CPT code 62272: Therapeutic lumbar puncture, CSF drainage2026 Medicare rate & RVUs in Montana
Reports a spinal puncture performed to drain cerebrospinal fluid therapeutically, such as to relieve elevated pressure rather than obtain diagnostic samples.
In Montana, Medicare pays $216.74 for 62272 in the office and $84.81 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 62272 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 62272 covers
A clinician uses a spinal puncture to drain cerebrospinal fluid for treatment, rather than primarily to collect a diagnostic specimen. A typical situation is therapeutic lumbar drainage for pressure relief in a patient with idiopathic intracranial hypertension. Neurologists, neurosurgeons, and other clinicians who perform spinal procedures may provide the service in an office, hospital, or other facility setting.
Report the code for the therapeutic drainage procedure, supported by documentation of the indication and the drainage performed. Record the puncture site and technique, along with pressure measurements or the amount removed when obtained. The code 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% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, 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 Montana compares for 62272
Across 109 of 109 payment localities, the office rate for 62272 runs from $188.06 in Arkansas to $281.29 in San Benito County, CA. Montana pays $216.74. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$216.74
- Los Angeles, CA · California$240.99+$24.25
- Washington, DC area · District of Columbia$247.96+$31.22
- Miami, FL · Florida$246.91+$30.17
- Chicago, IL · Illinois$238.21+$21.47
- Manhattan, NY · New York$253.50+$36.76
- Alaska · Alaska$245.17+$28.43
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $191.25 | $75.81 |
| ArkansasArkansas | $188.06 | $74.73 |
| ArizonaArizona | $209.87 | $82.03 |
| Bakersfield, CACalifornia | $225.98 | $81.38 |
| Chico, CACalifornia | $224.73 | $80.13 |
| El Centro, CACalifornia | $224.81 | $80.21 |
| Fresno, CACalifornia | $224.73 | $80.13 |
| Hanford, CACalifornia | $224.73 | $80.13 |
| Madera, CACalifornia | $224.73 | $80.13 |
| Merced, CACalifornia | $224.73 | $80.13 |
| Modesto, CACalifornia | $224.73 | $80.13 |
| Napa, CACalifornia | $259.87 | $85.98 |
| Oxnard, CACalifornia | $239.53 | $83.58 |
| Redding, CACalifornia | $224.73 | $80.13 |
| Rest of CaliforniaCalifornia | $224.73 | $80.13 |
| Riverside, CACalifornia | $229.76 | $85.16 |
| Sacramento, CACalifornia | $235.73 | $82.29 |
| Salinas, CACalifornia | $234.87 | $81.96 |
| San Diego, CACalifornia | $240.45 | $82.66 |
| Marin County, CACalifornia | $274.52 | $88.49 |
| San Francisco, CACalifornia | $273.98 | $87.96 |
| San Benito County, CACalifornia | $281.29 | $91.04 |
| Santa Clara County, CACalifornia | $279.10 | $88.85 |
| San Luis Obispo, CACalifornia | $231.16 | $80.89 |
| Santa Cruz, CACalifornia | $242.74 | $82.44 |
| Santa Maria, CACalifornia | $235.77 | $81.93 |
| Santa Rosa, CACalifornia | $245.15 | $83.13 |
| Stockton, CACalifornia | $224.73 | $80.13 |
| Vallejo, CACalifornia | $259.10 | $85.22 |
| Visalia, CACalifornia | $224.73 | $80.13 |
| Yuba City, CACalifornia | $224.73 | $80.13 |
| ColoradoColorado | $223.53 | $83.15 |
