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Non primary hypothyroidism icd 9: Hypothyroidism

Jul Issue.

Lucas Cox
Monday, September 24, 2018
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  • Anemia is often present, usually normocytic-normochromic and of unknown etiology, but it may be hypochromic because of menorrhagia and sometimes macrocytic because of associated pernicious anemia or decreased absorption of folate. Various thyroid hormone preparations are available for replacement therapy, including synthetic preparations of T4 L-thyroxine [ levothyroxine ]T3 liothyroninecombinations of the 2 synthetic hormones, and desiccated animal thyroid extract.

  • Preventive Services Task Force. Toggle navigation ICD.

  • Most hypothyroidism is primary in nature. American Thyroid Association.

  • In contrast with a previous MSMR report documenting increases in thyroid disorder diagnoses among active component service members between andthe results of the current analysis indicate that the incidence of thyroid disorders remained stable or decreased between and

Other hypothyroidism

In primary hypothyroidism, there is no feedback inhibition of the intact pituitary, and serum TSH is always elevated, whereas serum free T4 is low. Acute and Subacute, and Riedel's Thyroiditis. See also Overview of Thyroid Function. Retrieved 25 December

During pregnancy can result in cretinism in the baby [5]. ICDCM Was This Page Helpful? Australian Family Physician. Mayo Clinic Proceedings Primaryy. Contrast exposure case exclusion cannot be a case if all abnormal lab or medication references occur within 6 weeks of a contrast study Multiple methods could be used for this. Screening for hypothyroidism is warranted in select populations eg, older adultsin which it is relatively more prevalent, especially because its manifestations can be subtle.

  • Constipationdyspepsia [17]. Also, the heart is small, and serous pericardial effusions do not occur.

  • Common variable immunodeficiency ICF syndrome.

  • Retrieved 13 December Symptoms can differ significantly in older patients.

  • Jul Issue.

  • Anabolism Orotic aciduria Miller syndrome.

OK Cancel. Solute carrier family : Cystinuria Hartnup disease Iminoglycinuria Lysinuric protein intolerance Fanconi syndrome : Oculocerebrorenal syndrome Cystinosis. Globotriaosylceramide : Fabry's disease. Therefore, you must code only the symptoms. Am J Pathol.

Hypothyroidism may occur in patients taking lithiumperhaps because lithium inhibits hormone release by the thyroid. Office on Women's Health, U. Primary hypothyroidism. In older patients, L-thyroxine therapy is begun with low doses, usually 25 mcg once a day.

Hypothyroidism, unspecified

In older patients, L-thyroxine therapy is begun with low doses, usually 25 mcg once a day. Can't find a code? A fifth-digit subclassification is needed to identify presence or absence of thyrotoxic crisis or storm.

The thyroid gland, which is located at the base of the neck, releases hormones that regulate all aspects of metabolism. Blood free thyroxine hypotyhroidism TSH levels are monitored to help determine whether the dose is adequate. Thyroid therapy H Myxedema coma or severe decompensated hypothyroidism usually requires admission to the intensive careclose observation and treatment of abnormalities in breathing, temperature control, blood pressure, and sodium levels. The thyroid gland is the only source of thyroid hormone in the body; the process requires iodine and the amino acid tyrosine. Privacy Policy Terms and Conditions.

Office on Women's Health, U. British Thyroid Association. Even mild or subclinical hypothyroidism leads to possible infertility and an increased risk of miscarriage. Salt iodization [7]. In response, TSH is released, which causes the thyroid to enlarge and trap iodine avidly; thus, goiter results. The thyroid gland, which is located at the base of the neck, releases hormones that regulate all aspects of metabolism. Rapid diagnosis based on clinical judgment, history, and physical examination is imperative, because death is likely without rapid treatment.

ICD-9 vs. CPT

In severely iodine-deficient regions worldwide, congenital hypothyroidism previously termed endemic cretinism is a major cause of intellectual disability. The nodules may be solid or fluid filled and benign or malignant. Careful correction of low sodium levels may be achieved with hypertonic saline solutions or vasopressin receptor antagonists. Thyroid hormone is required for the normal functioning of numerous tissues in the body.

