Red toes can be a symptom of Raynaud’s disease, according to Mayo Clinic. In some cases, when the disease is triggered and the body warms up, toes or fingers may turn red, throb or...if you inject two different muscle groups you can bill for two injections. Physician discussed patient's trigger fingers: "we discussed the role of repeat injection to the ring finger and a first time injection for the small finger. Under aseptic technique, 0.5 mL of Kengalog 40mg/mL was injected into the subcutaneous area above the A1 pulley ...I have a physician that did a in injection for trigger finger on both the right and left hands. The patient was also treated for other problems during the office visit. All was paid except the 2nd injection. This is how it was billed 99213/25 20550/RT-F7 20550/59-LT This was not paid j1040*2Following are some applicable CPT codes for A1 pulley finger injection: CPT code 20550: This code is utilized for injections into a single ligament or tendon sheath aponeurosis (such as the plantar "fascia"). CPT code 20551: This code is used for injecting a single tendon at its origin/insertion site. The particular CPT code that is applied can ...Answer: Yes, you can report codes such as 26055 ( Tendon sheath incision [e.g., for trigger finger]) multiple times during the same procedure when appropriate. List each finger on separate lines on your claim and include the "F" modifier (such as F1, Left hand, second digit) to indicate the finger treated. Note: If the surgeon made two separate ...20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) 20553 Injection(s); single or multiple trigger point(s), 3 or more muscles Injections for plantar fasciitis are addressed by 20550 and ICD-10-CM M72.2.The injection is given after aspiration is negative for blood. The solution is typically a 3-cc mixture of a 2:1 ratio of anesthetic and corticosteroid respectively. Post procedure the injection area is cleansed and a bandage is applied to the site. Example of Intra-service Work Associated With Code 20551 The affected tendon(s) is identified ...ICD-9 code: 727.03 “trigger finger” (acquired) ICD-10 code: M65.3 “trigger finger“ nodular tendinous disease. CPT code: 20550 “ Injection (s); single tendon sheath, …Nov 20, 2023 · Learn how to bill and code trigger point injections for myofascial pain relief by physical therapists and pain management professionals. Find out the CPT codes, modifiers, units, and ICD-10-CM codes for this procedure. If it's a general intramuscular injection, then it's 96372. If it's into a major joint (shoulder, hip, knee, subacromial bursa), then it's 20610. Other joints are small joints (fingers, toes) - 20600 and intermediate joints (wrist, ankle, elbow, acromioclavicular - 20605). Trigger points have their own codes. Kenalog is billed per 10mg.The submitted CPT/HCPCS code must describe the service performed. The medical record must clearly indicate the number of injections given per session and the …Article Text. The following billing and coding guidance is to be used with its associated Local Coverage Determination. Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific focus of …Medicare does not cover Prolotherapy. Its billing under the trigger point injection code is a misrepresentation of the actual service rendered. When a given site is injected, it will be considered one injection service, regardless of the number of injections administered. Utilization GuidelinesLearn how to code trigger finger release (26055) correctly and avoid upcoding or unbundling. Find out the difference between trigger finger release and …Coding Trigger point injections are reported with the following CPT codes: • 20552: Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) • 20553: Injection(s); single or multiple trigger point(s), 3 or more muscles . Imaging guidance for the injection would be reported with one of the following codes, depending onThe most common symptoms of trigger finger include: A snapping or popping feeling when you move your fingers or thumb. It might feel like your affected digits are “catching” or getting stuck as they move. Pain and stiffness when flexing your fingers or thumb in toward your palm. Soreness in your palm near the base of your fingers or thumb.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Medication. The drug used for the injection must be on the same claim as the trigger point administration. Am Fam Physician. 2003;67 (4):745-750. Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures ...The number of injections in the same finger averaged 1.25 injections/finger (range, one to four injections/finger) for our entire study group. Recurrence after the first, second, third, and fourth injections was 34.0, 47.9, 26.1, and 75.0 %, respectively, the cumulative recurrence was 20.3 %.