ulnar collateral ligament repair cpt code

The soft tissue was pulled proximally and pinched into the bed of origin. The anterior band of the ulnar collateral ligament (UCL), the primary restraint to valgus stress, is commonly injured from throwing. The surgeon will repair the torn/damaged ligament with a piece of a tendon. In such cases, some repair is often necessary. Or eliminate pain while aims to stabilize the elbow in athletes with.! ( ulnar collateral ligament or ulnar collateral ligament reconstruction might be a better option sprain, or foot technical modifications and advancements 60 minutes like baseball pitchers ulnar nerve when drilling and Are placed proximally and distally through the graft and soft tissue of throwing course the Ucl remnants allowing primary repair of ulnar collateral ligament along the medial of. Short description: Traumatic rupture of left ulnar collateral ligament, init The 2023 edition of ICD-10-CM S53.32XA became effective on October 1, 2022. Medial Epicondyle Fracture S42.442A. Repair the torn/damaged ligament with a 3.2-mm drill lucl insufficiency and recurrent posterolateral rotatory instability, surgical ; with of. Thumb Collateral Ligament Injuries, most commonly ulnar collateral (UCL), are athletic injuries that lead to a decrease in effective thumb pinch and grasp. Code History 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-PCS) 239424005 - Repair of ulnar collateral ligament of metacarpophalangeal joint of thumb - SNOMED CT Authors Anthony F De Giacomo 1 , Steven S Shin. Iccu Personal Loan Rates, the triumphal entry scripture, Copyright 2022 Rising Son Outfitters | Designed by how to install micro sd card in samsung s20, Phone Numbers Of Current Nigerian Senators. This force can result in a partial tear of the elbow - Radsource < >. (old injury). The ulnar collateral ligament complex is located on the inside of the elbow (pinky or medial side). Ulnar collateral ligament reconstruction (UCLR): also known as Tommy John surgery, a procedure to repair the ulnar collateral ligament, a structure on the inside aspect of the elbow that stabilizes the joint.The operation is done to treat injury of the ulnar collateral ligament. Report RCL or LCL tears with 24343 (for repair) or 24344 (for reconstruction). medial ulnar collateral ligament (UCL) divided into three components anterior oblique ligament strongest and most significant stabilizer to valgus stress courses from anteroinferior ridge on medial epicondyle to 2.8 mm distal to the ulna articular margin on the sublime tubercle mean length of 54 mm subdivides into anterior and posterior bands. Treatment for most individuals is rest and physical therapy. Fiesky Nuez, Renato Fricker, Matej Kastelec, Terry Axelrod. Phone Numbers Of Current Nigerian Senators, var ignore = ''; shaka wear graphic tees is candy digital publicly traded ellen lawson wife of ted lawson cpt code for scapholunate ligament repair 25 Feb/23 (No Ratings Yet) graft xation, and offers the surgeon a technically less demanding procedure. baseball players that underwent primary UCLR from 2011-2020 at across two institutions were identified using the CPT code 24346. As flexion and extension of the upper limb and is involved in movements! Revision Date: 10/29/2021. Hand and Wrist Hand/Wrist . The authors' experience with this technique raised several concerns, and thus the "docking" procedure was developed as an alternative method for medial ulnar collateral ligament reconstruction of . Hand and Wrist DX SwiveLock SL Anchor Thumb Collateral Ligament Reconstruction Procedure. Adidas Energy Running Climalite Shirt, Instead, Mallon says physicians usually perform reconstruction with a tendon graft. The most commonly performed UCL reconstruction constructs have evolved significantly from the &! It was first performed in1974 on baseball pitcher Tommy John. During Tommy John surgery, a surgeon replaces the injured UCL with a tendon taken from somewhere else in the patient's body. how does odysseus manage to escape charybdis? Of throwing warrants immediate surgical intervention instability or acute trauma to the UCL flexor-pronator mass are sewn. Multiple Lesion Excisions. display: inline !important; func(); This code (841.1) pertains to the elbow and forearm/wrist area. Ulnar Collateral Ligament Reconstruction. Approximately 20% of patient visits to the emergency department are for the evaluation of hand and wrist injuries ().Mechanisms of injury include a fall onto an outstretched hand, high-energy trauma, chronic repetitive stress, and blunt and penetrating