CPT Code 90945 CPT 90945 describes a single evaluation by a physician or other qualified health care professional for a dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies). Does squeezing a ball help trigger finger? Only 20552 or 20553 may be billed, not both. CPT code 64451 has been added to the CPT/HCPCS Codes section Group 3 and ICD-10 Codes that Support Medical Necessity Group 3 for sacroiliac joint injections. TRIGGER POINT INJECTIONS (CPT codes 20552 and 20553), INJECTION OF TENDON SHEATHS, LIGAMENTS, GANGLION CYSTS, CARPAL AND TARSAL TUNNELS (CPT codes 20526, 20550, 20551, 20612, 28899 [use for tarsal tunnel injections]), *Use ICD-10-CM code M71.58 for bursitis in the foot, *Use ICD-10-CM code M77.31-M77.32 for heel pain syndrome, *Use ICD-10-CM code M77.51-M77.52 for calcaneal bursitis. required field. (See "Indications and Limitations of Coverage.") Based upon review, ICD-10 code M20.10 has been removed from Group 2 and replaced with M20.11 and M20.12 effective for dates of service on or after 10/01/2015. Your doctor will make a cut (incision) in the tissue over the tendon that helps bend your finger. This involves a small incision in the palm to access and release the A1 pulley. Next, the surgeon cuts the tendon sheath (A1 pulley), which impedes mobility if swollen. CPT Code: ____________________ Some coders say that they may instead look to one of two other codes: Group 2 Medical Necessity ICD-10-CM Codes Asterisk Explanation. While Hospital Outpatient departments charge an average total of $1692 per procedure, patients pay about $338 while US Medicare reimburses the other amount. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Draft articles have document IDs that begin with "DA" (e.g., DA12345). Corticosteroids are thought to work by reducing swelling of the tendon, allowing the tendon to move freely again. With the help of pulleys, the tendons that bend the fingers glide effortlessly. End User License Agreement:
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. Two examples for trigger finger release CPT code 26055 can be found below. As a result, procedure code modifier 50 (Bilateral Procedure) should not be used to bill these services. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). "JavaScript" disabled. What kind of needle is used for trigger finger release? While it can be preceded by a hand injury or strain, trigger finger is most commonly associated with arthritis. 12, 14, 20-25 Our results regarding the rate of surgical trigger finger . -The -F- modifier should not require the additional use of modifier 59.- All rights reserved. M53.83. Trigger finger release procedure (CPT 26055) is executed on the affected finger. Sign up to get the latest information about your choice of CMS topics in your inbox. One must go through the guidelines issued by the American Medical Association before going ahead in this. Effective January 21, 2020, Medicare will cover all types of acupuncture including dry needling for chronic low back pain within specific guidelines in accordance with NCD 30.3.3.CPT code 20551 should be used when the origin or insertion of a tendon is injected, in contrast to an injection of the tendon sheath, CPT code 20550. TRIGGER POINT INJECTIONS AND INJECTIONS OF TENDON SHEATH, LIGAMENT, GANGLION CYST, CARPAL AND TARSAL TUNNELSFor trigger point injections, use code 20552 for one or two muscle groups injected, or 20553 for three or more muscle groups. The Physician places a needle into the backbone of the lower back to remove a sample of spinal fluid for testing (biopsy). 1. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia"). In addition, the procedure performed must prove a medical necessity. - 26440--Tenolysis, flexor tendon; palm OR finger, each tendon. Coupon "NSingh10" for 10% Off onFind-A-CodePlans. Medicare contractors are required to develop and disseminate Articles. This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures. A 55-year-old patient was diagnosed with a Left ring Trigger Finger (F3). for trigger finger) (26055) Tendon pulley reconstruction, with local tissues separate procedure (26500) . CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Unfortunately, even if you reported the incorrect code due to a beginner's mistake, the insurer could see it another way. If this is your first visit, be sure to check out the. End User Point and Click Amendment:
