However, sacroiliac joint injections cannot be performed via telehealth encounters. Individuals who can schedule an in - person encounter for injection are expected to also schedule an in -person encounter for provocative physical examination, prior to injection, in order to document the medical necessity of the joint injection. CPT Codes: 27096From a CPT coding perspective, if an injection is administered into the SI joint without fluoroscopic imaging guidance, then it would be appropriate to report code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa), for the injection administered into the SI joint without ...3. Best answers. 0. Jan 15, 2020. #2. you have to use the trigger point injection 20552 code for SI joint injection. If you look at the coding instructions for 27096 it goes on to state: For the injection procedure without CT or fluoroscopic imaging guidance, see 20552. S.Sacroiliac joint injections may be performed unilateral or bilateral in the same session. For professional services performed by the physician and billed on a CMS 1500 or electronic equivalent: Bilateral SIJIs procedures reported with CPT 27096 or 64451 should be reported with modifier 50. If a unilateral joint injection (CPT 27096) is ...We would like to show you a description here but the site won’t allow us.The injections are at two separate sites, I would bill as such 62311-59 27096 77003-26 or 62311-59 27096 77003-26 59 in 2012 The CCI edit falls under Standards of medical / surgical practice according to Supercoder, but when you look at the NCCI policy manual at the chapter 1 general coding principles and read "coding based …If the provider performs joint aspiration/injection with US guidance, select 20604, 20606, or 20611 (depending on the joint targeted). If the provider aspirates/injects the joint/bursa without guidance of any kind, select from among 20600, 20605, and 20610. Report a single unit of 20600-20611 for each joint treated, regardless of how many ...Nov 15, 2018. #4. thomas7331 said: 20610 is the correct code for an injection into the SI joint. 20552 is a trigger point injection, which is an injection of a muscle, not the joint. I am just going off of what my CPT book says which per guidelines, we are to go where the book directs us. CPT book states " 27096 is to be used only with CT or ...Question: Our orthopedist performed an SI joint injection without arthrography or fluoroscopy.Should we use 27096 (Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid) with the modifier for reduced services (modifier -52)?Pennsylvania Subscriber. Answer: No, 27096 is not appropriate even if you append …The Boston Scientific RF Injection Electrodes are used for percutaneous nerve blocks with local anesthetic ... This coding information may include codes for procedures for which Boston Scientific currently offers no cleared or approved products. In those instances, such codes have been included solely in the interest of providing users with …The description of of codes what imaging is included. Meine surgeon performed a SIL joint injection in which ASC under ultrasound guidance and wants to bill 27096 plus 76942. Is this correct? The functional of the codes say imaging the included. 0.CPT. ®. 27096, Under Introduction or Removal Procedures on the Pelvis and Hip Joint. The Current Procedural Terminology (CPT ®) code 27096 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Pelvis and Hip Joint.CPT Code Injection of SI Joint refers to the administration of medication into the sacroiliac joint, which connects the spine to the pelvis. The CPT code used for this procedure is 27096. It involves the use of a local anesthetic and a steroid medication to alleviate pain and inflammation caused by dysfunction or injury toBilling and Coding: Sacroiliac Joint Injections and Procedures (A59244) - R1 - Effective March 19, 2023. This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV). Effective Date: March 19, 2023. Summary of Article Changes: Editorial/clarification ...CPT codes. 27096 – Sacroiliac joint injection WITH fluoroscopic guidance; Note: The fluoroscopic needle guidance is built in to this code (27096), so you can not bill for 77002 separately. Note: If NO fluoroscopy is used for an SI joint injection, it is billed the same as a trigger point injection (20552).This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint. Coding Information: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits.According to their database, the average cost in 2022 for an SI joint injection was between $328 and $648. Those numbers only include the doctor fee and facility fee. The actual costs associated ...The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Sacroiliac Joint Injections and Procedures L39402. The Current Procedural Terminology (CPT) codes included in this article may be subject to National Correct Coding Initiative (NCCI) edits or Outpatient ...The sacroiliac joints or I joint (SIJ) is that joint between this backside and the legs bones of the tank, which are related by strong ligaments. The SI bonds bear the gauge of aforementioned trunk and than a result are subject to this development of strain and/or pain. We have already learnt about coding epidural injection encryption 