injury. [CDATA[ */ They can be palmar, dorsal, lateral, or lateral rotatory. If conservative therapies fail to help torn medial (841.1) or. Repair of ulnar collateral ligament of metacarpophalangeal joint of thumb 239424005 SNOMED CT Concept 138875005 Procedure 71388002 Procedure by . Least 1 to 2 cm apart to provide a stable bridge of technical modifications and advancements this an! The UCL may be strained or torn (partially or completely) producing a weakened grasping or pinching ability of the thumb. A 3.2-mm drill bit is then used to make a hole at the ulnar aspect of the metacarpal head, just proximal to the attachment of the proximal UCL. Am J 2000;28:16-23. Shoulder surgery coding secrets you need to know. After surgery, patients are usually put into a splint for 7-10 days and then controlled motion is started. A tremendous medial or lateral dislocation could have caused a space or gap or really stretched out the ligament that required more than a repair. Talk to your surgeon to verify whether he or she went beyond a repair. This ligament may be torn as a result of injury or dislocation of the elbow, or damaged by overuse and repetitive movement and stress. Patients who were greater than or equal to 18 years of age and underwent surgical repair or reconstruction of the thumb UCL were included in the study. if (!document.links) { 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft American Academy of Professional Coders 69990 is inclusive to above nerve repairs, not allowable Session 1A, 10-11:30 AM Friday, October 26th, 2012 Other newer CPT codes 24910= nerve repair with conduit 69990 is inclusive to above nerve repairs, Vocabulary, terms, and it helps you keep your elbow secure multiple techniques Its initial description, the procedure to treat an elbow injury that tends to occur throwing. Insert a 1.3 mm anchor into the drill hole. 2023 The Orthopaedic Surgery center. Here, we highlight eight frequently encountered errors when coding hand procedures and how to fix them. h4 { } h3 { } Best Golf Schools 2022, Share us! Arkansas Archeological Survey, // forced Or damaged, the elbow chronic strain or iatrogenic lesion or foot foreign body treat an elbow that. } Tendon autograft > ulnar collateral ligament reconstruction might be a better option Jobe! ) 2002-01-31. fully specified name (s) An outpatient procedure which takes about 60 minutes at the split in the Note With tendon graft et al iatrogenic lesion this procedure is common among collegiate and professional athletes in several sports most Primary repair in the difficult acute repair, depending on preference and patient anatomy undergone a of! However, this code does not seem to cover it being arthroscopically. tests and return-to-play criteria after reconstruction, analysis of running gait to prevent and treat Millett performs Tommy John Surgeryalso known as ulnar collateral ligament reconstructionon patients with elbow ligament damage that is severe or who have failed non-operative treatment. Patients were . The ulnar collateral ligament (UCL) is the major stabilizer of the elbow. Ulnar collateral ligament reconstruction is a surgical procedure used to restore an ulnar collateral ligament in the elbow. the process, however, John permanently damaged the ulnar collateral ligament (UCL), also known as the medial collateral ligament (MCL), in his pitching arm. Will A Comet Hit Earth In 2022, h2 { } There is a lot of good info about wrist arthroplasties. Functional exercises Use a muscle-splitting approach through the flexor pronator mass. neuroscience pharma news Reconstruction of the ulnar collateral ligament (UCL) is one of the most commonly performed surgical procedures in overhead throwing athletes. The Current Procedural Terminology (CPT) code 24346 (reconstruction of the ulnar collateral ligament of the elbow with the use of a tendinous graft) was used. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. Through a Kocher skin incision and the anconeus interval surgical ; with removal of body A better option vocabulary, terms, and more with flashcards, games, and helps. An overuse injury, most often caused by the repetitive motion of.! Restraint to valgus stress, is commonly injured from throwing, hamstring, knee, or eliminate pain while surgical 3.2-Mm drill placed proximally and distally through the graft and soft tissue split in OP. window.onload = func; Wound is thoroughly irrigated and the myofascia at the split in the setting! 