ICD - 10 : E Precipitating factors include illness, infection, trauma, drugs that suppress the central nervous system, and exposure to cold. Other problems include the following: difficulty with large scale and fine motor skills and coordinationreduced muscle tone, squintingdecreased attention spanand delayed speaking. Iodine in the bloodstream is taken up by the gland and incorporated into thyroglobulin molecules.

To differentiate between these coding systems, think of it this way: CPT codes describe what you do, and ICD-9 codes describe why you do it. Higher non primary hypothyroidism icd 9 observed among senior enlisted personnel and officers are likely highly correlated with and confounded by age. Want to use this article elsewhere? To code a diagnosis of this type, you must use one of the four child codes of E01 that describes the diagnosis 'iodine-deficiency related thyroid disorders and allied cond' in more detail. As such, a service member could count as a case for multiple different thyroid disorder types during the surveillance period. In the United States, the most common cause of hypothyroidism is hashimoto's thyroiditis, an autoimmune disorder A condition in which the production of thyroid hormone by the thyroid gland is diminished. Hypothyroidism can also be caused by surgical removal of the thyroid or damage from radiation treatment.

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Perchlorate Potassium perchlorate Pertechnetate Sodium pertechnetate. T4 given IV. Mayo Clinic Proceedings Review.

A fourth-digit subcategory is required to specify the type of goiter as follows:. Previous article. As such, the incidence of thyroid disorders among service members may depend in part on the incidence of these other conditions. Globotriaosylceramide : Fabry's disease. And here's a related tip: Don't code a diagnosis that doesn't affect your care of the patient.

In pregnancy, subclinical hypothyroidism is defined as a TSH between 2. Thyroid Nodules Thyroid nodules are abnormal growths or hypothyroidusm in the thyroid gland. After hypothyroidism was found to cause a lower basal metabolic ratethis was used as a marker to guide adjustments in therapy in the early 20th century around Archived from the original on People with myxedema coma typically have a low body temperature without shivering, confusiona slow heart rate and reduced breathing effort. Congenital hypothyroidism [31]. The incidence of permanent hypothyroidism after radiation therapy is high, and thyroid function through measurement of serum TSH should be evaluated at 6- to month intervals.

  • American Thyroid Association. Drug Name Select Trade propylthiouracil.

  • Among male service members, the prevalence of goiter increased steadily throughout the year surveillance period.

  • Signs and symptoms of hypothyroidism include low metabolic rate, tendency to weight gain, somnolence and sometimes myxedema. National Institute for Health and Care Excellence.

  • Immunoproliferative immunoglobulin disorders.

The ICD code E01 is used to code Goitre A goitre from the Latin gutteria, hypothyroudism is a swelling of the neck or larynx resulting from enlargement of the thyroid gland thyromegalyassociated with a thyroid gland that is not functioning properly. Screening for thyroid dysfunction: U. Thyroid Disorders, Active Component, U. Medical encounters from the Theater Medical Data Store TMDS were also included and were treated as outpatient encounters for the purpose of identifying incident cases. Thyroid disorders among active component military members, U. Always look in the index first and then turn to the numeric listing for a complete description of the condition.

Cancel Send Feedback. ICD-9 vs. You suspect reflux esophagitis and order an upper GI series. Consequently, the visit and the tests could also be correctly coded as

Hypothyroidism Definition

Adenylosuccinate lyase deficiency Adenosine Monophosphate Deaminase Deficiency type 1. Should I code suspected diagnoses? Screening for thyroid hypothhroidism U. In contrast to previous findings, the current report indicates that the incidence of the five different thyroid disorders remained stable or decreased between and If you have an suggestion for how ICD.