37387,60083, 78122, 59219, 72821, 26605, 49491 and 51541.Billing the injection procedure. The procedure code (CPT code) 20610 or 20611 may be billed for the intraarticular injection. The charge, if any, for the drug or biological must be included in the physician's bill and the cost of the drug or biological must represent an expense to the physician.Because if they bill the SI code it will get denied based on CPT guidelines, so is there way to perhaps appeal in a letter stating that due to CPT guidelines they had to bill the trigger point CODE, but the PROCEDURE performed matches the diagnosis? ... otherwise it is not truely an SI joint injection, that is why they say it has to be a ...Billing the injection procedure. The procedure code (CPT code) 20610 or 20611 may be billed for the intraarticular injection. The charge, if any, for the drug or biological must be included in the physician's bill and the cost of the drug or biological must represent an expense to the physician.Learn how to code a sacroiliac injection with office visit using CPT codes 99214-25, 27096, J3301 x1 and ICD-10 codes M46.1*, M45.9*, R11.0. Find out the …There are thousands of existing codes that are updated each October. The current version is CPT 2018. But with thousands of codes out there at any given time, how can medical profe...Report a single unit of 20600-20611 for each joint treated, regardless of how many aspirations and/or injections occur in a single joint. CPT® allows you to separately report fluoroscopic, CT, or MRI guidance for needle placement during joint/bursa aspiration/injection, when performed. Claim the “without ultrasonic guidance” code for the ...May 31, 2023 · Definitions. Intra-Articular Sacroiliac Joint Injection: the injection of contrast (absent allergy to contrast), followed by the introduction of a corticosteroid and/or a local anesthetic into the sacroiliac joint under fluoroscopic or CT guidance. Sacroiliac joint (SIJ) injections are performed for determining if the sacroiliac joint is the ...Jan 29, 2020 · Jan 29, 2020. #2. There is actually a new code for 2020 for Sacroiliac RFA's. For S1, S2, S3, we now use the 64625 and S4 is 64640. So if S1-4 was performed it's billed 64625, 64640. We use M461 almost always or the M47817 we have not gotten a denial.CPT 2020 makes significant changes to the family of codes for Somatic Nerve Injections (CPT 64400-64489). This includes code additions, deletions and revisions to existing codes and the introductory guidelines. New codes are also added to report destruction of the genicular nerves and radiofrequency ablation of the sacroiliac joint.Diagnostic CPT Code Reference XRAY and DEXA. 76700 --> 74240 --> Upper GI without KUB 76705 --> 74246 --> Upper GI with Air without KUB 76770 --> 74245 --> Upper GI with Small Bowel ... Fluoro Guided Joint Injection Diagnostic CPT Code Reference Guide Fluoroscopy Venous Duplex Upper and Lower Extremity (Bilateral) Venous Duplex …Coverage policy recommendations for sacroiliac joint injections & radiofrequency ablation. 2020. Accessed 8/22/23. Kennedy DJ, Engel A, Kreiner DS, Nampiaparampil D, Duszynski B, MacVicar J. Fluoroscopically guided diagnostic and therapeutic intra-articular sacroiliac joint injections: A systematic review. Pain Med. 2015;16(8):1500-1518.Sacroiliac joint injections may be performed unilateral or bilateral in the same session. For professional services performed by the physician and billed on a CMS 1500 or electronic equivalent: Bilateral SIJIs procedures reported with CPT 27096 or 64451 should be reported with modifier 50. If a unilateral joint injection (CPT 27096) is ...Antipsychotic injections are slow releasing, which helps manage symptoms anywhere from 2 weeks to a couple of months. They are also equally effective. Antipsychotic medications are...When the epidural injections (62322-62327) are used for cerebrospinal fluid flow imaging, cisternography (78630), the diagnosis code restrictions in this article do not apply. These services should be billed on the same claim. When epidural injections (62321, 62323, 64479, 64480, 64483 or 64484) are used for postoperative pain management, the ...of sacral tumors, SI joint infection, or pelvic ring fracture. SI joint fusion has also been proposed for treatment of mechanical low back and sacral insufficiency fractures. The surgery may be performed as a minimally invasive procedure (e.g., percutaneous approach) or as an open procedure. Percutaneous SI joint fusion involves the placementCT- and fluoroscopy-guided sacroiliac injections have the same billing code (CPT 27096), and the charge is the same for both modalities. However, when the expense of the imaging suite and equipment is considered, the cost to the institution is likely higher for performing the procedure with CT guidance . Many institutions have limited CT ...November 3, 2022 Question: What CPT code do we use when his physician executed an SI joint injection using ultrasound guidance? CPT code 27096 states with fluoroscopy or CT guidance. Answer: CPT instructs to record CPT code 20552 for unilateral or bilateral SI joint injections if CT or Fluoroscopic imaging is not pre-owned.Mar 19, 2023 · Spondylarthritis- A group of inflammatory arthritis affecting the axial skeleton including the sacroiliac joint and spine with or without peripheral joints and is often associated with HLA- B27. 