October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

S27 Injury of other and unspecified intrathoracic organs

All 162 codes in the S27 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

162

Can lead a claim

102

Cannot lead a claim

60

What CMS assigns to S27

102 of the 162 codes group to MMTA - Other (60) and Wound (42); 60 are assigned no clinical group. None of the 162 is assigned a comorbidity subgroup. 102 of the 162 can lead a claim.

Every code in S27

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
S27.0 Traumatic pneumothorax
S27.0XXATraumatic pneumothorax, initial encounterCan lead a claimANone
S27.0XXDTraumatic pneumothorax, subsequent encounterCan lead a claimANone
S27.0XXSTraumatic pneumothorax, sequelaCan lead a claimANone
S27.1 Traumatic hemothorax
S27.1XXATraumatic hemothorax, initial encounterCan lead a claimANone
S27.1XXDTraumatic hemothorax, subsequent encounterCan lead a claimANone
S27.1XXSTraumatic hemothorax, sequelaCan lead a claimANone
S27.2 Traumatic hemopneumothorax
S27.2XXATraumatic hemopneumothorax, initial encounterCan lead a claimANone
S27.2XXDTraumatic hemopneumothorax, subsequent encounterCan lead a claimANone
S27.2XXSTraumatic hemopneumothorax, sequelaCan lead a claimANone
S27.3 Other and unspecified injuries of lung
S27.30 Unspecified injury of lung
S27.301 Unspecified injury of lung, unilateral
S27.301AUnspecified injury of lung, unilateral, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.301DUnspecified injury of lung, unilateral, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.301SUnspecified injury of lung, unilateral, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.302 Unspecified injury of lung, bilateral
S27.302AUnspecified injury of lung, bilateral, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.302DUnspecified injury of lung, bilateral, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.302SUnspecified injury of lung, bilateral, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.309 Unspecified injury of lung, unspecified
S27.309AUnspecified injury of lung, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.309DUnspecified injury of lung, unspecified, subsequent encounterCMS: Unspecified injury of lung, unspecified, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.309SUnspecified injury of lung, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.31 Primary blast injury of lung
S27.311 Primary blast injury of lung, unilateral
S27.311APrimary blast injury of lung, unilateral, initial encounterCan lead a claimCNone
S27.311DPrimary blast injury of lung, unilateral, subsequent encounterCMS: Primary blast injury of lung, unilateral, subs encntrCan lead a claimCNone
S27.311SPrimary blast injury of lung, unilateral, sequelaCan lead a claimCNone
S27.312 Primary blast injury of lung, bilateral
S27.312APrimary blast injury of lung, bilateral, initial encounterCan lead a claimCNone
S27.312DPrimary blast injury of lung, bilateral, subsequent encounterCMS: Primary blast injury of lung, bilateral, subs encntrCan lead a claimCNone
S27.312SPrimary blast injury of lung, bilateral, sequelaCan lead a claimCNone
S27.319 Primary blast injury of lung, unspecified
S27.319APrimary blast injury of lung, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.319DPrimary blast injury of lung, unspecified, subsequent encounterCMS: Primary blast injury of lung, unspecified, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.319SPrimary blast injury of lung, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.32 Contusion of lung
S27.321 Contusion of lung, unilateral
S27.321AContusion of lung, unilateral, initial encounterCan lead a claimANone
S27.321DContusion of lung, unilateral, subsequent encounterCan lead a claimANone
S27.321SContusion of lung, unilateral, sequelaCan lead a claimANone
S27.322 Contusion of lung, bilateral
S27.322AContusion of lung, bilateral, initial encounterCan lead a claimANone
S27.322DContusion of lung, bilateral, subsequent encounterCan lead a claimANone
S27.322SContusion of lung, bilateral, sequelaCan lead a claimANone
S27.329 Contusion of lung, unspecified
S27.329AContusion of lung, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.329DContusion of lung, unspecified, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.329SContusion of lung, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.33 Laceration of lung
S27.331 Laceration of lung, unilateral
S27.331ALaceration of lung, unilateral, initial encounterCan lead a claimCNone
S27.331DLaceration of lung, unilateral, subsequent encounterCan lead a claimCNone
S27.331SLaceration of lung, unilateral, sequelaCan lead a claimCNone
S27.332 Laceration of lung, bilateral
S27.332ALaceration of lung, bilateral, initial encounterCan lead a claimCNone
S27.332DLaceration of lung, bilateral, subsequent encounterCan lead a claimCNone