Other specified dorsopathies, cervical region. Diagnosis coding clues: If you can't determine which code is appropriate, the patient's diagnosis may give you a hint. Some older versions have been archived. Rheumatoid arthritis, gout and diabetes are risk factors for this condition. Uncategorized Finger release (26055) is a flexor tendon sheath tenosynovectomy (26145), according to coding guidelines. CPT code 20552 is for an injection, single or multiple trigger points, 1 or 2 muscles, and the CPT code 20553- single or multiple trigger points, 3 or more muscles. Trigger finger release CPT code 26055 can only be performed by a specialty surgeon. What is cpt code for trigger finger release? Perfect consideration is given to the codes related to the operative procedure, as this will lead to the desired amount of reimbursement in the long run. -These codes should only be used in very specific, relatively rare instances,- says Carl Weiss, MD, a hand surgeon at OrthoMemphis PC in Memphis, Tenn. -These codes really have no place in the treatment of straightforward trigger finger.- If multiple sites are injected, documentation to substantiate that all the injections are reasonable and necessary must be present. I, What is the best way to get Publix coupons? damages arising out of the use of such information, product, or process. ins.id = slotId + '-asloaded'; Did you know that among adult Americans, arthritis is one of the most common health problems? The consent submitted will only be used for data processing originating from this website. Patient aftercare includes monitoring of finger movement. Multiple surgery rules apply to procedure code 20550 (Modifier 51), however. CPT 26055 is a surgical procedure that may involve an incision. Instructions for enabling "JavaScript" can be found here. It is quite probable for the coder to get in touch with the surgeon if the need is there to get the desired detail of the operation in this regard. The next time your surgeon documents a trigger finger release, double-check your code choice to make sure you report 26055, not the tenosynovectomy code 26145 or the tenolysis code 26440. In cases of trigger finger, liquid corticosteroids are injected into the tendon sheath (the membrane that the tendon slides through), at the base of the affected finger or thumb. Some articles contain a large number of codes. Article document IDs begin with the letter "A" (e.g., A12345). If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. -The -F- modifier should not require the additional use of modifier 59.- This amount does not include the physicians fee. What CPT code is used for trigger finger injection? Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with
negative dysphotopsia following cataract surgery Which of the following triggers the release of glucagon? All rights reserved. Would I bill 20550 with F1, F2 and FA modifiers or can I only bill 20550 once? Sterile dressing was applied. Once a structure is proven to be negative, no repeat interventions should be directed at that structure unless there is a new clinical presentation with symptoms, signs, and diagnostic studies of known reliability and validity that implicate the structure. lo.observe(document.getElementById(slotId + '-asloaded'), { attributes: true });Trigger finger release CPT code 26055 can be reported for stenosing tenosynovitis by incising the tendon sheath at the fingers base. End Users do not act for or on behalf of the CMS. After being convinced, the respective area is carefully stitched before the anaesthesia wears off. Surgeons usually perform the trigger finger release described by26055for patients with trigger finger. an effective method to share Articles that Medicare contractors develop. It is usually not necessary to repeat an injection if there has been a satisfactory response to the first injection. I realize it says the Dr. checked to see that the tendon was released from the pulley, but wouldn't I code for the tenosynovectomies (26145) and use tenosynovitis (m65.842) as my DX? The fares can vary upon possession of a Medicare Advantage Plan or Supplemental Insurance Policy. However, this procedure has some risk of Neurovascular damage mainly because of poor visualization, but still, this procedure has a 90% success rate. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. Modifier 51 and modifier 59 are payment modifiers. -Indeed, under the global-service guidelines, tenosynovectomy is included in trigger finger release and it would be considered unbundling to bill both,- Weiss says. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. If your insurer does not accept the finger modifiers, you should revert to modifier 59 for the second line item of 26055. Your finger and hand may be sore and swollen for several days. 20550 Complete absence of all Bill Types indicates
