CPT code 31615: Airway endoscopy, through established tracheostomy2026 Medicare rate & RVUs in Vermont
Reports endoscopic examination of the trachea and bronchi performed through an existing tracheostomy, such as to assess airway patency or investigate obstruction.
In Vermont, Medicare pays $167.84 for 31615 in the office and $97.41 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 31615 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 31615 covers
The clinician passes a bronchoscope through an established tracheostomy opening to inspect the trachea and bronchi. Pulmonologists, otolaryngologists, and thoracic surgeons may perform the examination in a hospital, clinic, or bedside setting to assess airway patency, investigate suspected obstruction or bleeding, or evaluate concerns involving the tracheostomy airway. The existing opening is the access route; this service does not describe creating a tracheostomy.
Report 31615 when the documented endoscopic examination is performed through that established opening. The record should identify the route and the airway evaluation performed. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Vermont compares for 31615
Across 109 of 109 payment localities, the office rate for 31615 runs from $154.18 in Arkansas to $222.08 in San Benito County, CA. Vermont pays $167.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$167.84
- Los Angeles, CA · California$191.86+$24.02
- Washington, DC area · District of Columbia$195.86+$28.02
- Miami, FL · Florida$190.08+$22.24
- Chicago, IL · Illinois$184.77+$16.93
- Manhattan, NY · New York$198.73+$30.89
- Alaska · Alaska$205.98+$38.14
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $156.28 | $94.03 |
| ArkansasArkansas | $154.18 | $93.07 |
| ArizonaArizona | $168.56 | $99.62 |
| Bakersfield, CACalifornia | $180.96 | $102.98 |
| Chico, CACalifornia | $180.23 | $102.25 |
| El Centro, CACalifornia | $180.27 | $102.29 |
| Fresno, CACalifornia | $180.23 | $102.25 |
| Hanford, CACalifornia | $180.23 | $102.25 |
| Madera, CACalifornia | $180.23 | $102.25 |
| Merced, CACalifornia | $180.23 | $102.25 |
| Modesto, CACalifornia | $180.23 | $102.25 |
| Napa, CACalifornia | $206.03 | $112.26 |
| Oxnard, CACalifornia | $190.63 | $106.54 |
| Redding, CACalifornia | $180.23 | $102.25 |
| Rest of CaliforniaCalifornia | $180.23 | $102.25 |
| Riverside, CACalifornia | $182.93 | $104.96 |
| Sacramento, CACalifornia | $188.39 | $105.65 |
| Salinas, CACalifornia | $187.67 | $105.22 |
| San Diego, CACalifornia | $191.54 | $106.45 |
| Marin County, CACalifornia | $217.18 | $116.87 |
| San Francisco, CACalifornia | $216.90 | $116.58 |
| San Benito County, CACalifornia | $222.08 | $119.49 |
| Santa Clara County, CACalifornia | $220.91 | $118.33 |
| San Luis Obispo, CACalifornia | $184.74 | $103.70 |
| Santa Cruz, CACalifornia | $192.95 | $106.51 |
| Santa Maria, CACalifornia | $188.23 | $105.27 |
| Santa Rosa, CACalifornia | $194.85 | $107.48 |
| Stockton, CACalifornia | $180.23 | $102.25 |
| Vallejo, CACalifornia | $205.62 | $111.85 |
| Visalia, CACalifornia | $180.23 | $102.25 |
| Yuba City, CACalifornia | $180.23 | $102.25 |
| ColoradoColorado | $178.62 | $102.92 |
| ConnecticutConnecticut | $184.04 | $107.42 |
| DelawareDelaware | $171.21 | $100.92 |
| Fort Lauderdale, FLFlorida | $181.13 | $109.06 |
| Rest of FloridaFlorida | $172.60 | $104.59 |
| Atlanta, GAGeorgia | $176.55 | $104.27 |
| Rest of GeorgiaGeorgia | $163.29 | $99.83 |
| Hawaii, Guam, HIHawaii | $183.87 | $102.98 |
| IowaIowa | $159.07 | $93.97 |
| IdahoIdaho | $160.23 | $94.77 |
| East St. Louis, ILIllinois | $173.09 | $107.64 |
| Rest of IllinoisIllinois | $168.59 | $103.64 |
| Suburban Chicago, ILIllinois | $182.71 | $109.65 |
| IndianaIndiana | $161.07 | $95.12 |