17. Subacute Pain – The temporal definition of pain occurring during the six (6) to twelve-week (12) time period.Best answers. 0. May 23, 2018. #5. the correct code for SI injections. littlelora said: Since he says he injected in the joint, I'd look at your 20605, 20610 codes. We bill 20610 for SI joint injections, so that may be the best route to take. the correct code for a SI injection is 27096 not 20610.November 3, 2022 Question: Where CPT code do ours use when we physician performs an SI joint injections uses ultrasound guidance? CPT code 27096 states with fluoroscopy or CT guidance. Answer: CPT instructs to report CPT code 20552 for one-sided or binary SI jointed injections with SCAN or Fluoroscopic imaging is not used. CPT codeThis year’s publication of CPT contains 4 new procedure codes for pain management. They are for procedures which have been performed without the benefit of specific codes for some time now. ... The new code for SI joint nerve block (64451), like the code for the SI joint injection, states that the procedure is performed under either …Aug 30, 2016 · CT- and fluoroscopy-guided sacroiliac injections have the same billing code (CPT 27096), and the charge is the same for both modalities. However, when the expense of the imaging suite and equipment is considered, the cost to the institution is likely higher for performing the procedure with CT guidance . Many institutions have limited CT ...Jul 13, 2015 · Keep in mind, the CT guidance is an inclusive component of the sacroiliac joint injection. The 2015 CPT code description for an SI joint injection is, “Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed.”Oct 1, 2002 · The more appropriate code is 20610* (Arthrocente-sis, aspiration and/or injection; major joint or bursa [e.g., shoulder, hip, knee joint, subacromial bursa]). Although the sacroiliac joint is not listed as an example, it is considered a major joint.What is CPT Code 64451? This is for the Block 64451, Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or CT computed tomography), should be reported once for this procedure.This code can also be used if an SI joint injection is done without imaging. 3. Joint Manipulations. CPT guidelines are that if a surgical arthroscopy is performed on the same joint when a joint manipulation and/or joint injection are performed in the same case, only the scope procedure is billable. 4. Subacromial Decompression Procedures.27096 Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed ... Coding and Payment Guide for Medicare Reimbursement: The following are the 2020 Medicare coding and national payment rates for Radio ... APC Codes: 5431: Level 1 Nerve Procedures, 544 2: Level …Posted 12/28/2023 Under CPT/HCPCS Codes Group 1 Codes CPT code 27279 had a description change effective 10/01/2023. 06/30/2022 R2 Posted 06/30/2022: Review completed 06/06/2022. No updates made and no change in coverage. ... L36000 Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the …Spondylarthritis - A group of inflammatory arthritis affecting the axial skeleton including the sacroiliac joint and spine with or without peripheral joints and is often associated with HLA- B27. 17. Subacute Pain – The temporal definition of pain occurring during the six (6) to twelve-week (12) time period.CPT stands for Current Procedural Terminology and is administered by the AMA (American Medical Association). HCPCS stands for Healthcare Common Procedural Coding System and is base...This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint. Coding Information: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits.However, sacroiliac joint injections cannot be performed via telehealth encounters. Individuals who can schedule an in - person encounter for injection are expected to also schedule an in -person encounter for provocative physical examination, prior to injection, in order to document the medical necessity of the joint injection. CPT …Spinopelvic Fixation. Deformity Coding Guide. iFuse Bedrock Granite NTAP Coding Guide. SI-BONE is the developer of the iFuse Implant System, a minimally invasive surgical treatment for sacroiliac joint disorders. Learn about SI joint disorders.Learn how to code SI joint injections with or without radiological guidance, and when to use modifier 50 for bilateral procedures. Find out the CPT codes for fluoroscopy, CT, ultrasound, and trigger point injections.Learn about the different types of sacroiliac joint (SI joint) procedures and how to code them correctly in ASCs. Find out the new CPT code for intraarticular implant placement and …A. Sacroiliac joint injections (SIJI) will be considered medically reasonable and necessary when all the following requirements are met: Moderate to severe low back pain primarily experienced over the anatomical location of the SI joints between the upper level of the iliac crests and the gluteal fold, AND.Location. Birmingham, AL. Best answers. 