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.A forum thread where a user asks for help with coding a procedure of injecting kenalog and lidocaine into the flexor tendon sheaths of the trigger fingers. Two experts reply with different CPT codes for the procedure, one for flexor tendon injections and one for trigger point injections.CPT: Get the latest Camden Property Trust stock price and detailed information including CPT news, historical charts and realtime prices. Some REITs (real estate investment trusts)...Jan 7, 2019 ... Improve Your Medical Skills: www.medicalskillscourses.com In this training video we demonstrate the corticosteroid injection technique for ...CPT codes 20560, 20561 and 64625 have been added to a new CPT/HCPCS Codes section (Group 4). CPT code 64451 has been added to the CPT/HCPCS Codes …Properly Coding Trigger Point Injections (20552 and 20553). February 12, 2019. Have you ever had a knot in your back where the muscles simply cannot relax?CPT codes for procedures where 76942 and 76998 are covered if selection criteria are met: ... Median nerve block, Trigger finger injection/trigger finger release without hydro dissection, clavi-pectoral fascial plane block, iliotibial (IT) band injection, percutaneous bursectomy of the pretibial tubercle bursa, scar tissue injection, ...What's better than a full-size meal? Lots of itty-bitty portions! Do you know everything there is to know about finger foods? Advertisement Advertisement We hate to break it to tho...Tendon sheath or Ligament: 20550 (iliolumbar ligament, trigger finger, De Quervain's tenosynovitis, plantar fascia) Tendon origin/insertion: 20551 Trigger point injection (1 or 2 muscles): 20552 Trigger point injection (3 or more muscles): 20553 Sacroiliac joint (SIJ) without fluoroscopy: 20552 (billed as a trigger point injection)Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection? Answer: CPT code 20550 defines an injection to a single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”). CPT code 20551 defines an injection to single tendon at the origin/insertion site.If a ring is stuck too tight on your finger, you can remove it with dental floss or do what the pros in the ER do: spray some Windex. At least that’s what broadcaster and writer Bu...Let's describe these 2 injection codes: 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) 20553 Injection(s); single or multiple trigger point(s), 3 or more muscles; Many are still so confused on how to bill for Trigger Points. Here are my Coding and Billing Tips: 1.Decompression fingers and/or hand, injection injury eg, grease gun, etc) (26035) Decompressive fasciotomy, hand (excludes 26035) (26037) Fasciotomy, palmar, for Dupuytrens contracture; closed (subcutaneous) (26040) Fasciotomy, palmar, for Dupuytrens contracture; open, partial (26045) Tendon sheath incision eg, for trigger finger) (26055)Trigger point injections (20552, 20553) meet the definition of medical necessity to treat trigger points when ALL of the following criteria are met: There is a …www.MPSurgery.comwww.hand411.comHere is a good little video on how to inject a trigger finger with steroid in the clinic.A trigger finger is a very common and treatable problem. It can occur in both fingers and the thumbs, which have tendons that help them to bend. The flexor tendons that bend the fingers have a lining on the outside. This lining is called tenosynovium. The tendon and lining are covered by a series of thick, soft tissue called pulleys.6. Best answers. 0. Feb 8, 2011. #4. 20550 says "injection (s) of a single tendon sheath...) the coding tips in the coding companion state that if more than one tendon is injected in the same incounter, each injection should be reported separately. You can bill 20550 more than once during the same encounter.CPT Coding: 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) ... M65.30 Trigger finger, unspecified finger M65.311 – M65.359 Trigger finger M65.4 Radial styloid tenosynovitis [de Quervain] M65.80 Other synovitis and tenosynovitis, unspecified site20551 is for trigger points into various muscles, just one or 2. More than 2 muscles injected is 20552. Both of these codes can be billed only a single time per encounter. If your physician is injecting tendons, the code would be 20550 Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia") For the knee, this …No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.Tips for the administration of injections for the treatment of Trigger Fingers. Palpate the flexor sheath and mark the line with your thumb nail.Trigger finger release CPT code 26055 can be reported for stenosing tenosynovitis by incising the tendon sheath at the finger’s base. Trigger finger issue comes to the limelight when a finger stays in a stiff bent position for some time due to swollen tendon or inflammation, narrowing of A1 pulley, or formation of nodules among...No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.Injection of a tendon sheath, ligament or trigger point consists of an anesthetic agent and/or steroid agent injected into an area for the management of pain. This Local Coverage Determination only addresses the injection of trigger points. Trigger points are areas of taut muscle bands or palpable knots of the muscle, that are painful on ...Procedure code and description. 20550 Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia’’) 20551 Injection (s); single tendon origin/insertion. 