| ConnecticutConnecticut | $232.62 | $90.53 |
| DelawareDelaware | $213.65 | $83.30 |
| Fort Lauderdale, FLFlorida | $231.40 | $97.75 |
| Rest of FloridaFlorida | $218.08 | $91.96 |
| Atlanta, GAGeorgia | $222.48 | $88.43 |
| Rest of GeorgiaGeorgia | $203.63 | $85.94 |
| Hawaii, Guam, HIHawaii | $230.66 | $80.65 |
| IowaIowa | $194.59 | $73.87 |
| IdahoIdaho | $196.53 | $75.15 |
| East St. Louis, ILIllinois | $220.72 | $99.34 |
| Rest of IllinoisIllinois | $212.59 | $92.14 |
| Suburban Chicago, ILIllinois | $233.29 | $97.80 |
| IndianaIndiana | $197.78 | $75.48 |
| KansasKansas | $194.62 | $75.35 |
| KentuckyKentucky | $198.83 | $81.54 |
| New Orleans, LALouisiana | $210.08 | $85.93 |
| Rest of LouisianaLouisiana | $198.90 | $82.14 |
| Metropolitan Boston, MAMassachusetts | $246.18 | $88.65 |
| Rest of MassachusettsMassachusetts | $222.34 | $83.41 |
| Baltimore area, MDMaryland | $232.24 | $90.67 |
| Rest of MarylandMaryland | $217.79 | $84.28 |
| Rest of MaineMaine | $198.87 | $77.49 |
| Southern Maine, MEMaine | $209.63 | $78.89 |
| Detroit, MIMichigan | $222.30 | $94.99 |
| Rest of MichiganMichigan | $205.78 | $85.32 |
| MinnesotaMinnesota | $210.06 | $74.30 |
| Metropolitan Kansas City, MOMissouri | $207.28 | $83.40 |
| Metropolitan St. Louis, MOMissouri | $209.62 | $84.02 |
| Rest of MissouriMissouri | $195.71 | $81.99 |
| MississippiMississippi | $191.88 | $78.28 |
| North CarolinaNorth Carolina | $201.08 | $77.99 |
| North DakotaNorth Dakota | $207.45 | $75.51 |
| NebraskaNebraska | $195.49 | $73.71 |
| New HampshireNew Hampshire | $220.94 | $83.60 |
| Northern New JerseyNew Jersey | $245.02 | $91.98 |
| Rest of New JerseyNew Jersey | $234.12 | $90.05 |
| New MexicoNew Mexico | $207.51 | $86.52 |
| NevadaNevada | $214.30 | $82.23 |
| NYC suburbs and Long Island, NYNew York | $261.80 | $104.93 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $236.60 | $92.13 |
| Queens, NYNew York | $254.24 | $98.29 |
| Rest of New YorkNew York | $204.63 | $79.29 |
| OhioOhio | $203.88 | $83.42 |
| OklahomaOklahoma | $197.26 | $79.44 |
| Portland, OROregon | $230.19 | $83.61 |
| Rest of OregonOregon | $211.51 | $80.11 |
| Metropolitan Philadelphia, PAPennsylvania | $226.86 | $89.52 |
| Rest of PennsylvaniaPennsylvania | $203.64 | $82.52 |
| Puerto RicoPuerto Rico | $218.18 | $84.80 |
| Rhode IslandRhode Island | $220.99 | $84.70 |
| South CarolinaSouth Carolina | $203.04 | $81.14 |
| South DakotaSouth Dakota | $206.35 | $74.41 |
| TennesseeTennessee | $195.89 | $75.96 |
| Austin, TXTexas | $223.76 | $84.18 |
| Beaumont, TXTexas | $202.19 | $82.13 |
| Brazoria, TXTexas | $212.38 | $81.64 |
| Dallas, TXTexas | $214.41 | $83.00 |
| Fort Worth, TXTexas | $213.11 | $83.03 |
| Galveston, TXTexas | $213.44 | $82.43 |
| Houston, TXTexas | $222.04 | $91.03 |
| Rest of TexasTexas | $207.62 | $82.41 |
| UtahUtah | $206.19 | $82.17 |
| VirginiaVirginia | $209.61 | $79.92 |
| Virgin Islands, VIUnited States Virgin Islands | $218.18 | $84.80 |
| VermontVermont | $207.52 | $76.91 |
| Rest of WashingtonWashington | $221.62 | $82.69 |
| King County, WAWashington | $250.44 | $88.56 |
| WisconsinWisconsin | $199.62 | $73.23 |
| West VirginiaWest Virginia | $203.94 | $89.29 |
| WyomingWyoming | $212.69 | $80.76 |
62272 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.