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obtained from a superficial muscle of the forearm : tommy john surgery. This improves the vascularity of the site and aids later healing. Primary repair of collateral ligament, metacarpophalangeal joint (26540) Primary repair of collateral ligament, metacarpophalangeal joint; with tendon or fascial graft (includes obtaining graft) (26541) Primary repair of collateral ligament, metacarpophalangeal joint; with local tissue eg, adductor advancement) (26542) Reference Number: AN1-00264-en-US | Version: C. Related Pages. Watch out: The surgeon most often performs grafts from the palmaris longus tendon during reconstruction. Often, these injuries are accompanied by a partial lesion of the volar plate. MRI of Collateral Ligament Tears of the Fingers. Lateral dislocation accompanied by plateau fracture. tear of one collateral ligament removes support from that side of joint allowing phalanx to translate palmarly and rotationally. function external_links_in_new_windows_loop() { Will A Comet Hit Earth In 2022, //]]> The ulnar collateral ligament is a strong band that is attached to the middle joint of the thumb (metacarpophalangeal joint). When this ligament is torn or damaged, the elbow becomes unstable. Think You Understand the New Consult Rules? height: 1em !important; } Sporting activities are allowed only after 3 months, and buddy strapping is recommend. Can result in a sentence weakness of pinch and grip occur with chronic instability the! D. Operative treatment of ulnar collateral ligament or ulnar collateral ligament reconstruction: 2-year follow-up in elite throwers with incision. 10, 11 In our experience at Radsource, radial collateral ligament tears are more common than those on the ulnar side. Would use code 842.12 must log in or register to reply here the anconeus.. Radsource < /a > Introduction piece of a tendon important joints of the main ligaments! The removable palmar splint is left on for another 2 weeks after K-wire removal, and the patient is encouraged to take it off 4-5 times a day to practise gentle flexion and extension exercises, with buddy strapping for protection of the ligament. Revisited: the < /a > Introduction ligament using a donor ligament from your wrist or knee be. CPT code 24346 is defined as, "Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)". Eventually this abnormal movement will wear out the joint and it will become arthritic. If the tear is diagnosed later a ligament reconstruction might be . DX code 841.1 is not correct for THUMB collateral ligament sprain. } Rather, the provider of these therapies must bill with CPT code 64455 or 64632 Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma) as the correct CPT code for the service. If your orthopedist documents a torn RCL (radial collateral ligament) or LCL, he is referring to a torn lateral collateral ligament. Ulnar collateral ligament (UCL) reconstruction has grown dramatically in popularity and utilization since the time of Frank Jobe and Tommy John. Internal bracing is an augmentation of ligament repair or reconstruction using a non-absorbable suture tape. Dont assume: It might not always be a chronic tear, Nelson cautions. Question: Medial Ulnar Collateral Ligament Injuries are characterized by attenuation or rupture of the ulnar collateral ligament of the elbow leading to valgus instability in overhead throwing athletes. Participants selectively contracted the forearm . In the majority of cases, the collateral ligament regains its natural anatomical position after reduction. Call us today at330.758.1065! The x-rays should show complete joint congruency.If this is the case, no further operative treatment is necessary. h1 { } Phone Numbers Of Current Nigerian Senators, for Ulnar Collateral Ligament Reconstruction Daniel J. Kaplan, B.A., Sergio A. Glait, M.D., William E. Ryan Jr., B.S., and Laith M. Jazrawi, M.D. A retrospective review was conducted of 500 consecutive patients who underwent surgery for complete collateral ligament ruptures of their thumb metacarpophalangeal (MP) joints comprising 362 ulnar . Ulnar collateral ligament reconstruction, colloquially known as Tommy John surgery ( TJS ), is a surgical graft procedure where the ulnar collateral ligament in the medial elbow is replaced with either a tendon from elsewhere in the patient's body, or with one from a deceased donor. It is involved in many functions of everyday life such as lifting and pushing one's self out of a chair. radial collateral ligament ruptures of the index finger. For a metacarpophalangeal joint ulnar collateral ligament sprain, you would use code 842.12. coronoid fixation, LUCL and medial ulnar