are most ... Can any one help me for cpt on Tenotomy, debridement of FDS and FDP tendons of finger, CPT 26455 VS 26160 vs 26116. I am inclinded to go with 26116. 26455 is for tenotomy which bundle in 26116 henc... [ Read More ]The diagnosis is usually 727.05 (Other tenosynovitis of hand and wrist) or 727.03 (Trigger finger [acquired]). Florida Subscriber Answer: The diagnoses you offered indicate that the orthopedist is probably injecting the tendon sheath or ligament, which would point to 20550* ( Injection; tendon sheath, ligament, ganglion cyst ).Morton’s neuroma ( 64455, 64632) performs in combination with CPT code 20550. It is appropriate to report 64455 and 64632 separately with the appropriate modifier. If Platelet-rich plasma injection ( 0232T) performs with 20550 CPT code, report 0232T separately with the appropriate modifier. If CPT code 20550 performs with radiologic guidance ...Trigger finger is a condition affecting tendons that flex the fingers and thumb, typically resulting in a sensation of locking or catching when you bend and straighten your digits. Other symptoms may include pain and stiffness in the fingers and thumb. The condition is also known as stenosing tenosynovitis. The ring finger and thumb are most ...Research on C-PTSD is ongoing, but what we do know suggests some key differences between symptoms of complex trauma and PTSD. C-PTSD overlaps with PTSD, but it also has some unique...TRIGGER THUMB. Introduction. Trigger thumb, or stenosing tenosynovitis, occurs when the flexor tendons cannot pass through the A-1 pulley smoothly. Whether the pulley thickens, the tenosynovium thickens and/or the tendons deform and develop a "nodule," the result is the same: loss of smooth active flexion and extension in the digit.Trigger finger, right index finger M65.322 ... Please refer to Article A59847 - Billing and Coding: Trigger Point Injections (TPI). 10/01/2023Trigger finger is one of the most common causes of hand pain in adults. The reported prevalence is roughly 2 percent in the general population, and is most common among women in the fifth or sixth decade of life [ 1 ]. It can occur in one or more fingers in each hand and can be bilateral. The prevalence of trigger finger is also higher among ...CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Medication. The drug used for the injection must be on the same claim as the trigger point administration.Medical Coding. Anesthesia . Wiki Bilateral trigger finger injections. Thread starter celcano; Start date Mar 17, 2016; Create Wiki C ... My physician did bilateral trigger finger injections on the rt and lt 3rd digit and rt and lt 4th digits. He bill 20550-50 X1 unit. 20550 has an MUE of 5, so I know I can bill more than the 1 unit. ...Trigger finger release CPT code 26055 can be reported for stenosing tenosynovitis by incising the tendon sheath at the finger’s base. Trigger finger issue comes to the …CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Surgical Procedures on the Hand and Fingers. Excision Procedures on the Hand and Fingers. 26160. 26145. 26160. 26170.Accidents are taking place in such large numbers because companies are saving costs at the expense of workers safety. “I’m lucky,” said Lokesh Kumar as he held up his left hand for... The 2024 edition of ICD-10-CM M65.30 became effective on October 1, 2023. This is the American ICD-10-CM version of M65.30 - other international versions of ICD-10 M65.30 may differ. Convert M65.30 to ICD-9-CM. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately.First, let’s consider our CPT® code. 20552 Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) Because this code specifies a number of muscles injected, not a particular amount of medication or number of injections, you’ll report 20552 because only two muscles (trapezius and levator scapulae) were injected.Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection? Answer: CPT code 20550 defines an injection to a single tendon sheath, or …Trigger finger, right little finger M65.352 Trigger finger, left little finger M65.4 Radial styloid tenosynovitis [de Quervain] ... Billing and Coding: Trigger Point Injections (TPI). 10/01/2023 R13 Based on the annual ICD-10 code update, ICD-10 code D48.1 has been deleted from Group 2. 03/19/2023 R12 The article has been revised to …Individual Current Procedural Terminology codes are available online for free through the CPT Code/Relative Value Search, according to the American Medical Association. It is possi...CPT 20550 is used to describe the injection of a single tendon sheath, ligament, or aponeurosis. This procedure involves the administration of corticosteroid, anesthetic, or anti-inflammatory drugs into the aponeurosis of the tendon sheath and/or ligament. It is commonly used to reduce the formation of aponeurosis and provide therapeutic relief ...You'll need to use the correct modifier for each finger. 