CPT code 36475: Venous ablation, radiofrequency, first vein2026 Medicare rate & RVUs in Alabama
Percutaneous radiofrequency treatment closes the first incompetent vein in an extremity, commonly for symptomatic superficial venous reflux such as great saphenous vein insufficiency.
In Alabama, Medicare pays $933.84 for 36475 in the office and $225.40 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36475 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 36475 covers
This service uses a percutaneously placed catheter to deliver radiofrequency energy and close an incompetent superficial vein in an extremity. Vascular surgeons, interventional radiologists, and other qualified clinicians commonly perform it in an office-based vascular practice or an outpatient facility for symptomatic venous reflux, often involving the great or small saphenous vein. Imaging guidance and treatment monitoring are included in the service.
Report 36475 for the first vein treated with radiofrequency in the extremity. For an additional vein treated in the same extremity, report 36476 when its requirements are met. Documentation should identify the treated vein, support its incompetence or reflux, and describe the radiofrequency treatment. The 0-day global period includes same-day preoperative and postoperative care. With multiple procedures in one session, Medicare pays the highest-valued procedure in full and others at 50%. Bilateral treatment with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 Alabama compares for 36475
Across 109 of 109 payment localities, the office rate for 36475 runs from $918.36 in Arkansas to $1,430.82 in San Benito County, CA. Alabama pays $933.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$933.84
- Los Angeles, CA · California$1,204.95+$271.11
- Washington, DC area · District of Columbia$1,220.22+$286.38
- Miami, FL · Florida$1,149.51+$215.67
- Chicago, IL · Illinois$1,111.31+$177.47
- Manhattan, NY · New York$1,226.59+$292.75
- Alaska · Alaska$1,180.16+$246.32
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $918.36 | $222.88 |
| ArizonaArizona | $1,024.41 | $239.87 |
| Bakersfield, CACalifornia | $1,125.52 | $238.16 |
| Chico, CACalifornia | $1,122.37 | $235.01 |
| El Centro, CACalifornia | $1,122.57 | $235.20 |
| Fresno, CACalifornia | $1,122.37 | $235.01 |
| Hanford, CACalifornia | $1,122.37 | $235.01 |
| Madera, CACalifornia | $1,122.37 | $235.01 |
| Merced, CACalifornia | $1,122.37 | $235.01 |
| Modesto, CACalifornia | $1,122.37 | $235.01 |
| Napa, CACalifornia | $1,316.84 | $249.74 |
| Oxnard, CACalifornia | $1,200.29 | $243.30 |
| Redding, CACalifornia | $1,122.37 | $235.01 |
| Rest of CaliforniaCalifornia | $1,122.37 | $235.01 |
| Riverside, CACalifornia | $1,134.72 | $247.36 |
| Sacramento, CACalifornia | $1,182.27 | $240.66 |
| Salinas, CACalifornia | $1,178.03 | $239.66 |
| San Diego, CACalifornia | $1,209.35 | $241.03 |
| Marin County, CACalifornia | $1,398.23 | $256.64 |
| San Francisco, CACalifornia | $1,396.92 | $255.33 |
| San Benito County, CACalifornia | $1,430.82 | $263.32 |
| Santa Clara County, CACalifornia | $1,425.48 | $257.98 |
| San Luis Obispo, CACalifornia | $1,158.71 | $236.53 |
| Santa Cruz, CACalifornia | $1,223.62 | $239.91 |
| Santa Maria, CACalifornia | $1,183.43 | $239.39 |
| Santa Rosa, CACalifornia | $1,236.16 | $241.93 |
| Stockton, CACalifornia | $1,122.37 | $235.01 |
| Vallejo, CACalifornia | $1,314.96 | $247.86 |
| Visalia, CACalifornia | $1,122.37 | $235.01 |
| Yuba City, CACalifornia | $1,122.37 | $235.01 |