Symptoms of hypothyroidism include fatigue, icd, weight gain, dry skin, constipation, and muscle and joint pain. ICD Code E01 is a non-billable code. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. In its most severe form, there is accumulation of mucopolysaccharides in the skin and edema, known as myxedema Deficiency of thyroid gland activity; characterized by decreased basal metabolic rate, fatigue and lethargy, sensitivity to cold, and menstrual disturbances; untreated it progresses to myxedema; in infants severe hypothyroidism leads to cretinism Too little thyroid hormone. Because of this, the findings reflect the rates of thyroid functional abnormalities that were clinically detected and exclude subclinical dysfunction since not all service members are tested for thyroid disorders.

The dose used should be the lowest that restores serum TSH levels to the midnormal range though this criterion cannot be used in patients with secondary hypothyoidism. Acute and Subacute, and Riedel's Thyroiditis. The thyroid gland, which is located at the base of the neck, releases hormones that regulate all aspects of metabolism. It is diagnosed by clinical features such as a typical facial appearance, hoarse slow speech, and dry skin and by low levels of thyroid hormones. Hypothyroidism occurs at any age but is particularly common among older adults, where it may present subtly and be difficult to recognize. Key Points.

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Endocrine Reviews. Hyperthyroxinemia Thyroid hormone resistance Familial dysalbuminemic hyperthyroxinemia Hashitoxicosis Thyrotoxicosis factitia Thyroid storm. Another method would be to identify radiology tests that could have contrast such as CT scans and exclude these.

Disorders of the thyroid can be broadly classified into two groups: jypothyroidism, in which the thyroid produces too much hormone, or hypothyroidism, in icd the thyroid does not produce enough hormone. Although the coding system may seem confusing at first, it becomes an important management tool — once you get used to it. ICD-9 coding challenges Evaluate your coding skills by choosing the correct ICD-9 code s for the following two patient visits. We are looking for ways to improve. You suspect reflux esophagitis and order an upper GI series. Overall incidence rates of thyroid disorders among females ranged from 4.

Women are more likely to develop hypothyroidism than men. The categories are as follows:. In severely iodine-deficient regions worldwide, congenital hypothyroidism previously termed endemic cretinism is a major cause of intellectual disability. It is diagnosed by clinical features such as a typical facial appearance, hoarse slow speech, and dry skin and by low levels of thyroid hormones.

In the United States, the most common cause of hypothyroidism is hashimoto's thyroiditis, an autoimmune disorder A condition in which the production of thyroid hormone by the thyroid gland is diminished. Central hypothyroidism should be icd further to determine the underlying cause. Pregnancy leads to marked changes in thyroid hormone physiology. In older patients, L-thyroxine therapy is begun with low doses, usually 25 mcg once a day. Videos Figures Images Quizzes Symptoms. They should be treated with L-thyroxine, even if they are asymptomatic. A diagnosis of hypothyroidism without any lumps or masses felt within the thyroid gland does not require thyroid imaging; however, if the thyroid feels abnormal, diagnostic imaging is then recommended.

Other specified hypothyroidism

Although typically easy to hypothyridism in younger adults, hypothyroidism may be subtle and manifest atypically icd older adults. Inthe English physician George Redmayne Murray introduced hypothyroicism injected sheep thyroid extract, [70] followed shortly after by an oral formulation. Dermatologic manifestations: Facial puffiness; myxedema; sparse, coarse and dry hair; coarse, dry, scaly and thick skin; carotenemia, particularly notable on the palms and soles caused by deposition of carotene in the lipid-rich epidermal layers ; macroglossia due to deposition of proteinaceous ground substance in the tongue. In older children and adolescents, the symptoms of hypothyroidism may include fatigue, cold intolerance, sleepiness, muscle weakness, constipation, a delay in growth, overweight for height, pallor, coarse and thick skin, increased body hairirregular menstrual cycles in girls, and delayed puberty. In primary hypothyroidism, there is no feedback inhibition of the intact pituitary, and serum TSH is always elevated, whereas serum free T4 is low.

Symptoms include weight gain, constipation, dry skin, and sensitivity to the cold Too little thyroid hormone. Addition of liothyronine should be regarded as icd, initially only for a trial period of 3 months, and in a set ratio to the current dose of levothyroxine. In older children and adolescents, the symptoms of hypothyroidism may include fatigue, cold intolerance, sleepiness, muscle weakness, constipation, a delay in growth, overweight for height, pallor, coarse and thick skin, increased body hairirregular menstrual cycles in girls, and delayed puberty. Commonly Searched Drugs.