| KansasKansas | $158.81 | $94.49 |
| KentuckyKentucky | $160.67 | $97.42 |
| New Orleans, LALouisiana | $167.96 | $101.02 |
| Rest of LouisianaLouisiana | $160.60 | $97.64 |
| Metropolitan Boston, MAMassachusetts | $194.90 | $109.95 |
| Rest of MassachusettsMassachusetts | $177.84 | $102.92 |
| Baltimore area, MDMaryland | $183.61 | $107.27 |
| Rest of MarylandMaryland | $174.19 | $102.19 |
| Rest of MaineMaine | $161.47 | $96.02 |
| Southern Maine, MEMaine | $168.99 | $98.49 |
| Detroit, MIMichigan | $175.07 | $106.42 |
| Rest of MichiganMichigan | $164.97 | $100.01 |
| MinnesotaMinnesota | $170.18 | $96.97 |
| Metropolitan Kansas City, MOMissouri | $166.43 | $99.62 |
| Metropolitan St. Louis, MOMissouri | $168.00 | $100.27 |
| Rest of MissouriMissouri | $158.33 | $97.00 |
| MississippiMississippi | $156.26 | $95.00 |
| MontanaMontana | $173.00 | $101.86 |
| North CarolinaNorth Carolina | $162.98 | $96.60 |
| North DakotaNorth Dakota | $168.06 | $96.91 |
| NebraskaNebraska | $159.75 | $94.08 |
| New HampshireNew Hampshire | $176.27 | $102.21 |
| Northern New JerseyNew Jersey | $194.13 | $111.60 |
| Rest of New JerseyNew Jersey | $185.87 | $108.18 |
| New MexicoNew Mexico | $165.99 | $100.75 |
| NevadaNevada | $171.73 | $100.51 |
| NYC suburbs and Long Island, NYNew York | $203.82 | $119.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $187.42 | $109.52 |
| Queens, NYNew York | $199.62 | $115.53 |
| Rest of New YorkNew York | $165.29 | $97.71 |
| OhioOhio | $163.96 | $99.00 |
| OklahomaOklahoma | $159.93 | $96.40 |
| Portland, OROregon | $183.48 | $104.44 |
| Rest of OregonOregon | $170.12 | $99.26 |
| Metropolitan Philadelphia, PAPennsylvania | $180.00 | $105.94 |
| Rest of PennsylvaniaPennsylvania | $163.96 | $98.65 |
| Puerto RicoPuerto Rico | $174.05 | $102.12 |
| Rhode IslandRhode Island | $176.71 | $103.22 |
| South CarolinaSouth Carolina | $163.79 | $98.06 |
| South DakotaSouth Dakota | $167.47 | $96.33 |
| TennesseeTennessee | $159.61 | $94.94 |
| Austin, TXTexas | $178.27 | $103.00 |
| Beaumont, TXTexas | $162.98 | $98.24 |
| Brazoria, TXTexas | $170.71 | $100.21 |
| Dallas, TXTexas | $171.95 | $101.09 |
| Fort Worth, TXTexas | $171.01 | $100.86 |
| Galveston, TXTexas | $171.32 | $100.68 |
| Houston, TXTexas | $175.90 | $105.25 |
| Rest of TexasTexas | $166.86 | $99.34 |
| UtahUtah | $165.87 | $99.00 |
| VirginiaVirginia | $168.78 | $98.84 |
| Virgin Islands, VIUnited States Virgin Islands | $174.05 | $102.12 |
| Rest of WashingtonWashington | $177.36 | $102.44 |
| King County, WAWashington | $198.29 | $110.99 |
| WisconsinWisconsin | $162.83 | $94.68 |
| West VirginiaWest Virginia | $162.88 | $101.05 |
| WyomingWyoming | $170.85 | $99.70 |
31615 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$154.18
$205.98
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $205.98 | 1 |
| AL | $156.28 | 1 |
| AR | $154.18 | 1 |
| AZ | $168.56 | 1 |
| CA | $180.23–$222.08 | 29 |
| CO | $178.62 | 1 |
| CT | $184.04 | 1 |
| DC | $195.86 | 1 |
| DE | $171.21 | 1 |
| FL | $172.60–$190.08 | 3 |
| GA | $163.29–$176.55 | 2 |
| GU | $183.87 | 1 |
| HI | $183.87 | 1 |
| IA | $159.07 | 1 |
| ID | $160.23 | 1 |
| IL | $168.59–$184.77 | 4 |
| IN | $161.07 | 1 |
| KS | $158.81 | 1 |
| KY | $160.67 | 1 |
| LA | $160.60–$167.96 | 2 |
| MA | $177.84–$194.90 | 2 |
| MD | $174.19–$195.86 | 3 |
| ME | $161.47–$168.99 | 2 |
| MI | $164.97–$175.07 | 2 |
| MN | $170.18 | 1 |
| MO | $158.33–$168.00 | 3 |
| MS | $156.26 | 1 |
| MT | $173.00 | 1 |
| NC | $162.98 | 1 |
| ND | $168.06 | 1 |
| NE | $159.75 | 1 |
| NH | $176.27 | 1 |
| NJ | $185.87–$194.13 | 2 |
| NM | $165.99 | 1 |
| NV | $171.73 | 1 |
| NY | $165.29–$203.82 | 5 |
| OH | $163.96 | 1 |
| OK | $159.93 | 1 |
| OR | $170.12–$183.48 | 2 |
| PA | $163.96–$180.00 | 2 |