| ColoradoColorado | $1,103.88 | $242.42 |
| ConnecticutConnecticut | $1,132.72 | $260.74 |
| DelawareDelaware | $1,042.98 | $243.06 |
| Fort Lauderdale, FLFlorida | $1,098.16 | $278.00 |
| Rest of FloridaFlorida | $1,038.28 | $264.26 |
| Atlanta, GAGeorgia | $1,077.90 | $255.30 |
| Rest of GeorgiaGeorgia | $972.25 | $250.05 |
| Hawaii, Guam, HIHawaii | $1,155.74 | $235.18 |
| IowaIowa | $961.15 | $220.33 |
| IdahoIdaho | $968.29 | $223.42 |
| East St. Louis, ILIllinois | $1,027.48 | $282.62 |
| Rest of IllinoisIllinois | $1,004.24 | $265.04 |
| Suburban Chicago, ILIllinois | $1,109.81 | $278.32 |
| IndianaIndiana | $974.71 | $224.17 |
| KansasKansas | $955.96 | $224.05 |
| KentuckyKentucky | $959.07 | $239.30 |
| New Orleans, LALouisiana | $1,011.50 | $249.63 |
| Rest of LouisianaLouisiana | $957.34 | $240.81 |
| Metropolitan Boston, MAMassachusetts | $1,222.93 | $256.22 |
| Rest of MassachusettsMassachusetts | $1,095.89 | $243.34 |
| Baltimore area, MDMaryland | $1,129.69 | $260.95 |
| Rest of MarylandMaryland | $1,064.85 | $245.50 |
| Rest of MaineMaine | $974.01 | $229.15 |
| Southern Maine, MEMaine | $1,034.36 | $232.01 |
| Detroit, MIMichigan | $1,052.91 | $271.61 |
| Rest of MichiganMichigan | $987.57 | $248.37 |
| MinnesotaMinnesota | $1,053.60 | $220.48 |
| Metropolitan Kansas City, MOMissouri | $1,003.71 | $243.46 |
| Metropolitan St. Louis, MOMissouri | $1,015.65 | $244.88 |
| Rest of MissouriMissouri | $938.52 | $240.61 |
| MississippiMississippi | $928.65 | $231.55 |
| MontanaMontana | $1,056.06 | $246.42 |
| North CarolinaNorth Carolina | $985.65 | $230.26 |
| North DakotaNorth Dakota | $1,033.32 | $223.68 |
| NebraskaNebraska | $967.18 | $219.88 |
| New HampshireNew Hampshire | $1,085.98 | $243.15 |
| Northern New JerseyNew Jersey | $1,204.83 | $265.65 |
| Rest of New JerseyNew Jersey | $1,144.51 | $260.39 |
| New MexicoNew Mexico | $993.72 | $251.28 |
| NevadaNevada | $1,050.57 | $240.12 |
| NYC suburbs and Long Island, NYNew York | $1,259.82 | $297.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,152.25 | $265.70 |
| Queens, NYNew York | $1,237.96 | $280.97 |
| Rest of New YorkNew York | $1,002.48 | $233.32 |
| OhioOhio | $982.93 | $243.73 |
| OklahomaOklahoma | $957.15 | $234.14 |
| Portland, OROregon | $1,142.87 | $243.36 |
| Rest of OregonOregon | $1,041.35 | $234.95 |
| Metropolitan Philadelphia, PAPennsylvania | $1,101.30 | $258.47 |
| Rest of PennsylvaniaPennsylvania | $984.73 | $241.48 |
| Puerto RicoPuerto Rico | $1,064.86 | $246.31 |
| Rhode IslandRhode Island | $1,083.16 | $246.80 |
| South CarolinaSouth Carolina | $986.15 | $238.05 |
| South DakotaSouth Dakota | $1,030.63 | $220.99 |
| TennesseeTennessee | $961.45 | $225.49 |
| Austin, TXTexas | $1,101.12 | $244.52 |
| Beaumont, TXTexas | $977.36 | $240.59 |
| Brazoria, TXTexas | $1,041.46 | $239.11 |
| Dallas, TXTexas | $1,048.86 | $242.46 |
| Fort Worth, TXTexas | $1,040.90 | $242.60 |
| Galveston, TXTexas | $1,045.00 | $241.03 |
| Houston, TXTexas | $1,066.05 | $262.07 |
| Rest of TexasTexas | $1,009.31 | $240.97 |
| UtahUtah | $1,001.52 | $240.46 |
| VirginiaVirginia | $1,030.48 | $234.60 |
| Virgin Islands, VIUnited States Virgin Islands | $1,064.86 | $246.31 |
| VermontVermont | $1,028.71 | $227.17 |
| Rest of WashingtonWashington | $1,093.99 | $241.44 |
| King County, WAWashington | $1,249.57 | $256.14 |
| WisconsinWisconsin | $994.06 | $218.43 |
| West VirginiaWest Virginia | $961.99 | $258.42 |
| WyomingWyoming | $1,046.15 | $236.51 |
36475 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.