20551-F7 (right hand, middle finger) 20551-F3 (left hand, ring finger)Trigger Finger Release Technique. Prep and drape in standard sterile fashion. Local anesthetic injected into skin and flexor sheath. Longitudinal incision over A1 pully between the distal transverse palmar crease and the base of the finger flexion crease. Blunt dissection under loop magnification down to A1 pulley.In this case, you may report code 26055 (Tendon sheath incision [e.g., for trigger finger]) for the trigger finger release. So, you report both the mass excision and the trigger finger release. You should append modifier 59 (Distinct procedural service…) to indicate that the procedures were done at different locations via separate incisions.Left Finger/Toe FA/TA Left, thumb/great toe F1/T1 Left, second digit F2/T2 Left, third digit F3/T3 Left, fourth digit F4/T4 Left, fifth digit Right Finger/Toe F5/T5 Right, thumb/great toe F6/T6 Right, second digit F7/T7 Right, third digit F8/T8 Right, fourth digit F9/T9 Right, fifth digit So it's your middle finger. F7= third digit on right handIn the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced...6. Best answers. 0. Feb 8, 2011. #4. 20550 says "injection (s) of a single tendon sheath...) the coding tips in the coding companion state that if more than one tendon is injected in the same incounter, each injection should be reported separately. You can bill 20550 more than once during the same encounter.Stenosing tendovaginitis, or trigger finger, is a common. clinical condition characterized by a painful “locking” or “clicking”. of the digit. It can occur in any digit, but most commonly occurs in. the thumb …Part of the challenge of coding finger procedures is the staggering number of codes in the Hand and Fingers section (26000 series) of CPT 2002. The codes cover fasciotomies, tenotomies, synovectomies, repair or lengthening of tendons, fracture reduction, arthrodesis and amputation. ... (26055) to repair a trigger finger on the left …No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.Jun 16, 2017 · The surgical procedure "Trigger Finger Release," called Tendon Sheath Incision (26055) in CPT, cuts the tendon sheath at the A1 Pulley to open it up so the tendon will slide without getting hung up anymore. When the affected tendon is examined, it will usually be found to be swollen. Joint Manipulation under Anesthesia CPT Codes. Manipulation; elbow; under anesthesia (24300) Manipulation, wrist, under anesthesia (25259) Manipulation finger joint under anesthesia, each joint (26340) American Society for Surgery of the Hand assh.org The Best Resource For Your Hands,INTRODUCTION. Corticosteroid injections are the definitive treatment for the majority of newly diagnosed trigger fingers. 1–12 The response to initial corticosteroid injections is well-studied with the percentage of symptom-free patients gradually declining over the first year after injection before plateauing at 45% treatment success by five years. 13,14 Factors impacting the outcome after ...Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document an...Here is a step-by-step description of percutaneous release for trigger finger: The surgeon administers a local anesthetic, typically lidocaine. The physician uses ultrasound imaging to carefully guide the needle to the affected tendon sheath and avoid damage to the tendon or nearby nerves. Most physicians will use a 16- or 18-gauge needle ...Medical Coding. Anesthesia . Wiki Bilateral trigger finger injections. Thread starter celcano; Start date Mar 17, 2016; Create Wiki C ... My physician did bilateral trigger finger injections on the rt and lt 3rd digit and rt and lt 4th digits. He bill 20550-50 X1 unit. 20550 has an MUE of 5, so I know I can bill more than the 1 unit. ...Trigger finger, right index finger M65.322 ... Please refer to Article A59847 - Billing and Coding: Trigger Point Injections (TPI). 10/01/2023TRIGGER THUMB. Introduction. Trigger thumb, or stenosing tenosynovitis, occurs when the flexor tendons cannot pass through the A-1 pulley smoothly. Whether the pulley thickens, the tenosynovium thickens and/or the tendons deform and develop a "nodule," the result is the same: loss of smooth active flexion and extension in the digit.Mar 23, 2023 ... Trigger finger surgery can help rid you of pain and recover full mobility of your fingers. Here's what you should know about this simple and ...Trigger finger, left ring finger. M65.342 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM M65.342 became effective on October 1, 2023. This is the American ICD-10-CM version of M65.342 - other international versions of ICD-10 M65.342 may differ.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.Summary. The provider excises, or removes, a flexor or extensor tendon of the finger. The provider commonly performs this procedure to repair the finger’s ability to bend and straighten. Use this code once for each tendon the provider excises. For clinical responsibility, terminology, tips and additional info.In the complex world of medical billing and coding, accurate documentation is crucial for maximizing revenue and ensuring efficiency. One tool that can greatly aid in this process ...There are two CPT ® codes for Trigger point injections: 20552-Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) 20553-Injection (s); single or multiple trigger point (s), 3 or more muscles. Local anesthesia is included in these services. However, imaging guidance can be billed in addition to the injection if necessary ...INTRODUCTION. Corticosteroid injections are the definitive treatment for the majority of newly diagnosed trigger fingers. 