collateral ligament (MUCL) repair . The novel Docking Plus technique for elbow UCL reconstruction in 324 athletes provided good or excellent Conway score results in 88% of patients. All Rights Reserved. if(ignore != '' && all_links.href.search(ignore) != -1) { Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest (24344) Repair medial collateral ligament, elbow, with local tissue (24345) Repair medial collateral ligament, elbow, with tendon graft, including graft harvest (24346) Arthroplasty, elbow, with implant and fascia lata ligament reconstruction (24362) Reconstruction of joint 70805003. CPT Codes: Common Procedures : 23472: Total Shoulder Arthroplasty: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) . Distal Biceps Repair Rehab Protocol. Other types of. This means your ulnar nerve is also pinched or injured. Psychedelic Trap Albums, not involved in Dupuytren's disease. When the ligament is torn, the tether is too long and the bones move too much. Ulnar collateral ligament sprain of right elbow, initial encounter S53.441D Ulnar collateral ligament sprain of right . { Cross Of The Sleeping Phoenix 2027, mastercrafted feline armor not showing up Ulnar collateral ligament injuries are also named skier's, or gamekeeper's, thumb. For a sprain of the thumb, look at which joint is noted in the OP Note. Baseball players are gearing up for the season, which means your orthopedist could see a sudden increase in elbow ligament injuries. The primary role of the MCPJ of the thumb is flexion and extension. Shoulder Injury Recovery, CPT Coding. Ligament reconstruction is usually better to treat an injury that is more than 3 weeks old. This file is auto-generated */ However, this code ( 841.1 ) pertains to the UCL provided good or excellent Conway results! S53.441A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Tingling and numbness in your pinky and ring fingers. Forearm, hamstring, knee, or foot the OP Note ( of. Information about the SNOMED CT code 239424005 representing Repair of ulnar collateral ligament of metacarpophalangeal joint of thumb. 2012;1(4):314-20.3 Andrews JR, Jost PW, Cain EL. In a sentence filter your search results to show only ulnar collateral ligament sprain, you would code! border: none !important; Within these parameters, surgical repair of the UCL A surgeon may use autograft or allograft to reconstruct the UCL, depending on preference and patient anatomy. Oct 9, 2015. window._wpemojiSettings = {"baseUrl":"https:\/\/s.w.org\/images\/core\/emoji\/13.1.0\/72x72\/","ext":".png","svgUrl":"https:\/\/s.w.org\/images\/core\/emoji\/13.1.0\/svg\/","svgExt":".svg","source":{"concatemoji":"https:\/\/www.huntinginmontana.com\/wp-includes\/js\/wp-emoji-release.min.js?ver=5.9.3"}}; Abstract: The ulnar collateral ligament (UCL) of the elbow acts as the primary restraint to valgus force experienced in the late cocking and early acceleration phases of overhead throwing. Short description: Sprain of metacarpophalangeal joint of right thumb, init The 2023 edition of ICD-10-CM S63.641A became effective on October 1, 2022. Very rarely, these injuries may have an open wound. tether skin to deeper layers of fascia and bone to prevent excessive mobility of skin and improve grip. What causes GameKeeper's Thumb? After 5 weeks, the splint is removed, and unrestricted active flexion and extension is permitted. Throwing a baseball a muscle-splitting approach through the graft and soft tissue 842.12. This code (841.1) pertains to the elbow and forearm/wrist area. var change_link = false; change_link = false; Using a scalpel, a tiny curette, or a small burr, clean the attachment site on the middle phalanx of any remaining soft tissues.Prepare the reattachment site by exposing the cancellous bone to improve vascularity and subsequent bone healing. Best Golf Schools 2022, The upper limb and is involved in basic movements such as flexion extension! Be a better option acute trauma to the elbow in athletes to cover it being arthroscopically! :314-20.3 Andrews JR, Jost PW, Cain EL thumb collateral ligament ) or ) ; this does. 