0. Oct 14, 2011. #1. We performed CT guidance for injection in lumbar/sacral (CPT 64483) in the hospital setting. The actual procedure/injections were performed by the Pain Clinic physician and not Radiology. Since CPT 64483 includes the CT guidance, what would be the appropriate CPT code to bill on the ...72200 - CPT® Code in category: Radiologic examination, sacroiliac joints... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials.In the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced...ICD-10-CM / CPT / HCPCS / CDT · Informational Provider Search · Mandatory Training · Primary Care Provider (PCP) Tool · Prior Authorization Procedure Co...When the epidural injections (62322-62327) are used for cerebrospinal fluid flow imaging, cisternography (78630), the diagnosis code restrictions in this article do not apply. These services should be billed on the same claim. When epidural injections (62321, 62323, 64479, 64480, 64483 or 64484) are used for postoperative pain management, the ...The code 27096 description is SI joint injection with fluoroscopy or CT guidance. Per the ICD-10 manual, SI joint injections with ultrasound should be coded 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscles(s)) with 76942 (ultrasound guidance).This year's publication of CPT contains 4 new procedure codes for pain management. They are for procedures which have been performed without the benefit of specific codes for some time now. ... The new code for SI joint nerve block (64451), like the code for the SI joint injection, states that the procedure is performed under either computed ...We are using 20552, 76942 with Dx: M53.3. Per CPT guidelines, if ultrasound is used instead of fluoroscopy or CT, report a trigger point injection code 20552 (Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s)) and 76942 (Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device ...Injections or nerve ablations to the area can reduce pain by up to 80 percent, but the pain will likely return in a matter of weeks or months depending on the patient and the procedure. ... The surgeon's services are reported with CPT ® code 27280 Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation ...According to Becker’s Spine Review, under the American Medical Association’s Current Procedural Terminology, or CPT, 20610 is the code for a cortisone injection in the shoulder, si...If a unilateral joint injection (CPT ® 27096) is performed and a unilateral sacral nerve block (CPT ® 64451) is performed on the contralateral side do not report …What is CPT Code 64451? This is for the Block 64451, Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or CT computed tomography), should be reported once for this procedure.Infusion: The slow injection of a substance into a vein or tissue. "a four-hour intravenous infusion." Therapeutic: Of or relating to the medical treatment of a disease or condition. E.g. "rheumatoid arthritis". Push: An IV "push" or "bolus" is a rapid injection of medication. A syringe is inserted into your catheter to quickly send a one-time ...CPT Code Description . 27278 . Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular ... approach, the SI joint is accessed laterally through a small incision made in the buttock to access the ilium. A pin is passed ... Sacroiliac Joint (SI) Injections . ...Sacroiliac (SI) Joint Injection. CIGNA covers SI joint injection (CPT code 27096, HCPCS code G0260)) for the treatment of back pain associated with localized SI joint pathology (e.g., inflammatory arthritis) confirmed on imaging studies. CIGNA does not cover EITHER of the following because each is considered experimental, investigational, …Sacroiliac joint injection (see CPB 0016 - Back Pain - Invasive Procedures) Saphenous vein access; Scapholunate ligament injection; Scar tissue injection after Dupuytren's cord excision surgery; ... CPT codes for procedures where 76942 and 76998 are covered if selection criteria are met: ...Sacroiliac joint injections may be performed unilateral or bilateral in the same session. For professional services performed by the physician and billed on a CMS 1500 or electronic equivalent: Bilateral SIJIs procedures reported with CPT 27096 or 64451 should be reported with modifier 50. If a unilateral joint injection (CPT 27096) is ...Apr 14, 2021 · We are using 20552, 76942 with Dx: M53.3. Per CPT guidelines, if ultrasound is used instead of fluoroscopy or CT, report a trigger point injection code 20552 (Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s)) and 76942 (Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device ...Bilateral SIJIs procedures reported with CPT 27096 or 64451 should be reported with modifier 50. If a unilateral joint injection (CPT 27096) is performed and a unilateral sacral nerve block (CPT 64451) is performed on the contralateral side do not report modifier 50 with either code. Do not report a sacroiliac joint injection (CPT 27096) and a ...Therapeutic sacroiliac (SI) joint injections of an anesthetic and/or steroid to block the joint for immediate, and potentially long lasting, pain relief are considered medically reasonable and necessary if it is determined that the SI joint is the source of pain in the lower back. The local anesthetic used for the procedure should not be billed.If the pain does not resolve on its own, and after a course of antiinflammatories and donut cushion, the ganglion impar