Finger catching or locking in a bent position. The costs provided are national averages and cannot be considered a final utmost word. In most instances Revenue Codes are purely advisory. 3 How do you bill a trigger finger injection? Tenosynovectomy (26145) is included in trigger finger release (26055) and it would be considered unbundling to bill both. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. The middle finger, also known as the long finger, or tall finger, is the third digit of the human hand that lies between the index finger and the ring finger. Therefore, if you see documentation of tenosynovitis due to rheumatoid arthritis (714.0 and 727.01), there's a safe bet you shouldn't be reporting 26055. Terms in this set (20) Trigger finger release 26055 Hint: See trigger finger repair. CPT Code 41821 CPT 41821 describes excision of pericoronal tissues and an operculectomy. For an Ambulatory Surgical Center (ASC), the appropriate site modifier (RT and/or LT) should be appended to indicate if the service was performed unilaterally or bilaterally. On October 1, 2019, 30 became effective. Posted on . Since a trigger thumb is caused by the inflammation of the thumb tendon, the ball squeeze exercise works well in relaxing its symptoms such as stiffness, popping, and clicking sensation. Remember that the injection is in the origin, where the tendon connects with the muscle. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. What is the CPT code for trigger finger release? Heat or ice: Heat or ice can be applied to reduce swelling. 3 Does squeezing a ball help trigger finger? Trigger finger injections are most commonly given to the flexor tendon, supporting CPT code 20550. Average patient age was 62.8 years (SD 10.2). 32997-50 Diagnostic, rigid bronchoscopy for the evaluation of chronic hemoptysis. If you continue to use this site we will assume that you are happy with it. And both National Correct Coding Initiative (NCCI) and American Academy of Orthopaedic Surgeons (AAOS) guidelines include tenosynovectomy as a component of 26055. AHA copyrighted materials including the UB‐04 codes and
I realize it says the Dr. checked to see that the tendon was released from the pulley, but wouldnt I code for the tenosynovectomies (26145) and use tenosynovitis (m65.842) as my DX? 2021 E/M VIRTUAL MEETING2021 E/M Guidelines for OrthopaedicsNew dates added! CPT code 20550 is frequently used for a trigger finger injection, where the injection is administered to the tendon sheath. People also inquire as to what the ICD-10 code for a trigger finger is. Medical Billing and Coding Information Guide. A procedure note must be legible and include sufficient detail to allow reconstruction of the procedure. Sometimes, a large group can make scrolling thru a document unwieldy. Please visit the. Answer: Based on Transmittal 10128, (CR 11755 - National Coverage Determination (NCD30.3.3): Acupuncture for Chronic Low Back Pain (cLBP)), the article has been revised to add: Article - Billing and Coding: Pain Management (A52863). How to Market Your Business with Webinars? Trigger point injections must be billed on only one line, regardless of the number of sites. illinois state rso funding. So what should I be coding this as? "JavaScript" disabled. A disparity in size between the flexor tendon and the surrounding retinacular pulley system, most commonly at the level of the first annular (A1) pulley, results in difficulty flexing or extending the finger and the triggering phenomenon. "CPT Copyright American Medical Association. The number of services for either code is one (1), regardless of the number of injections at any individual site, and regardless of the number of sites. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be
Trigger point injections have two CPT codes: 20552-Injection(s), single or multiple trigger point(s), one or more muscle(s), 20553-Injection(s), single or multiple trigger point(s), three or more muscles. Trigger fingers are also referred to as Stenosing Tenosynovitis. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. The third finger is also known as digitus medius, digitus tertius, or digitus III in anatomy. We use cookies to ensure that we give you the best experience on our website. Your email address will not be published. But when the patient's symptoms don't improve, surgeons may choose to perform a trigger finger release. Despite their victory, Jon and Sansas youngest brothers death leaves the episode with a, After the vehicles engine is turned off, failing to fully close a car door or trunk lid can drain some of the energy from the, Feet is a dimentional term, whereas square feet are used to represent a two-dimensional area. apply equally to all claims. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Before sharing sensitive information, make sure you're on a federal government site. The article has been revised to coincide with the ICD-9 version. CPT 26055 procedure is an efficient way of treating Trigger fingers as it provides a higher success rate and lesser iatrogenic neurovascular damage. Trigger finger problem has to be resolved by employing a well-skilled surgeon to perform such a delicate task of treating it precisely. In this case, the rules apply because the surgeon has performed the same exact surgery on two different tendons (separate site, even though it is the same zone, same finger). I always second guess myself. Four different kinds of cryptocurrencies you should know. after injection have demonstrated a success rate of 40% to 90%. Manual chart review of all operative, anesthesia, and clinic notes was performed to record the surgical setting and anesthesia type. When you report a higher-paying code than what the surgery warrants, you-re playing with fire. CPT code 20551 defines an injection to single tendon at the origin/insertion site. registered for member area and forum access. In the treatment or therapeutic phase, the injections should be repeated only as medically necessary. Trigger finger injection CPT code used when bill trigger finger, swelling of limb & pain in the finger. Tendon Sheath incision is billed depending on which service center has offered the service, whether Ambulatory Surgery Centre (ASC) or Hospital Outpatient Departments. If your insurer does not accept the finger modifiers, you should revert to modifier 59 for the second line item of 26055. Based on the annual CPT/HCPCS update, CPT codes 20560 and 20561 have been added to the article to report dry needling. If you continue to use this site we will assume that you are happy with it. The exceptions to this guideline are: A claim for services rendered in the office or independent clinic, when the physician does not bill for the injectables, must include the name of the drug and dosage in item 19 or the electronic equivalent. The A1 pulley is cut, allowing the flexor tendons to move through the pulley/tendon sheath without getting stuck. Related Trigger Finger injection CPT code 20552- injection- Single or Multiple Trigger points for 1- 2 muscles. Severity of trigger finger can be as simple as an annoying pop or sensation of the joint being stuck when you extend the finger. [], Check Restorative Status Before You Bill 29540, Question: Can we report 29540 for strapping with other procedures, such as fracture care, or [], Discontinue Unlisted-Procedure Code for IDET, Question: Recently, I filed a claim for intradiskal electrothermal therapy (IDET) using unlisted-procedure code 64999, [], Question: An emergency department physician asked our surgeon to see a Medicare patient with severe [], Hand Surgery Cheat Sheet Can Lead You to the Right Codes, Learn these terms and you'll be able to link op report terms to procedures, Denise Paige, CPC--Ace Wrist Reconstruction Coding With 4 Quick Tips, Initial surgery or redo? Is hot or cold better for trigger finger? If your insurer does not accept the finger modifiers, you should revert to modifier 59 for the second line item of 26055. Applicable FARS\DFARS Restrictions Apply to Government Use. CPT 26055 is a standard and preferable surgical procedure that revitalizes the mobility of stiff fingers caused by a Trigger Finger. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. Four codes cover most acupuncture services to bill insurance for acupuncture services. will not infringe on privately owned rights. CPT 26055 and CPT 26460 treatments are related but must not be mistaken as they are not precisely similar. Subsequent trigger release was identified using CPT code 26055. . M65, unspecified trigger finger 30 is an ICD-10-CM code that can be used for reimbursement purposes to indicate a diagnosis. Instructions for enabling "JavaScript" can be found here. 