1–12 The response to initial corticosteroid injections is well-studied with the percentage of symptom-free patients gradually declining over the first year after injection before plateauing at 45% treatment success by five years. 13,14 Factors impacting the outcome after ...Trigger finger, right index finger M65.322 ... Please refer to Article A59847 - Billing and Coding: Trigger Point Injections (TPI). 10/01/2023Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately.Date Issued: 12/14/2016. Effective March 1, 2017, Any combination of trigger point injections, CPT codes 20552 (Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s)) and 20553 (Injection (s); single or multiple trigger point (s), 3 or more muscles), when billed >3 times in a 90-day period, for the same anatomic site, without ...Go back and check the notes to see which finger the patient injured. Then, choose the most appropriate diagnosis from the following ICD-10 codes: M65.312 (Trigger thumb, left thumb) M65.322 (Trigger finger, left index finger) M65.332 (Trigger finger, left middle finger) M65.342 (Trigger finger, left ring finger) M65.352 (Trigger finger, left ...How to Identify Stress Triggers - Learning how to identify stress triggers, or stressors, is the first step in reducing your stress level. Learn how to target stress inducers in yo...Trigger finger, also known as stenosing tenosynovitis, is a condition in which one or more of your fingers gets stuck in a bent position or straightens with a snap, like a trigger being pulled and released. Trigger finger affects the tendons in your fingers, which control movement. When straightening and bending your finger normally, the ...Overall, an estimated 12% of Americans experience migraines, which are a severe type of headache that usually come with light sensitivity and nausea. Migraine triggers vary from on...Jun 16, 2011 · We billed Medicare the following: 99212 (25), 20600 (F3) and J1030- patient DX: trigger finger,swelling of limb & pain in finger. Medicare is denying both 99212 (25) & 20600 (F3) as inclusive and only paid on drug J1030? SHOULD the admin. CPT be corrected to 20552 for trigger point injection rather than injection of small joint/finger.toe 20600? CPT CODE 20552, 20553 TRIGGER POINT INJECTIONS. Medicare guideline. CPT Codes and Description . 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)Individual Current Procedural Terminology codes are available online for free through the CPT Code/Relative Value Search, according to the American Medical Association. It is possi...Trigger finger (727.03) Joint Mobility / Scar. CPT Codes Fasciotomy, palmar, for Dupuytrens contracture; closed (subcutaneous) (26040) Fasciotomy, palmar, for Dupuytrens contracture; open, partial (26045) Fasciectomy, palmar only, with or without z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); (26121)In this case, you may report code 26055 (Tendon sheath incision [e.g., for trigger finger]) for the trigger finger release. So, you report both the mass excision and the trigger finger release. You should append modifier 59 (Distinct procedural service…) to indicate that the procedures were done at different locations via separate incisions.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately.Coding- Trigger Finger. Injection- 20550- Injection(s); single tendon sheath, or ligament, aponeurosis. Trigger Finger Release- 26055- tendon sheath incision (eg, for trigger finger) M65.3X- Trigger Finger. M65.331-Trigger Finger, right middle finger.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.TRIGGER FINGER. Trigger finger, or stenosing tenosynovitis, occurs when the flexor tendons cannot pass through the A-1 pulley smoothly. Whether the pulley thickens, the tenosynovium thickens and/or the tendons deform and develop a "nodule," the result is the same: loss of smooth active flexion and extension in the digit.Triggers can transport you back in time to a traumatic event — but there are ways to manage them. When you encounter a trigger after trauma, a strong emotional and behavioral react...Part of the challenge of coding finger procedures is the staggering number of codes in the Hand and Fingers section (26000 series) of CPT 2002. The codes cover fasciotomies, tenotomies, synovectomies, repair or lengthening of tendons, fracture reduction, arthrodesis and amputation. ... (26055) to repair a trigger finger on the left …CPT ® 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Medication. The drug used for the injection must be on the same claim as the trigger point administration.Abstract. Trigger finger is a common finger aliment, thought to be caused by inflammation and subsequent narrowing of the A1 pulley, which causes pain, clicking, catching, and loss of motion of the affected finger. Although it can occur in anyone, it is seen more frequently in the diabetic population and in women, typically in the fifth to ...