S27.332SLaceration of lung, bilateral, sequelaCan lead a claimCNone
S27.339 Laceration of lung, unspecified
S27.339ALaceration of lung, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.339DLaceration of lung, unspecified, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.339SLaceration of lung, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.39 Other injuries of lung
S27.391 Other injuries of lung, unilateral
S27.391AOther injuries of lung, unilateral, initial encounterCan lead a claimANone
S27.391DOther injuries of lung, unilateral, subsequent encounterCan lead a claimANone
S27.391SOther injuries of lung, unilateral, sequelaCan lead a claimANone
S27.392 Other injuries of lung, bilateral
S27.392AOther injuries of lung, bilateral, initial encounterCan lead a claimANone
S27.392DOther injuries of lung, bilateral, subsequent encounterCan lead a claimANone
S27.392SOther injuries of lung, bilateral, sequelaCan lead a claimANone
S27.399 Other injuries of lung, unspecified
S27.399AOther injuries of lung, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.399DOther injuries of lung, unspecified, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.399SOther injuries of lung, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.4 Injury of bronchus
S27.40 Unspecified injury of bronchus
S27.401 Unspecified injury of bronchus, unilateral
S27.401AUnspecified injury of bronchus, unilateral, initial encounterCMS: Unspecified injury of bronchus, unilateral, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.401DUnspecified injury of bronchus, unilateral, subsequent encounterCMS: Unspecified injury of bronchus, unilateral, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.401SUnspecified injury of bronchus, unilateral, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.402 Unspecified injury of bronchus, bilateral
S27.402AUnspecified injury of bronchus, bilateral, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.402DUnspecified injury of bronchus, bilateral, subsequent encounterCMS: Unspecified injury of bronchus, bilateral, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.402SUnspecified injury of bronchus, bilateral, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.409 Unspecified injury of bronchus, unspecified
S27.409AUnspecified injury of bronchus, unspecified, initial encounterCMS: Unspecified injury of bronchus, unspecified, init encntrCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.409DUnspecified injury of bronchus, unspecified, subsequent encounterCMS: Unspecified injury of bronchus, unspecified, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.409SUnspecified injury of bronchus, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.41 Primary blast injury of bronchus
S27.411 Primary blast injury of bronchus, unilateral
S27.411APrimary blast injury of bronchus, unilateral, initial encounterCMS: Primary blast injury of bronchus, unilateral, init encntrCan lead a claimCNone
S27.411DPrimary blast injury of bronchus, unilateral, subsequent encounterCMS: Primary blast injury of bronchus, unilateral, subs encntrCan lead a claimCNone
S27.411SPrimary blast injury of bronchus, unilateral, sequelaCan lead a claimCNone
S27.412 Primary blast injury of bronchus, bilateral
S27.412APrimary blast injury of bronchus, bilateral, initial encounterCMS: Primary blast injury of bronchus, bilateral, init encntrCan lead a claimCNone
S27.412DPrimary blast injury of bronchus, bilateral, subsequent encounterCMS: Primary blast injury of bronchus, bilateral, subs encntrCan lead a claimCNone
S27.412SPrimary blast injury of bronchus, bilateral, sequelaCan lead a claimCNone
S27.419 Primary blast injury of bronchus, unspecified
S27.419APrimary blast injury of bronchus, unspecified, initial encounterCMS: Primary blast injury of bronchus, unspecified, init encntrCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.419DPrimary blast injury of bronchus, unspecified, subsequent encounterCMS: Primary blast injury of bronchus, unspecified, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.419SPrimary blast injury of bronchus, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.42 Contusion of bronchus
S27.421 Contusion of bronchus, unilateral
S27.421AContusion of bronchus, unilateral, initial encounterCan lead a claimANone
S27.421DContusion of bronchus, unilateral, subsequent encounterCan lead a claimANone
S27.421SContusion of bronchus, unilateral, sequelaCan lead a claimANone
S27.422 Contusion of bronchus, bilateral
S27.422AContusion of bronchus, bilateral, initial encounterCan lead a claimANone
S27.422DContusion of bronchus, bilateral, subsequent encounterCan lead a claimANone
S27.422SContusion of bronchus, bilateral, sequelaCan lead a claimANone
S27.429 Contusion of bronchus, unspecified