$918.36
$1,276.59
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 | $1,180.16 | 1 |
| AL | $933.84 | 1 |
| AR | $918.36 | 1 |
| AZ | $1,024.41 | 1 |
| CA | $1,122.37–$1,430.82 | 29 |
| CO | $1,103.88 | 1 |
| CT | $1,132.72 | 1 |
| DC | $1,220.22 | 1 |
| DE | $1,042.98 | 1 |
| FL | $1,038.28–$1,149.51 | 3 |
| GA | $972.25–$1,077.90 | 2 |
| GU | $1,155.74 | 1 |
| HI | $1,155.74 | 1 |
| IA | $961.15 | 1 |
| ID | $968.29 | 1 |
| IL | $1,004.24–$1,111.31 | 4 |
| IN | $974.71 | 1 |
| KS | $955.96 | 1 |
| KY | $959.07 | 1 |
| LA | $957.34–$1,011.50 | 2 |
| MA | $1,095.89–$1,222.93 | 2 |
| MD | $1,064.85–$1,220.22 | 3 |
| ME | $974.01–$1,034.36 | 2 |
| MI | $987.57–$1,052.91 | 2 |
| MN | $1,053.60 | 1 |
| MO | $938.52–$1,015.65 | 3 |
| MS | $928.65 | 1 |
| MT | $1,056.06 | 1 |
| NC | $985.65 | 1 |
| ND | $1,033.32 | 1 |
| NE | $967.18 | 1 |
| NH | $1,085.98 | 1 |
| NJ | $1,144.51–$1,204.83 | 2 |
| NM | $993.72 | 1 |
| NV | $1,050.57 | 1 |
| NY | $1,002.48–$1,259.82 | 5 |
| OH | $982.93 | 1 |
| OK | $957.15 | 1 |
| OR | $1,041.35–$1,142.87 | 2 |
| PA | $984.73–$1,101.30 | 2 |
| PR | $1,064.86 | 1 |
| RI | $1,083.16 | 1 |
| SC | $986.15 | 1 |
| SD | $1,030.63 | 1 |
| TN | $961.45 | 1 |
| TX | $977.36–$1,101.12 | 8 |
| UT | $1,001.52 | 1 |
| VA | $1,030.48–$1,220.22 | 2 |
| VI | $1,064.86 | 1 |
| VT | $1,028.71 | 1 |
| WA | $1,093.99–$1,249.57 | 2 |
| WI | $994.06 | 1 |
| WV | $961.99 | 1 |
| WY | $1,046.15 | 1 |
How the 36475 rate is calculated
Each of 36475’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 · 36475
RVUs × geographic indexes × conversion factor
Work5.17
5.17 RVUs× 1.000 GPCI
Practice expense25.30
25.30 RVUs× 1.000 GPCI
Malpractice1.15
1.15 RVUs× 1.000 GPCI
Adjusted RVUs
31.6200
Conversion factor
$33.4009
Medicare rate
$1,056.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,488
- Code
- 36475
- Physician work
- 5.17
- Practice expense
- 25.30
- Malpractice
- 1.15
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.17 | × 1.000 | 5.1700 |
| Practice expense | 25.30 | × 0.875 | 22.1375 |
| Malpractice | 1.15 | × 0.566 | 0.6509 |
| Total RVUs | 27.9584 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$933.84
Office: (5.17 × 1 + 25.3 × 0.875 + 1.15 × 0.566) × $33.4009 = $933.84
Facility: (5.17 × 1 + 1.06 × 0.875 + 1.15 × 0.566) × $33.4009 = $225.40
Payment rules and modifiers for 36475
The CMS indicators that decide how 36475 is paid alongside other services.
CMS payment indicators · 36475
Venous ablation, radiofrequency, first vein
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
36475 without 50 · national office
$1,056.14
Venous ablation, radiofrequency, first vein
36475-50 · Bilateral: 150%
$1,584.21
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 36475 has changed in Alabama
36475 · Office / nonfacility
$933.84
Effective 2026-10-01
The base rate is $62.18 higher than on 2025-10-01, moving from $871.66 to $933.84 (7.1%).