$188.06
$253.01
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 | $245.17 | 1 |
| AL | $191.25 | 1 |
| AR | $188.06 | 1 |
| AZ | $209.87 | 1 |
| CA | $224.73–$281.29 | 29 |
| CO | $223.53 | 1 |
| CT | $232.62 | 1 |
| DC | $247.96 | 1 |
| DE | $213.65 | 1 |
| FL | $218.08–$246.91 | 3 |
| GA | $203.63–$222.48 | 2 |
| GU | $230.66 | 1 |
| HI | $230.66 | 1 |
| IA | $194.59 | 1 |
| ID | $196.53 | 1 |
| IL | $212.59–$238.21 | 4 |
| IN | $197.78 | 1 |
| KS | $194.62 | 1 |
| KY | $198.83 | 1 |
| LA | $198.90–$210.08 | 2 |
| MA | $222.34–$246.18 | 2 |
| MD | $217.79–$247.96 | 3 |
| ME | $198.87–$209.63 | 2 |
| MI | $205.78–$222.30 | 2 |
| MN | $210.06 | 1 |
| MO | $195.71–$209.62 | 3 |
| MS | $191.88 | 1 |
| MT | $216.74 | 1 |
| NC | $201.08 | 1 |
| ND | $207.45 | 1 |
| NE | $195.49 | 1 |
| NH | $220.94 | 1 |
| NJ | $234.12–$245.02 | 2 |
| NM | $207.51 | 1 |
| NV | $214.30 | 1 |
| NY | $204.63–$261.80 | 5 |
| OH | $203.88 | 1 |
| OK | $197.26 | 1 |
| OR | $211.51–$230.19 | 2 |
| PA | $203.64–$226.86 | 2 |
| PR | $218.18 | 1 |
| RI | $220.99 | 1 |
| SC | $203.04 | 1 |
| SD | $206.35 | 1 |
| TN | $195.89 | 1 |
| TX | $202.19–$223.76 | 8 |
| UT | $206.19 | 1 |
| VA | $209.61–$247.96 | 2 |
| VI | $218.18 | 1 |
| VT | $207.52 | 1 |
| WA | $221.62–$250.44 | 2 |
| WI | $199.62 | 1 |
| WV | $203.94 | 1 |
| WY | $212.69 | 1 |
How the 62272 rate is calculated
Each of 62272’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 · 62272
RVUs × geographic indexes × conversion factor
Work1.54
1.54 RVUs× 1.000 GPCI
Practice expense4.48
4.48 RVUs× 1.000 GPCI
Malpractice0.47
0.47 RVUs× 1.000 GPCI
Adjusted RVUs
6.4900
Conversion factor
$33.4009
Medicare rate
$216.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,949
- Code
- 62272
- Physician work
- 1.54
- Practice expense
- 4.48
- Malpractice
- 0.47
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.54 | × 1.000 | 1.5400 |
| Practice expense | 4.48 | × 1.000 | 4.4800 |
| Malpractice | 0.47 | × 0.998 | 0.4691 |
| Total RVUs | 6.4891 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$216.74
Office: (1.54 × 1 + 4.48 × 1 + 0.47 × 0.998) × $33.4009 = $216.74
Facility: (1.54 × 1 + 0.53 × 1 + 0.47 × 0.998) × $33.4009 = $84.81
Payment rules and modifiers for 62272
The CMS indicators that decide how 62272 is paid alongside other services.
CMS payment indicators · 62272
Therapeutic lumbar puncture, CSF drainage
| 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
62272 without 51 · national office
$216.77
Therapeutic lumbar puncture, CSF drainage
62272-51 · Second procedure: 50%
$108.39
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 62272 has changed in Montana
62272 · Office / nonfacility
$216.74
Effective 2026-10-01
The base rate is $35.31 higher than on 2025-10-01, moving from $181.43 to $216.74 (19.5%).
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
$181.43changed to$216.74
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.58 changed to 1.54
- Practice expense RVU 3.54 changed to 4.48
- Malpractice RVU 0.50 changed to 0.47
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$184.74changed to$181.43
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.52 changed to 3.54
- Malpractice RVU 0.46 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$181.73changed to$184.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$180.98changed to$181.73
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.34 changed to 3.52
- Malpractice RVU 0.43 changed to 0.46
January 1, 2023
RVU23A
$177.57changed to$180.98
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.17 changed to 3.34
- Malpractice RVU 0.39 changed to 0.43
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$182.22changed to$177.57
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.31 changed to 3.17
- Malpractice RVU 0.34 changed to 0.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$191.90changed to$182.22
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.32 changed to 3.31
- Malpractice RVU 0.32 changed to 0.34
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$207.56changed to$191.90
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 1.35 changed to 1.58
- Practice expense RVU 3.92 changed to 3.32
- Malpractice RVU 0.30 changed to 0.32
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$214.67changed to$207.56
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.14 changed to 3.92
- Malpractice RVU 0.29 changed to 0.30
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$210.62changed to$214.67