S27.429AContusion of bronchus, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.429DContusion of bronchus, unspecified, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.429SContusion of bronchus, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.43 Laceration of bronchus
S27.431 Laceration of bronchus, unilateral
S27.431ALaceration of bronchus, unilateral, initial encounterCan lead a claimCNone
S27.431DLaceration of bronchus, unilateral, subsequent encounterCan lead a claimCNone
S27.431SLaceration of bronchus, unilateral, sequelaCan lead a claimCNone
S27.432 Laceration of bronchus, bilateral
S27.432ALaceration of bronchus, bilateral, initial encounterCan lead a claimCNone
S27.432DLaceration of bronchus, bilateral, subsequent encounterCan lead a claimCNone
S27.432SLaceration of bronchus, bilateral, sequelaCan lead a claimCNone
S27.439 Laceration of bronchus, unspecified
S27.439ALaceration of bronchus, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.439DLaceration of bronchus, unspecified, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.439SLaceration of bronchus, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.49 Other injury of bronchus
S27.491 Other injury of bronchus, unilateral
S27.491AOther injury of bronchus, unilateral, initial encounterCan lead a claimANone
S27.491DOther injury of bronchus, unilateral, subsequent encounterCan lead a claimANone
S27.491SOther injury of bronchus, unilateral, sequelaCan lead a claimANone
S27.492 Other injury of bronchus, bilateral
S27.492AOther injury of bronchus, bilateral, initial encounterCan lead a claimANone
S27.492DOther injury of bronchus, bilateral, subsequent encounterCan lead a claimANone
S27.492SOther injury of bronchus, bilateral, sequelaCan lead a claimANone
S27.499 Other injury of bronchus, unspecified
S27.499AOther injury of bronchus, unspecified, initial encounterCannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the conditionNoneNone
S27.499DOther injury of bronchus, unspecified, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.499SOther injury of bronchus, unspecified, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.5 Injury of thoracic trachea
S27.50 Unspecified injury of thoracic trachea
S27.50XAUnspecified injury of thoracic trachea, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.50XDUnspecified injury of thoracic trachea, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.50XSUnspecified injury of thoracic trachea, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.51 Primary blast injury of thoracic trachea
S27.51XAPrimary blast injury of thoracic trachea, initial encounterCan lead a claimCNone
S27.51XDPrimary blast injury of thoracic trachea, subsequent encounterCMS: Primary blast injury of thoracic trachea, subs encntrCan lead a claimCNone
S27.51XSPrimary blast injury of thoracic trachea, sequelaCan lead a claimCNone
S27.52 Contusion of thoracic trachea
S27.52XAContusion of thoracic trachea, initial encounterCan lead a claimANone
S27.52XDContusion of thoracic trachea, subsequent encounterCan lead a claimANone
S27.52XSContusion of thoracic trachea, sequelaCan lead a claimANone
S27.53 Laceration of thoracic trachea
S27.53XALaceration of thoracic trachea, initial encounterCan lead a claimCNone
S27.53XDLaceration of thoracic trachea, subsequent encounterCan lead a claimCNone
S27.53XSLaceration of thoracic trachea, sequelaCan lead a claimCNone
S27.59 Other injury of thoracic trachea
S27.59XAOther injury of thoracic trachea, initial encounterCan lead a claimANone
S27.59XDOther injury of thoracic trachea, subsequent encounterCan lead a claimANone
S27.59XSOther injury of thoracic trachea, sequelaCan lead a claimANone
S27.6 Injury of pleura
S27.60 Unspecified injury of pleura
S27.60XAUnspecified injury of pleura, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.60XDUnspecified injury of pleura, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.60XSUnspecified injury of pleura, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.63 Laceration of pleura
S27.63XALaceration of pleura, initial encounterCan lead a claimCNone
S27.63XDLaceration of pleura, subsequent encounterCan lead a claimCNone
S27.63XSLaceration of pleura, sequelaCan lead a claimCNone
S27.69 Other injury of pleura
S27.69XAOther injury of pleura, initial encounterCan lead a claimANone
S27.69XDOther injury of pleura, subsequent encounterCan lead a claimANone
S27.69XSOther injury of pleura, sequelaCan lead a claimANone
S27.8 Injury of other specified intrathoracic organs
S27.80 Injury of diaphragm
S27.802 Contusion of diaphragm
S27.802AContusion of diaphragm, initial encounterCan lead a claimANone
S27.802DContusion of diaphragm, subsequent encounterCan lead a claimANone
S27.802SContusion of diaphragm, sequelaCan lead a claimANone
S27.803 Laceration of diaphragm
S27.803ALaceration of diaphragm, initial encounterCan lead a claimCNone
S27.803DLaceration of diaphragm, subsequent encounterCan lead a claimCNone