Stenosing tenosynovitis (aka “trigger finger”) is a common condition in adults, with “trigger thumb” commonly occurring in children. These conditions are due to impairment of the normal sliding of the digit’s flexor tendon thru the A-1 pulley (resulting from flexor tendon inflammation). This condition can be managed nonsurgically .... Longhorn steer horns for sale

Oct 7, 2016 · Wiki - Percutaneous trigger finger release | Medical Billing and Coding Forum - AAPC. If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by ... Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection? Answer: CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”). CPT code 20551 defines an injection to single tendon at the origin/insertion site. Trigger Finger Release Technique. Prep and drape in standard sterile fashion. Local anesthetic injected into skin and flexor sheath. Longitudinal incision over A1 pully between the distal transverse palmar crease and the base of the finger flexion crease. Blunt dissection under loop magnification down to A1 pulley. Trigger finger, right little finger M65.352 Trigger finger, left little finger M65.4 Radial styloid tenosynovitis [de Quervain] ... Billing and Coding: Trigger Point Injections (TPI). 10/01/2023 R13 Based on the annual ICD-10 code update, ICD-10 code D48.1 has been deleted from Group 2. 03/19/2023 R12 The article has been revised to …Oct 3, 2018 · This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33912, Injection of Trigger Points. Please refer to the LCD for reasonable and necessary requirements. Coding Guidelines. The benefits of operative treatment of trigger finger and trigger thumb were outlined in three studies of surgical pulley release. Between 1994 and 2004, Li et al treated seven children (nine thumbs; three right, two left, two bilateral) for trigger thumb with hyperextensible MCP anomaly (>60°) by surgical release of the first anular pulley ...May 27, 2010 · Answer: Yes, you can report codes such as 26055 ( Tendon sheath incision [e.g., for trigger finger]) multiple times during the same procedure when appropriate. List each finger on separate lines on your claim and include the "F" modifier (such as F1, Left hand, second digit) to indicate the finger treated. Note: If the surgeon made two separate ... Modifiers FA, F1-F9. Append appropriate modifier to HCPCS E1825 (Dynamic adjustable finger extension/flexion device, includes soft interface material). Failure to append appropriate modifier to claim lines with HCPCS E1825, E1830 or E1831 will result in a rejection for incorrect coding.Percutaneous release of the trigger finger and trigger thumb has recently gained popularity. The aim of this study was to determine the clinical results and safety of percutaneous release in trigger thumbs. Twenty-five thumbs of 21 patients were relased percutaneously in the polyclinic under local anaesthesia.This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33912, Injection of Trigger Points. Please refer to the LCD for reasonable and necessary requirements. Coding Guidelines.This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35010, Trigger Point Injections. Please refer to the LCD for reasonable and necessary requirements. Coding Guidance. Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if ...Trigger Finger (trigger thumb when involving the thumb) is the inhibition of smooth tendon gliding due to mechanical impingement at the level of the A1 pulley that causes progressive pain, clicking, catching, and locking of the digit. Diagnosis is made by physical examination with presence of active triggering and tenderness at the A1 pulley.Trigger finger, right little finger M65.352 Trigger finger, left little finger M65.4 Radial styloid tenosynovitis [de Quervain] ... Billing and Coding: Trigger Point Injections (TPI). 10/01/2023 R13 Based on the annual ICD-10 code update, ICD-10 code D48.1 has been deleted from Group 2. 03/19/2023 R12 The article has been revised to ….

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