is blocked under fluoroscopic guidance (or ultrasound guidance). Billing / Coding. ICD-9 code: 724.79 (Coccydynia) ICD-10 code: M53.3 (Sacrococcygeal disorders, not elsewhere classified) CPT codes: There is no consensus on the ...Billing and Coding: Sacroiliac Joint Injections and Procedures (A59244) - R1 - Effective March 19, 2023. This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV). Effective Date: March 19, 2023.The physician elects to perform a sacroiliac injection at an ambulatory surgery center. After sterile prep, the patient is placed prone position. A needle is placed under fluoroscopic guidance into the SI joint and a mixture of 20 mg of Celestone and Marcaine is injected for pain relief. Report the CPT code(s).Based on the annual CPT/HCPCS update, CPT codes 20560 and 20561 have been added to the article to report dry needling. CPT code 64625 has been added to the article to report radiofrequency ablation, nerves innervating the sacroiliac joint. CPT codes 20560, 20561 and 64625 have been added to a new CPT/HCPCS Codes section (Group 4).9. A trial of a therapeutic sacroiliac joint injection (i.e., corticosteroid injection) has been performed at least once. F. Fixation / fusion of the sacroiliac joint for the treatment of back pain presumed to originate from the SI joint is considered experimental / investigational under all other conditionsWe are using 20552, 76942 with Dx: M53.3. Per CPT guidelines, if ultrasound is used instead of fluoroscopy or CT, report a trigger point injection code 20552 (Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s)) and 76942 (Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device ...CPT® 2012 brings important changes to pain management coding. In the first of this two-part series, we'll: Review the revised coding guidelines for sacroiliac (SI) joint injection. Clarify the methodology for determining when to use the "open" versus "percutaneous" codes for disc procedures, and corresponding changes to code 62287.CPT codes: There is no consensus on the correct code to use. Some use: 64530 (Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring). ... Sacroiliac Joint Injection With Fluoroscopy – Technique and Tips. Acromioclavicular Joint Injection With Fluoroscopy. Lumbar Discography. 19 COMMENTS. azlan tariq July 25, …Please refer to LCD L39455 Sacroiliac Joint Injections and Procedures. ... M60.871, M60.872, M60.88, M60.89 and M79.7 have been added to the Group 1: Codes for Trigger Point injections (CPT codes 20552 and 20553) retroactive to 10/01/2015. Request for Coverage by a Practitioner (Part B) 01/01/2016 ...When your provider performs injections on both sides of one vertebral level, report the base injection code (64490 or 64493) with modifier 50 Bilateral procedure. If the physician injects a second level bilaterally, report the add-on codes twice. Per the CPT® code book, “Do not report modifier 50 in conjunction with 64491, 64492, 64494 ...Get Joint Size Right. The first set of joint injection codes Clements discussed were: 20600 (Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance) 20605 (Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow ...The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Sacroiliac Joint Injections and Procedures L39402. The Current Procedural Terminology (CPT) codes included in this article may be subject to National Correct Coding Initiative (NCCI) edits or Outpatient ...My providers do SI joint injections in the office, and I know that CPT states to use 20552 which is presumed that the injections are being done into tissue and not into the actual joint. My providers are using ultrasound to visualize the actual sacroiliac joint and injecting into the joint itself.. CPT Codes 27096: injection procedure for saSacroiliac joint injections may be performed unilater My providers do SI joint injections in the office, and I know that CPT states to use 20552 which is presumed that the injections are being done into tissue and not into the actual joint. My providers are using ultrasound to visualize the actual sacroiliac joint and injecting into the joint itself.New Category III CPT Codes for Intra-articular Minimally Invasive Sacroiliac Joint Fusion . In July 2022, the American Medical Association Current Procedural Terminology (CPT) Editorial Panel released a new category III code for the minimally invasive insertion of a device into the intra-articular sacroiliac joint space. Do not code the injections or how may injections are done AMA CPT ® Assistant - 2019 Issue 12 (December) Destruction by Neurolytic Agent (Genicular Injection; Radiofrequency Neurotomy Sacroiliac Joint) (December 2019) December 2019 page 8 Destruction by Neurolytic Agent (Genicular Injection; Radiofrequency Neurotomy Sacroiliac Joint) For Current Procedural Terminology …Added an asterisk (*) to ICD-10 Code M79.18 and statement indicating “ICD-10 code M79.18 may be used to code injection of sacroiliac joint without imaging or with ultrasound imaging in a patient who is not pregnant or who has no contrast allergies.” 04/01/2024 R4 Fixed broken link within the Article Text section. Mar 19, 2023 · Sacroiliac joint injections may be performed...
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