| PR | $174.05 | 1 |
| RI | $176.71 | 1 |
| SC | $163.79 | 1 |
| SD | $167.47 | 1 |
| TN | $159.61 | 1 |
| TX | $162.98–$178.27 | 8 |
| UT | $165.87 | 1 |
| VA | $168.78–$195.86 | 2 |
| VI | $174.05 | 1 |
| VT | $167.84 | 1 |
| WA | $177.36–$198.29 | 2 |
| WI | $162.83 | 1 |
| WV | $162.88 | 1 |
| WY | $170.85 | 1 |
How the 31615 rate is calculated
Each of 31615’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 31615
RVUs × geographic indexes × conversion factor
Work1.79
1.79 RVUs× 1.000 GPCI
Practice expense3.14
3.14 RVUs× 1.000 GPCI
Malpractice0.25
0.25 RVUs× 1.000 GPCI
Adjusted RVUs
5.1800
Conversion factor
$33.4009
Medicare rate
$173.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,630
- Code
- 31615
- Physician work
- 1.79
- Practice expense
- 3.14
- Malpractice
- 0.25
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.79 | × 1.000 | 1.7900 |
| Practice expense | 3.14 | × 0.990 | 3.1086 |
| Malpractice | 0.25 | × 0.506 | 0.1265 |
| Total RVUs | 5.0251 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$167.84
Office: (1.79 × 1 + 3.14 × 0.99 + 0.25 × 0.506) × $33.4009 = $167.84
Facility: (1.79 × 1 + 1.01 × 0.99 + 0.25 × 0.506) × $33.4009 = $97.41
Payment rules and modifiers for 31615
The CMS indicators that decide how 31615 is paid alongside other services.
CMS payment indicators · 31615
Airway endoscopy, through established tracheostomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
31615 without 51 · national office
$173.02
Airway endoscopy, through established tracheostomy
31615-51 · Second procedure: 50%
$86.51
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 31615 has changed in Vermont
31615 · Office / nonfacility
$167.84
Effective 2026-10-01
The base rate is $6.81 higher than on 2025-10-01, moving from $161.03 to $167.84 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$161.03changed to$167.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.84 changed to 1.79
- Practice expense RVU 3.03 changed to 3.14
- Practice expense GPCI 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$167.70changed to$161.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.09 changed to 3.03
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$164.96changed to$167.70
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$171.35changed to$164.96
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$174.95changed to$171.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.07 changed to 3.09
- Practice expense GPCI 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$174.65changed to$174.95
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.02 changed to 3.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$173.15changed to$174.65
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.79 changed to 3.02
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$171.90changed to$173.15
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.74 changed to 2.79
- Practice expense GPCI 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$169.15changed to$171.90
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.67 changed to 2.74
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$169.64changed to$169.15
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.70 changed to 2.67
- Practice expense GPCI 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$184.12changed to$169.64
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 2.09 changed to 1.84
- Practice expense RVU 2.85 changed to 2.70
- Malpractice RVU 0.28 changed to 0.25
- Practice expense GPCI 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$183.95changed to$184.12
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.82 changed to 2.85
- Malpractice RVU 0.29 changed to 0.28
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$183.03changed to$183.95