You suspect reflux esophagitis and order an upper GI series. Codes could be better, submit your idea! We value your feedback! Almost every medical condition, service and supply can be identified by a numeric code, primarily because Medicare and other third-party payers require numeric coding on claim forms. ICD Code or Description. We are looking for ways to improve. Benign nodules are the most common and may cause no symptoms.

Armed Forces, January —September Article. Anabolism Orotic aciduria Miller syndrome. Category identifies simple and unspecified goiter with the fourth-digit subcategory as follows:. A fifth-digit subclassification is needed to identify presence or absence of thyrotoxic crisis or storm.

Other hypothyroidism

New York: McGraw-Hill. Archived from the original on 5 March Department of Health and Human Services. Chapter H. Salt iodization has prevented hypothyroidism in many populations.

A thyroid storm is a sudden, extreme overactivity of the thyroid gland. Sign Up Now. In non primary hypothyroidism icd 9 most severe form, there is accumulation of mucopolysaccharides in the skin and edema, known as myxedema Deficiency of thyroid gland activity; characterized by decreased basal metabolic rate, fatigue and lethargy, sensitivity to cold, and menstrual disturbances; untreated it progresses to myxedema; in infants severe hypothyroidism leads to cretinism Too little thyroid hormone. Since bacteriuria was present on examination, a definitive diagnosis cystitis was actually made at the time of the patient visit. One incident case diagnosis per individual per thyroid disorder type was counted.

Elsevier Health Sciences. Chapter H. Many women have normal thyroid function but have immunological icv of thyroid autoimmunity as evidenced by autoantibodies or are iodine deficient, and develop evidence of hypothyroidism before or after giving birth. T4 given IV. Although secondary hypothyroidism is uncommon, its causes often affect other endocrine organs controlled by the hypothalamic-pituitary axis.

Hypothyroidism, unspecified

Thyroid disorders among active component military members, U. In addition, higher rates observed among Army and Primry Force service members may be related to differences in the demographic distributions of the services. The nodules may be solid or fluid filled and benign or malignant. Toggle navigation ICD. Who should do the coding?

Want non primary hypothyroidism icd 9 use this article elsewhere? Benign neoplasm of the thyroid gland is classified to code Pdimary for hyperthyroidism may include one or more of the following: radioactive iodine, antithyroid medications such as propylthiouracil and methimazole Tapazolebeta-blockers to reduce rapid heart rate and prevent palpitations, and surgery such as thyroidectomy. It can cause a number of symptoms, such as poor ability to tolerate cold, a feeling of tiredness, and weight gain. Symptoms include weight gain, constipation, dry skin, and sensitivity to the cold.

Department of Health and Human Services. Service members onn be more likely to be tested for thyroid disorders as a rule-out diagnosis if they are presenting with fatigue, mental health disorders, sleeping disorders, musculoskeletal problems, etc. Inborn error of carbohydrate metabolism : monosaccharide metabolism disorders Including glycogen storage diseases GSD. Armed Forces, January —September Article.

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ICD Code or Description. The fifth digit describes the location of the pain. Inborn errors of metabolism. Diffuse hyperplasia of the thyroid.

Ceramide : Farber disease. For example, a patient in the office for routine diabetes monitoring also complains of chest pain suggesting angina pectoris. Sulfatide : Metachromatic leukodystrophy Multiple sulfatase deficiency Galactocerebroside : Krabbe disease. For example, consider the following codes in the diabetes mellitus category:.

Various thyroid hormone preparations are available for replacement therapy, including synthetic preparations of T4 L-thyroxine [ levothyroxine ]T3 liothyroninecombinations of the 2 synthetic hormones, and desiccated animal thyroid extract. For patients with TSH levels between 4. Hypothyroidism during overtreatment hypothyrroidism propylthiouracilmethimazoleand iodide abates after therapy is stopped. After hypothyroidism was found to cause a lower basal metabolic ratethis was used as a marker to guide adjustments in therapy in the early 20th century around Hypothyroidism is thyroid hormone deficiency. Similar patterns of serum T3 changes occur when mixtures of T3 and T4 are taken orally, although peak T3 is lower because less T3 is given. Will likely require a standard dosage following them to distinguish from lab tests when using NLP to identify.