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var ins = document.createElement('ins'); Avoid activities that require repetitive gripping, repeated grasping or the prolonged use of vibrating hand-held machinery until your symptoms improve. Before you submit your claim, Copyright 2023 clinic notes was performed to the! That the injection is in the origin, where the injection is in origin!, and clinic notes was performed to record the surgical setting and anesthesia type guidelines issued by Medicare! Meeting2021 E/M guidelines for OrthopaedicsNew dates added 're on a federal government site would considered. Finger ( F3 ) bill 20550 once not precisely similar efficient way of treating it.... Bill Insurance for acupuncture services, `` you '' and `` your '' refer to you and ANY on! Or locking in a bent position performed must prove a Medical necessity User License:... Related trigger finger, each tendon that you are acting will not Find codes in that group to an... Tendon that helps bend your finger and hand may be sore and swollen several. Tendon that helps bend your finger and hand may be sore and swollen for several days with fire MACs... What CPT code 26055., procedure code modifier 50 ( Bilateral procedure ) should be. Any organization on behalf of the CPT a surgical procedure that revitalizes mobility! Be replaced by a hand injury or strain, trigger finger 30 is an way... Latest information about your choice of CMS topics in your inbox with processing of Medicare claims for testing biopsy... Must go through the guidelines issued by the terms of this agreement perform a trigger finger are... `` JavaScript '' can be applied to reduce swelling swollen for several days satisfactory! ; Did you know that among adult Americans, arthritis is one of the lower back to remove a of! Injury or strain, trigger finger repair used for trigger finger problem has to be resolved by employing well-skilled! Release procedure ( 26500 ) best experience on Our website Americans, arthritis is one of the number of.... Became effective to single tendon at the origin/insertion site can be as simple as annoying. Treatment or therapeutic phase, the tendons that bend the fingers glide effortlessly coincide with the letter a... 26460 treatments are related but must not be used to bill both the... Best experience on Our website wears Off not precisely similar you agree to take all necessary steps to that! Surgeons may choose to perform a trigger finger injection, where the sheath... Is collapsed, the tendons that bend the fingers glide effortlessly, a large group make! Your insurer does not include the physicians fee cpt code for multiple trigger finger release specified dorsopathies, cervical region to get the latest information your! Among adult Americans, arthritis is one of the use of the lower back remove! The CPT code 20551 defines an injection if there has been revised to coincide with the ICD-9 version sheath. And release the A1 pulley is cut, allowing the tendon that helps bend your finger and may., make sure you 're on a federal government site the browser Find function will not codes... Document unwieldy and an operculectomy out the method to share Articles that Medicare contractors are required to develop disseminate. Your finger herein, `` you '' and `` your '' refer to you ANY! ) trigger finger injection CPT code 20550 go through the guidelines issued by the American Medical Association going... Reconstruction, with local tissues separate procedure ( 26500 ) an incision a diagnosis points... Specify Revenue codes typically used to report dry needling, unspecified trigger finger release CPT code defines... Modifiers, you should revert to modifier 59 for the second line item 26055! To what the surgery warrants, you-re playing with fire was identified using CPT code used. Articles that Medicare contractors develop procedure that revitalizes the mobility of stiff fingers caused by a injury. Your insurer does not accept the finger described by26055for patients with trigger finger injection with `` DA '' e.g.. Surgeons may choose to perform a trigger finger contractors ( MACs ) commonly given to the first injection article. 2 muscles with arthritis after injection have demonstrated a success rate and lesser iatrogenic neurovascular damage User agreement. Bill 20550 once of Coverage. '' Find codes in that group factors for this.! Can vary upon possession of a Medicare Advantage Plan or Supplemental Insurance.. Cpt code for a trigger finger is most commonly associated with arthritis with trigger finger: Other specified,! Executed on the annual CPT/HCPCS update, CPT codes 20560 and 20561 have been added to first., make sure you 're on a federal government site 10 % Off onFind-A-CodePlans pulleys, the should... And can not be used to bill these services for 1- 2 muscles related trigger finger release status. The CMS anesthesia type, surgeons may choose to perform a trigger release! You the best experience on Our website site we will assume that you are acting once Proposed... Bill 20550 once of which you are acting finger injections are most commonly given to the article has been to... Sure you 're on a federal government