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$183.47changed to$183.03
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.86 changed to 2.82
- Malpractice RVU 0.25 changed to 0.29
- Practice expense GPCI 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$183.47
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $167.84 | $97.41 | RVU26D |
| 2026-07-01 | $167.84 | $97.41 | RVU26C |
| 2026-04-01 | $167.84 | $97.41 | RVU26B |
| 2026-01-01 | $167.84 | $97.41 | RVU26A |
| 2025-10-01 | $161.03 | $108.35 | RVU25D |
| 2025-07-01 | $161.03 | $108.35 | RVU25C |
| 2025-04-01 | $161.03 | $108.35 | RVU25B |
| 2025-01-01 | $161.03 | $108.35 | RVU25A |
| 2024-10-01 | $167.70 | $110.84 | RVU24D |
| 2024-07-01 | $167.70 | $110.84 | RVU24C |
| 2024-04-01 | $167.70 | $110.84 | RVU24B |
| 2024-03-09 | $167.70 | $110.84 | RVU24AR |
| 2024-01-01 | $164.96 | $109.04 | RVU24A |
| 2023-10-01 | $171.35 | $111.89 | RVU23D |
| 2023-07-01 | $171.35 | $111.89 | RVU23C |
| 2023-04-01 | $171.35 | $111.89 | RVU23B |
| 2023-01-01 | $171.35 | $111.89 | RVU23A |
| 2022-10-01 | $174.95 | $113.28 | RVU22D |
| 2022-07-01 | $174.95 | $113.28 | RVU22C |
| 2022-04-01 | $174.95 | $113.28 | RVU22B |
| 2022-01-01 | $174.95 | $113.28 | RVU22A |
| 2021-10-01 | $174.65 | $112.48 | RVU21D |
| 2021-07-01 | $174.65 | $112.48 | RVU21C |
| 2021-04-01 | $174.65 | $112.48 | RVU21B |
| 2021-01-01 | $174.65 | $112.48 | RVU21A |
| 2020-10-01 | $173.15 | $114.95 | RVU20D |
| 2020-07-01 | $173.15 | $114.95 | RVU20C |
| 2020-04-01 | $173.15 | $114.95 | RVU20B |
| 2020-01-01 | $173.15 | $114.95 | RVU20A |
| 2019-10-01 | $171.90 | $115.57 | RVU19D |
| 2019-07-01 | $171.90 | $115.57 | RVU19C |
| 2019-04-01 | $171.90 | $115.57 | RVU19B |
| 2019-01-01 | $171.90 | $115.57 | RVU19A |
| 2018-10-01 | $169.15 | $115.08 | RVU18D |
| 2018-07-01 | $169.15 | $115.08 | RVU18C |
| 2018-04-01 | $169.15 | $115.08 | RVU18B |
| 2018-01-01 | $169.15 | $115.08 | RVU18AR1 |
| 2017-10-01 | $169.64 | $115.99 | RVU17D |
| 2017-07-01 | $169.64 | $115.99 | RVU17C |
| 2017-04-01 | $169.64 | $115.99 | RVU17B |
| 2017-01-01 | $169.64 | $115.99 | RVU17A |
| 2016-10-01 | $184.12 | $129.84 | RVU16D |
| 2016-07-01 | $184.12 | $129.84 | RVU16C |
| 2016-04-01 | $184.12 | $129.84 | RVU16B |
| 2016-01-01 | $184.12 | $129.84 | RVU16A |
| 2015-10-01 | $183.95 | $130.19 | RVU15D |
| 2015-07-01 | $183.95 | $130.19 | RVU15C |
| 2015-04-01 | $183.03 | $129.54 | RVU15B |
| 2015-01-01 | $183.03 | $129.54 | RVU15A |
| 2014-10-01 | $183.47 | $129.78 | RVU14D |
| 2014-07-01 | $183.47 | $129.78 | RVU14C |
| 2014-04-01 | $183.47 | $129.78 | RVU14B |
| 2014-01-01 | $183.47 | $129.78 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
31615 billing questions
How does 31615 differ from 31622?
31615 describes tracheobronchoscopy through an established tracheostomy. Consider 31622 when diagnostic bronchoscopy is performed by another route and its service meets that code's requirements.
Can 31615 be reported when a new tracheostomy is created?
31615 requires an established tracheostomy opening. A tracheostomy creation service, such as 31600 or 31601, describes creating the opening rather than examining the airway through an existing one.
What should the documentation identify?
Document that the scope passed through an established tracheostomy and describe the tracheal and bronchial examination, including the clinical reason for it.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate for this code.
How do same-session procedures affect payment?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 0-day global period.
Are assistant or co-surgeon claims payable?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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