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
$871.66changed to$933.84
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.30 changed to 5.17
- Practice expense RVU 24.15 changed to 25.30
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$929.13changed to$871.66
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 25.26 changed to 24.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$913.96changed to$929.13
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$983.10changed to$913.96
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 26.06 changed to 25.26
- Malpractice RVU 1.11 changed to 1.15
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$1047.59changed to$983.10
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 26.97 changed to 26.06
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1191.98changed to$1047.59
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 31.36 changed to 26.97
- Malpractice RVU 1.10 changed to 1.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1263.22changed to$1191.98
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 32.56 changed to 31.36
- Malpractice RVU 1.07 changed to 1.10
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1307.76changed to$1263.22
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 34.22 changed to 32.56
- Malpractice RVU 1.08 changed to 1.07
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1384.50changed to$1307.76
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 36.66 changed to 34.22
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$1384.50
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $933.84 | $225.40 | RVU26D |
| 2026-07-01 | $933.84 | $225.40 | RVU26C |
| 2026-04-01 | $933.84 | $225.40 | RVU26B |
| 2026-01-01 | $933.84 | $225.40 | RVU26A |
| 2025-10-01 | $871.66 | $240.89 | RVU25D |
| 2025-07-01 | $871.66 | $240.89 | RVU25C |
| 2025-04-01 | $871.66 | $240.89 | RVU25B |
| 2025-01-01 | $871.66 | $240.89 | RVU25A |
| 2024-10-01 | $929.13 | $247.61 | RVU24D |
| 2024-07-01 | $929.13 | $247.61 | RVU24C |
| 2024-04-01 | $929.13 | $247.61 | RVU24B |
| 2024-03-09 | $929.13 | $247.61 | RVU24AR |
| 2024-01-01 | $913.96 | $243.57 | RVU24A |
| 2023-10-01 | $983.10 | $258.91 | RVU23D |
| 2023-07-01 | $983.10 | $258.91 | RVU23C |
| 2023-04-01 | $983.10 | $258.91 | RVU23B |
| 2023-01-01 | $983.10 | $258.91 | RVU23A |
| 2022-10-01 | $1,047.59 | $271.65 | RVU22D |
| 2022-07-01 | $1,047.59 | $271.65 | RVU22C |
| 2022-04-01 | $1,047.59 | $271.65 | RVU22B |
| 2022-01-01 | $1,047.59 | $271.65 | RVU22A |
| 2021-10-01 | $1,191.98 | $273.89 | RVU21D |
| 2021-07-01 | $1,191.98 | $273.89 | RVU21C |
| 2021-04-01 | $1,191.98 | $273.89 | RVU21B |
| 2021-01-01 | $1,191.98 | $273.89 | RVU21A |
| 2020-10-01 | $1,263.22 | $273.76 | RVU20D |
| 2020-07-01 | $1,263.22 | $273.76 | RVU20C |
| 2020-04-01 | $1,263.22 | $273.76 | RVU20B |
| 2020-01-01 | $1,263.22 | $273.76 | RVU20A |
| 2019-10-01 | $1,307.76 | $265.65 | RVU19D |
| 2019-07-01 | $1,307.76 | $265.65 | RVU19C |
| 2019-04-01 | $1,307.76 | $265.65 | RVU19B |
| 2019-01-01 | $1,307.76 | $265.65 | RVU19A |
| 2018-10-01 | $1,384.50 | $266.32 | RVU18D |
| 2018-07-01 | $1,384.50 | $266.32 | RVU18C |
| 2018-04-01 | $1,384.50 | $266.32 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | 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 Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
36475 billing questions
When should 36475 be used instead of 36476?
Use 36475 for the first vein treated with radiofrequency in the extremity. Use 36476 for an additional vein treated in that same extremity when its requirements are met.
Is imaging guidance separately reported with 36475?
Imaging guidance and monitoring are included in 36475. Do not separately report those elements as though they were outside the ablation service.
What documentation supports reporting 36475?
Document the incompetent vein and evidence of reflux, the extremity and vein treated, and the radiofrequency catheter treatment. The record should distinguish the first treated vein from any additional vein.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be billed for this procedure?
Assistant-at-surgery services are not paid for 36475. 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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