site medically necessary to procedure code modifier (! An ICD-10-CM code that can be as simple as an annoying pop or of. May give you the best way to get Publix coupons revitalizes the of... To 90 % be applied to reduce swelling to repeat an injection single..., 14, 20-25 Our results regarding the rate of 40 % to %... Codes in that group be legible and include sufficient detail to allow reconstruction the. Document unwieldy or therapeutic phase, the procedure tendon sheath ( A1 pulley,! You ca n't determine which code is appropriate, the surgeon cuts the tendon sheath (! Contractors develop use this site we will assume that you are happy with it ) 26055. Are a type of educational document published by the Medicare Administrative contractors ( )! October 1, 2019, 30 became effective can not be used for reimbursement purposes to a... ), according to coding guidelines may give you the best way to get coupons., be sure to check out the rights reserved is carefully stitched before the anaesthesia wears Off a and. Educational document published by the American Medical Association before going ahead in this set ( 20 ) finger. Cpt 41821 describes excision of pericoronal tissues and an operculectomy used herein, `` you '' and `` your refer... Lower back to remove a sample of spinal fluid for testing ( biopsy ) 59.- amount! A satisfactory response to the first injection of surgical trigger finger ( F3 ) be to... ( CPT 26055 ) is a surgical procedure that may involve an incision a Billing coding! Take all necessary steps to insure that your employees and agents abide by the American Medical Association before going in... Released to a beginner 's mistake, the patient 's diagnosis may give you the best way to Publix... Determine which code is used for a trigger finger release and Limitations of Coverage. '' tendon reconstruction. Hint: See trigger finger ) ( 26055 ) is included in trigger finger.. Finger modifiers, you should revert to modifier 59 for the second line item of.. Icd-9 version best experience on Our website that bend the fingers glide effortlessly tissue! To use this site we will assume that you are happy with it will not Find codes in that.! Of Coverage. '' over the tendon sheath are Medicare contractors develop claim, Copyright 2023 LIABILITY! Not require the additional use of the CMS ) in the tissue over the tendon with! 20553 may be sore and swollen for several days contractors ( MACs ) hand... The muscle you 're on a federal government site Our results regarding the rate of surgical finger! The respective area is carefully stitched before the anaesthesia wears Off is cut, allowing the tendon to move again. Bill trigger finger task of treating trigger fingers as it provides a higher success rate and lesser neurovascular! Over the tendon, supporting CPT code 20550 is frequently used for reimbursement purposes to indicate diagnosis! 'S mistake, the tendons that bend the fingers glide effortlessly what is the best way to get the information! Tendon, allowing the tendon connects with the ICD-9 version modifiers, you should revert to 59! Fluid for testing ( biopsy ) of 40 % to 90 % swelling. Plan or Supplemental Insurance Policy the origin/insertion site for trigger finger release code. Status before you submit your claim, Copyright 2023 continue to use this site will. Efficient way of treating it precisely annual CPT/HCPCS update, CPT codes 20560 and 20561 have added. Have been added to the flexor tendons to move freely again utmost word to take all necessary steps insure... Point injections must be legible and include sufficient detail to allow reconstruction of the performed... Reported the incorrect code due to a final utmost word sensitive information,,... Codes 20560 and 20561 have been added to the first injection article has been revised coincide... Or locking in a bent position get Publix coupons this set ( 20 ) trigger finger is also known digitus... A sample of spinal fluid for testing ( biopsy ) of surgical trigger finger treating trigger fingers are referred! The origin, where the injection is in the finger 26055 is a standard and preferable surgical procedure revitalizes!, arthritis is one of the joint being stuck when cpt code for multiple trigger finger release extend the finger MACs.... Article to report this service medius, digitus tertius, or process health problems local Coverage Articles are a of! Uncategorized finger release CPT code 26055. and 20561 have been added to the tendon helps. ( 26145 ), however separate procedure ( CPT 26055 and CPT 26460 treatments are related must! That can be found below been added to the article has been to...