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Perchlorate Potassium perchlorate Pertechnetate Sodium pertechnetate. Archived from the original PDF on 3 December Additionally, patients receiving liothyronine are chemically hyperthyroid for at least several hours a day, potentially increasing cardiac risks.

Since bacteriuria was present on examination, a definitive diagnosis cystitis was actually made at the time of the hypothyroifism visit. The proper code would be Thyroid disorders among active component military members, U. Let us know in a single click. Assign the applicable code for the sign or symptom that is the reason for the patient visit.

Remember: Code only what you know. However, a recent MSMR report documented that the incidence of mental health disorders among active component service members declined or remained stable between andprimwry could suggest that there was decreased use of thyroid function testing to rule out thyroid dysfunction as a cause of or exacerbating factor for mental health disorders. No matter who actually does the coding in your practice, the physicians are legally responsible for the codes selected and submitted to payers. Accessed on 29 September Assuming that this patient has Graves' disease, what ICD-9 code s would you submit for this visit? Zinc toxicity. Individuals who met the case definition for a specific thyroid disorder prior to the surveillance period i.

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Many patients with primary hypothyroidism have normal circulating levels of triiodothyronine T3probably caused by sustained TSH stimulation of the failing thyroid, resulting in preferential synthesis and secretion of biologically active T3. Silent Lymphocytic Thyroiditis. It is characterized by infiltration of the thyroid gland with T lymphocytes and autoantibodies against specific thyroid antigens such as thyroid peroxidasethyroglobulin and the TSH receptor. Study phs

In severely iodine-deficient regions worldwide, congenital hypothyroidism previously termed endemic cretinism is a major cause of intellectual disability. The signs and non primary hypothyroidism icd 9 are the same as hyperthyroidism with three additional characteristic symptoms: goiter, bulging eyes exophthalmosand raised areas of skin over the shins. Symptoms include weight gain, constipation, dry skin, and sensitivity to the cold. In some countries, iodized salt is added to bread. Secondary hypothyroidism. Thyroid Disorders in Pregnancy. Retrieved 5 March

Rosai—Dorfman disease. Mental health disorders and mental health problems, active component, U. For primar sexes, rates of thyrotoxicosis, thyroiditis, and other disorders of the thyroid increased approximately linearly with increasing age, with the greatest difference in incidence between those aged years and those aged 40 or more. If hypothyroidism goes untreated, it may lead to an enlarged thyroid goiter. Excludes 1 means "do not code here. Rabbit Controversy.

Inborn error of purine—pyrimidine metabolism. A fifth-digit subclassification is needed to identify presence or absence of thyrotoxic crisis or storm. The prevalence of hyperthyroidism in the U. Pearce, EN. Instead, it is classified to code E Do you have a comment or correction concerning this page? The primary reason for the visit is the dysuria and frequency.

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Which of the following is the primary site in the body where this hormone is stored and released? Rare inherited enzymatic defects can alter the synthesis of thyroid hormone and cause goitrous hypothyroidism. Early attempts at titrating therapy for hypothyroidism proved difficult. Geriatrics Essentials.

  • Archived PDF from the original on 6 March Retrieved 9 March

  • The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U.

  • Secondary hypothyroidism is characterized by skin and hair that are dry but not very coarse, skin depigmentation, only minimal macroglossia, atrophic breasts, and low blood pressure. The categories are as follows:.

Pfimary nodules may be solid or fluid filled and benign or malignant. Cancel Send Feedback. Never code solely from the index. ICDCM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. Working as a team, physicians and staff can ensure that coding is done properly.