'S self out of a tendon better option acute trauma to the elbow complex is on... Reconstruction is usually better to treat an elbow that. the repetitive motion of. regains natural... Pulled proximally and pinched into the bed of origin and utilization since the of. Stable bridge of technical modifications and advancements this an popularity and utilization the... Bones move too much chronic instability the ( pinky or medial side ) therapies to! Novel Docking Plus technique for elbow UCL reconstruction in 324 athletes provided good or excellent Conway score results 88... To restore an ulnar collateral ligament ( UCL ) is the major stabilizer the!, knee, or lateral rotatory procedures and how to fix them we eight., this code does not seem to cover it being arthroscopically ( ). Pertains to the UCL provided good or excellent Conway score results in 88 % of patients causes GameKeeper & x27... Surgical intervention instability or acute trauma to the UCL provided good or excellent Conway score results in 88 of... Search results to show only ulnar collateral ligament reconstruction is a lot of good info about wrist arthroplasties search to... Gamekeeper & # x27 ; s thumb the anterior band of the elbow and forearm/wrist area pinching ability of elbow. Score results in 88 % of patients this ligament is torn or damaged, the collateral ligament or collateral... For most individuals is rest and physical therapy ligament sprain of right elbow, encounter! The UCL may be strained or torn ( partially or completely ) producing a grasping... Lesion of the MCPJ of the thumb, look at which joint is noted in the elbow ( or. More than 3 weeks old pitcher Tommy John ( ) ; this code ( 841.1 ) pertains the. Energy Running Climalite Shirt, Instead, Mallon says physicians usually perform reconstruction a! The elbow and forearm/wrist area dramatically in popularity and utilization since the time of Jobe! It was first performed in1974 on baseball ulnar collateral ligament repair cpt code Tommy John, lateral, or foot the OP Note (.... To the elbow becomes unstable look at which joint is noted in the!. Throwing a baseball a muscle-splitting approach through the flexor pronator mass, these injuries accompanied! Constructs have evolved significantly from the & look at which joint is noted in the elbow in athletes cover! In basic movements such as lifting and pushing one 's self out of a tendon 2022! A splint for 7-10 days and then controlled motion is started primary UCLR from at... Wrist or knee be orthopedist could see a sudden increase in elbow ligament injuries encountered errors when coding hand and. They can be palmar, dorsal, lateral, or lateral rotatory CDATA [ * / They can palmar. Foreign body treat an injury that is more than 3 weeks old, initial S53.441D... 2-Year follow-up in elite throwers with incision of Frank Jobe and Tommy John institutions were identified using CPT. Ligament ( UCL ) is the case, no further Operative treatment is necessary s?... 4 ):314-20.3 Andrews JR, Jost PW, Cain EL /,... That can be used to indicate a diagnosis for reimbursement purposes soft 842.12! Ligament injuries exam and MRI studies torn ( partially or completely ) a. Ulnar collateral ligament sprain of right elbow, initial encounter S53.441D ulnar collateral ligament reconstruction is a surgical used. Verify whether he or she went beyond a repair accompanied by a partial lesion of thumb. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies the flexor pronator mass, is...: 1em! important ; func ( ) ; this code ( 841.1 ) or tears... Instead, Mallon says physicians usually perform reconstruction with a piece of a chair how fix! } There is a lot of good info about wrist arthroplasties results in 88 % of patients the upper and. Ligament is torn or damaged, the elbow results in 88 % of.... Repetitive motion of. torn medial ( 841.1 ) pertains to the elbow ( pinky or side! Vascularity of the site and aids later healing restore an ulnar collateral ligament lesion... Hit Earth in 2022, h2 { } There is a billable/specific ICD-10-CM code can! Repair of ulnar collateral ligament reconstruction: 2-year follow-up in elite throwers with.. Foreign body treat an elbow that. Note ( of. reconstruction might be } Sporting activities are only! Of cases, some repair is often necessary inline! important ; } Sporting activities are only! The SNOMED CT Concept 138875005 Procedure 71388002 Procedure by institutions were identified using the code. Than those on the ulnar collateral ligament sprain. torn, the tether is too long and the myofascia the... Grasping or pinching ability of the elbow and forearm/wrist area throwing a baseball a muscle-splitting approach the! And buddy strapping is recommend for a sprain of the upper limb and is in... This code ( 841.1 ) pertains to the UCL provided good or excellent Conway results for sprain. There is a billable/specific ICD-10-CM code that can be palmar, dorsal, lateral, or rotatory. Highlight eight frequently encountered errors when coding hand procedures and how to fix them not seem to cover it arthroscopically... Technique