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.09 changed to 4.14
- Malpractice RVU 0.30 changed to 0.29
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$208.66changed to$210.62
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.11 changed to 4.09
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$209.14changed to$208.66
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.09 changed to 4.11
- Malpractice RVU 0.31 changed to 0.30
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$208.09changed to$209.14
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$207.51changed to$208.09
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.07 changed to 4.09
- Malpractice RVU 0.32 changed to 0.31
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$211.42changed to$207.51
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.50 changed to 4.07
- Malpractice RVU 0.33 changed to 0.32
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $211.42
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $216.74 | $84.81 | RVU26D |
| 2026-07-01 | $216.74 | $84.81 | RVU26C |
| 2026-04-01 | $216.74 | $84.81 | RVU26B |
| 2026-01-01 | $216.74 | $84.81 | RVU26A |
| 2025-10-01 | $181.43 | $90.54 | RVU25D |
| 2025-07-01 | $181.43 | $90.54 | RVU25C |
| 2025-04-01 | $181.43 | $90.54 | RVU25B |
| 2025-01-01 | $181.43 | $90.54 | RVU25A |
| 2024-10-01 | $184.74 | $91.20 | RVU24D |
| 2024-07-01 | $184.74 | $91.20 | RVU24C |
| 2024-04-01 | $184.74 | $91.20 | RVU24B |
| 2024-03-09 | $184.74 | $91.20 | RVU24AR |
| 2024-01-01 | $181.73 | $89.72 | RVU24A |
| 2023-10-01 | $180.98 | $91.17 | RVU23D |
| 2023-07-01 | $180.98 | $91.17 | RVU23C |
| 2023-04-01 | $180.98 | $91.17 | RVU23B |
| 2023-01-01 | $180.98 | $91.17 | RVU23A |
| 2022-10-01 | $177.57 | $90.70 | RVU22D |
| 2022-07-01 | $177.57 | $90.70 | RVU22C |
| 2022-04-01 | $177.57 | $90.70 | RVU22B |
| 2022-01-01 | $177.57 | $90.70 | RVU22A |
| 2021-10-01 | $182.22 | $89.40 | RVU21D |
| 2021-07-01 | $182.22 | $89.40 | RVU21C |
| 2021-04-01 | $182.22 | $89.40 | RVU21B |
| 2021-01-01 | $182.22 | $89.40 | RVU21A |
| 2020-10-01 | $191.90 | $95.18 | RVU20D |
| 2020-07-01 | $191.90 | $95.18 | RVU20C |
| 2020-04-01 | $191.90 | $95.18 | RVU20B |
| 2020-01-01 | $191.90 | $95.18 | RVU20A |
| 2019-10-01 | $207.56 | $93.68 | RVU19D |
| 2019-07-01 | $207.56 | $93.68 | RVU19C |
| 2019-04-01 | $207.56 | $93.68 | RVU19B |
| 2019-01-01 | $207.56 | $93.68 | RVU19A |
| 2018-10-01 | $214.67 | $93.35 | RVU18D |
| 2018-07-01 | $214.67 | $93.35 | RVU18C |
| 2018-04-01 | $214.67 | $93.35 | RVU18B |
| 2018-01-01 | $214.67 | $93.35 | RVU18AR1 |
| 2017-10-01 | $210.62 | $91.83 | RVU17D |
| 2017-07-01 | $210.62 | $91.83 | RVU17C |
| 2017-04-01 | $210.62 | $91.83 | RVU17B |
| 2017-01-01 | $210.62 | $91.83 | RVU17A |
| 2016-10-01 | $208.66 | $89.07 | RVU16D |
| 2016-07-01 | $208.66 | $89.07 | RVU16C |
| 2016-04-01 | $208.66 | $89.07 | RVU16B |
| 2016-01-01 | $208.66 | $89.07 | RVU16A |
| 2015-10-01 | $209.14 | $90.20 | RVU15D |
| 2015-07-01 | $209.14 | $90.20 | RVU15C |
| 2015-04-01 | $208.09 | $89.75 | RVU15B |
| 2015-01-01 | $208.09 | $89.75 | RVU15A |
| 2014-10-01 | $207.51 | $89.66 | RVU14D |
| 2014-07-01 | $207.51 | $89.66 | RVU14C |
| 2014-04-01 | $207.51 | $89.66 | RVU14B |
| 2014-01-01 | $207.51 | $89.66 | RVU14A |
| 2013-10-01 | $211.42 | $86.55 | RVU13D |
| 2013-07-01 | $211.42 | $86.55 | RVU13C |
| 2013-04-01 | $211.42 | $86.55 | RVU13B |
| 2013-01-01 | $211.42 | $86.55 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
62272 billing questions
How does 62272 differ from diagnostic spinal puncture 62270?
Use 62272 when the puncture is performed to drain CSF therapeutically. Use 62270 when the puncture is diagnostic, such as for CSF sampling.
Is 62272 reported per milliliter of CSF removed?
No. Report the therapeutic puncture service, not a separate unit for each milliliter drained.
What documentation supports 62272?
Document the clinical reason for therapeutic drainage and that drainage was performed. Include the site and technique, and record fluid volume or pressure findings when obtained.
Should modifier 50 be used for drainage at multiple sites?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does Medicare treat other procedures performed in the same session?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery is not paid, and 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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