S27.803SLaceration of diaphragm, sequelaCan lead a claimCNone
S27.808 Other injury of diaphragm
S27.808AOther injury of diaphragm, initial encounterCan lead a claimANone
S27.808DOther injury of diaphragm, subsequent encounterCan lead a claimANone
S27.808SOther injury of diaphragm, sequelaCan lead a claimANone
S27.809 Unspecified injury of diaphragm
S27.809AUnspecified injury of diaphragm, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.809DUnspecified injury of diaphragm, subsequent encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.809SUnspecified injury of diaphragm, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.81 Injury of esophagus (thoracic part)
S27.812 Contusion of esophagus (thoracic part)
S27.812AContusion of esophagus (thoracic part), initial encounterCan lead a claimANone
S27.812DContusion of esophagus (thoracic part), subsequent encounterCan lead a claimANone
S27.812SContusion of esophagus (thoracic part), sequelaCan lead a claimANone
S27.813 Laceration of esophagus (thoracic part)
S27.813ALaceration of esophagus (thoracic part), initial encounterCan lead a claimCNone
S27.813DLaceration of esophagus (thoracic part), subsequent encounterCMS: Laceration of esophagus (thoracic part), subs encntrCan lead a claimCNone
S27.813SLaceration of esophagus (thoracic part), sequelaCan lead a claimCNone
S27.818 Other injury of esophagus (thoracic part)
S27.818AOther injury of esophagus (thoracic part), initial encounterCan lead a claimANone
S27.818DOther injury of esophagus (thoracic part), subsequent encounterCMS: Other injury of esophagus (thoracic part), subs encntrCan lead a claimANone
S27.818SOther injury of esophagus (thoracic part), sequelaCan lead a claimANone
S27.819 Unspecified injury of esophagus (thoracic part)
S27.819AUnspecified injury of esophagus (thoracic part), initial encounterCMS: Unspecified injury of esophagus (thoracic part), init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.819DUnspecified injury of esophagus (thoracic part), subsequent encounterCMS: Unspecified injury of esophagus (thoracic part), subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.819SUnspecified injury of esophagus (thoracic part), sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.89 Injury of other specified intrathoracic organs
S27.892 Contusion of other specified intrathoracic organs
S27.892AContusion of other specified intrathoracic organs, initial encounterCMS: Contusion of oth intrathoracic organs, init encntrCan lead a claimANone
S27.892DContusion of other specified intrathoracic organs, subsequent encounterCMS: Contusion of oth intrathoracic organs, subs encntrCan lead a claimANone
S27.892SContusion of other specified intrathoracic organs, sequelaCan lead a claimANone
S27.893 Laceration of other specified intrathoracic organs
S27.893ALaceration of other specified intrathoracic organs, initial encounterCMS: Laceration of oth intrathoracic organs, init encntrCan lead a claimCNone
S27.893DLaceration of other specified intrathoracic organs, subsequent encounterCMS: Laceration of oth intrathoracic organs, subs encntrCan lead a claimCNone
S27.893SLaceration of other specified intrathoracic organs, sequelaCan lead a claimCNone
S27.898 Other injury of other specified intrathoracic organs
S27.898AOther injury of other specified intrathoracic organs, initial encounterCMS: Other injury of oth intrathoracic organs, init encntrCan lead a claimANone
S27.898DOther injury of other specified intrathoracic organs, subsequent encounterCMS: Other injury of oth intrathoracic organs, subs encntrCan lead a claimANone
S27.898SOther injury of other specified intrathoracic organs, sequelaCMS: Other injury of oth intrathoracic organs, sequelaCan lead a claimANone
S27.899 Unspecified injury of other specified intrathoracic organs
S27.899AUnspecified injury of other specified intrathoracic organs, initial encounterCMS: Unspecified injury of oth intrathoracic organs, init encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.899DUnspecified injury of other specified intrathoracic organs, subsequent encounterCMS: Unspecified injury of oth intrathoracic organs, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.899SUnspecified injury of other specified intrathoracic organs, sequelaCMS: Unspecified injury of oth intrathoracic organs, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.9 Injury of unspecified intrathoracic organ
S27.9XXAInjury of unspecified intrathoracic organ, initial encounterCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.9XXDInjury of unspecified intrathoracic organ, subsequent encounterCMS: Injury of unspecified intrathoracic organ, subs encntrCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
S27.9XXSInjury of unspecified intrathoracic organ, sequelaCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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