Hypothyroldism older patients with hypothyroidism present with nonspecific geriatric syndromes—confusion, anorexia, weight loss, falling, incontinence, and decreased mobility. In patients with secondary hypothyroidism, L-thyroxine should not be given until there is evidence of adequate cortisol secretion or cortisol therapy is givenbecause L-thyroxine could precipitate adrenal crisis. Archived PDF from the original on 6 March Primary hypothyroidism. Thyroid therapy H

Hidden categories: CS1: long volume value Articles with short hypothytoidism Icd description is different from Wikidata Good articles Articles with Curlie links Wikipedia medicine articles ready to translate full Wikipedia neurology articles ready to translate. Myxedema coma is a life-threatening complication of hypothyroidism, usually occurring in patients with a long history of hypothyroidism. Privacy Policy Terms and Conditions. Primary: Caused by disease in the thyroid. Retrieved 20 July

Primary hypothyroidism is most common; it is due to disease in the thyroid, and thyroid-stimulating hormone TSH levels are high. Hypothyroidism during overtreatment with propylthiouracilmethimazoleand iodide abates after therapy is stopped. A guideline from the European Thyroid Association recommends that support should be offered with regards to the chronic nature of the disease and that other causes of the symptoms should be excluded. Indian Journal of Endocrinology and Metabolism.

A thyroid storm is a sudden, extreme overactivity of the thyroid gland. Ceramide : Farber disease. Infantile Jansky—Bielschowsky disease Batten disease. One incident case diagnosis per individual per thyroid disorder type was counted. Heme metabolism disorders.

Finding ICD-9 codes

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Most patients with non-Hashimoto goiters are euthyroid or have hyperthyroidism, primafy goitrous hypothyroidism may occur in endemic goiter due to iodine deficiency. The 2nd most common cause is post-therapeutic hypothyroidism, especially after radioactive iodine therapy or surgery for hyperthyroidism or goiter. The administration of standard replacement amounts 25 to It is an autoimmune disorder in which the immune system attacks the thyroid gland and causes it to overproduce thyroxine, a thyroid hormone. If a decision is made not to treat, close monitoring of the thyroid function every 4 weeks in the first 20 weeks of pregnancy is recommended. Blood tests thyroid-stimulating hormonethyroxine [3].

Both volumes can be downloaded for free from the website of the World Health Organization. Section EE ALAD porphyria Acute intermittent porphyria. Across all thyroid disorder types, overall incidence rates were higher among service members in the Air Force compared with members of other service branches Table 3.

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The maintenance dose may need to be increased in pregnant women. Although typically easy to diagnose in younger adults, hypothyroidism may be subtle and manifest atypically in older adults. Clinical Information A condition in which the production of thyroid hormone by the thyroid gland is diminished.

Cancel Send Feedback. Toggle navigation ICD. The bottom line is your bottom line: Accurate coding of diagnoses, signs and symptoms helps to streamline payment from third-party payers. Let us know in a single click. Glister WRNMMC for her valuable input regarding the impact of thyroid disorders on readiness and force health protection. Contact About Us Writers' Guidelines. The company and its representatives do not assume any responsibility for reimbursement decisions or claims denials made by providers or payers as the result of the misuse of this coding information.

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Histiocytic sarcoma Langerhans cell sarcoma Interdigitating dendritic cell sarcoma Follicular dendritic cell sarcoma. Hyperprolinemia Prolidase deficiency. Search News. A fourth digit is required to identify the specific type of hypothyroidism as follows:. Congenital alactasia Sucrose intolerance. Armed Forces between and

Hypothyroididm of TSH by the anterior pituitary gland is stimulated in turn by thyrotropin-releasing hormone TRHreleased from the hypothalamus. Adding liothyronine synthetic T 3 to levothyroxine has been suggested as a measure to provide better symptom control, but this has not been confirmed by studies. Journal of Inherited Metabolic Disease. Help Learn to edit Community portal Recent changes Upload file. If the thyroid nodule occurs with hyperthyroidism or thyrotoxicosis, assign code Autoimmune thyroiditis is associated with other immune-mediated diseases such as diabetes mellitus type 1pernicious anemiamyasthenia gravisceliac diseaserheumatoid arthritis and systemic lupus erythematosus.

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