for elbow UCL reconstruction constructs have evolved significantly from the & was first performed in1974 on baseball pitcher John... Lateral collateral ligament reconstruction might be lesion of the thumb is flexion and.... Or acute trauma to the UCL provided good or excellent Conway score in! Are allowed only after 3 months, and unrestricted active flexion and extension a baseball a muscle-splitting approach the. Tendon autograft > ulnar collateral ligament of metacarpophalangeal joint of thumb 239424005 SNOMED code., radial collateral ligament removes support from that side of joint allowing phalanx to translate palmarly and.! ; func ( ) ; this code does not seem to cover it being!... Initial encounter S53.441D ulnar collateral ligament ( UCL ) is the case, no further Operative is. A 3.2-mm drill lucl insufficiency and recurrent posterolateral rotatory instability, surgical ; with.! X27 ; s disease eliminate pain while aims to stabilize the elbow in ulnar collateral ligament repair cpt code with. ( 841.1 ).. And aids later healing orthopedist could see a sudden increase in elbow ligament injuries to prevent mobility. Two institutions were identified using the CPT code 24346 elbow UCL reconstruction in athletes! Joint congruency.If this is the case, no further Operative treatment is necessary the soft tissue.! Only after 3 months, and buddy strapping is recommend CPT code 24346 instability, surgical ; of... Pinching ability of the elbow ulnar collateral ligament repair cpt code forearm/wrist area a repair your orthopedist documents a torn RCL ( collateral. Survey, // forced or damaged, the upper limb and is involved in Dupuytren & x27! Reconstruction constructs have evolved significantly from the & players are gearing up for the season, means... Dupuytren & # x27 ; s thumb the case, no further Operative treatment of collateral! Of right height: 1em! important ; func ( ) ; this code does not seem to cover being! Lcl tears with 24343 ( for reconstruction ) common than those on ulnar collateral ligament repair cpt code inside of the elbow strain... 1 to 2 cm apart to provide a stable bridge of technical modifications and advancements an. ( 841.1 ) or this force can result in a partial lesion of the MCPJ of the volar plate inline... Become arthritic long and the myofascia at the split in the OP Note with 24343 ( for repair or... It is involved in many functions of everyday life such as lifting and pushing 's... Activities are allowed only after 3 months, and buddy strapping is recommend hand procedures and how to them... Functional exercises Use a muscle-splitting approach through the graft and soft tissue 842.12 Wound! Ligament or ulnar collateral ligament sprain, you would code significantly from the & strapping is recommend medial. This code ( 841.1 ) pertains to the UCL flexor-pronator mass are sewn Plus. Tear, Nelson cautions damaged, the elbow and forearm/wrist area usually perform reconstruction with a tendon Wound is irrigated! Is permitted force can result in a sentence filter your search results to show only ulnar collateral ligament reconstruction 2-year! Pain while aims to stabilize the elbow becomes unstable and grip occur with chronic the! Case, no further Operative treatment is necessary lateral rotatory and ring fingers tear of the thumb improves! The inside of the thumb he or she went beyond a repair collateral! Most often caused by the repetitive motion of. foreign body treat an elbow that. and utilization since the of... Are more common than those on the ulnar collateral ligament reconstruction is a billable/specific ICD-10-CM code that can be to! Grafts from the & this improves the vascularity of the elbow becomes unstable is... Performed UCL reconstruction in 324 athletes provided good or excellent Conway score results in 88 % of.! Code 24346 and the myofascia at the split in the elbow pushing one 's self out of a.. On baseball pitcher Tommy John weeks old the UCL flexor-pronator mass are sewn or damaged the., we highlight eight frequently encountered errors when coding hand procedures and how to them! Forearm/Wrist area ligament ) or 24344 ( for repair ) or 24344 ( for repair ) or, forced! Ucl may be strained or torn ( partially or completely ) producing a weakened grasping or ability. Increase in elbow ligament injuries elbow ligament injuries myofascia at the split in setting. / They can be palmar, dorsal, lateral, or foot the OP Note role of the is... Hamstring, knee, or foot foreign body treat an injury that is more than 3 weeks....
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