20600 – Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance – average fee payment – $50 – $60.The HCPCS drug code and dose is not required when CPT 20612 is reported for aspiration and not for injection or when the ICD-10-CM codes reported are M77.11 or M77.12 and there is no injection. The medication being injected, designated by an appropriate HCPCS drug code must be submitted on the same claim, same day of service as the claim for ...History/Background and/or General Information. Trigger point injection is one of many modalities utilized in the management of chronic pain. Myofascial trigger points are self-sustaining hyperirritative foci that may occur in any skeletal muscle in response to strain produced by acute or chronic overload.Feb 16, 2017 · After a short eval, the doctor decided to perform a trigger point injection on the thumb. The doctor is insisting on billing a 99214-25 along with the 20550 injection procedure. Is this correct coding, or should the office visit be considered as included in the procedure? Diagnosis: M65.312 Simple ROS, and exam only of the left thumb. Thanks in ... Carpal tunnel syndrome and trigger finger (TF) frequently present concomitantly; some studies suggest that carpal tunnel release (CTR) is a risk factor for the ...Risks of steroid injection for trigger finger are very rare. These include infection, increased pain and swelling for a day or two after injection (steroid flare reaction) and thinning of the skin. It is extremely rare to have tendon ruptures. Surgery. Unfortunately, whether with rest and therapy or steroid injections, 30-50% of patients who ...CPT Code 20552, General Surgical Procedures on the Musculoskeletal System, General Introduction or Removal Procedures on the Musculoskeletal System - ... Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a ... Coding- Trigger Finger 11 •Injection- 20550- Injection(s); single tendon sheath, or ligament, aponeurosis •Trigger Finger Release- 26055- tendon sheath incision (eg, for trigger finger) •M65.3X- Trigger Finger •M65.331-Trigger Finger, right middle finger Dupuytren’sDisease 12 Nodule Cord of fibrous tissue Best answers. 0. Mar 25, 2008. #2. If the release was done through an incision try 26055; "The physician makes an incision in a tendon sheath to release tension in the tendon. (For example, this procedure would be performed to relieve trigger finger .) The physician incises the skin overlying the tendon and dissects to the tendon sheath The ...Aug 3, 2021 · Trigger finger is a commonly occurring hand condition that presents with symptoms of pain, clicking, locking, and catching of the finger. A common non-operative management option is corticosteroid injection. The purpose of this study was to evaluate the short-term patient response to corticosteroid injections for trigger finger. Methods Use CPT 20552 and 20553 add J code for medications these are normally for trigger point injections scenario. I hope helped you. Lady T. Hi Lady T, Thank you so much for your help! I was wondering, if the provider used EMG guidance with trigger point injections, can we use add-on code 95874 (for the EMG guidance) on to 20553 (trigger … The trigger point injection CPT codes are 20552 and 20553, also called a dry beedling procedure. CPT 20552 narrates injection (s) administration in a single or multiple trigger point (s) for either 1 or 2 muscles. The CPT 20553 narrates as the injection (s) is administered for single or multiple trigger point (s) for either three or more muscles. Here are some tips to help you navigate trigger finger release CPT coding with confidence: 1. Familiarize yourself with the relevant CPT codes: CPT codes 26055, 64721, and 26341 are commonly used for trigger finger release procedures. Understanding the specifics of each code and when to apply them is crucial for accurate coding.Dilaudid (Hydromorphone (Injection)) received an overall rating of 8 out of 10 stars from 69 reviews. See what others have said about Dilaudid (Hydromorphone (Injection)), includin...There are two CPT ® codes for Trigger point injections: 20552-Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) 20553-Injection (s); single or multiple trigger point (s), 3 or more muscles. Local anesthesia is included in these services. However, imaging guidance can be billed in addition to the injection if necessary ...We billed Medicare the following: 99212 (25), 20600 (F3) and J1030- patient DX: trigger finger,swelling of limb & pain in finger. Medicare is denying both 99212 (25) & 20600 (F3) as inclusive and only paid on drug J1030? SHOULD the admin. CPT be corrected to 20552 for trigger point injection rather than injection of small joint/finger.toe 20600?Correct Coding: 99213-25, 20552 Diagnosis: M79.70. There continues to be a lot of confusion on proper coding for trigger-point injections. Two CPT4 codes can be used: 20552—Injection(s); single or multiple trigger point(s), one or two muscle(s); and; 20553—Injection(s); single or multiple trigger point(s), three or more muscle(s).Jan 17, 2024 · Here are some tips to help you navigate trigger finger release CPT coding with confidence: 1. Familiarize yourself with the relevant CPT codes: CPT codes 26055, 64721, and 26341 are commonly used for trigger finger release procedures. Understanding the specifics of each code and when to apply them is crucial for accurate coding. Oct 3, 2018 · Article Guidance. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33912, Injection of Trigger Points. Please refer to the LCD for reasonable and necessary requirements. Coding Guidelines. The CPT codes for injections into trigger points (which are based on the number of muscles treated) include –. 20552 – Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) 20553 – Injection (s); single or multiple trigger point (s), 3 or more muscles. However, only a single code from 20552 or 20553 should be reported on ...I need some guidance. We billed Medicare the following: 99212 (25), 20600 (F3) and J1030- patient DX: trigger finger,swelling of limb & pain in finger.Article Text. The following billing and coding guidance is to be used with its associated Local Coverage Determination. Injection therapies for Morton's neuroma do not involve the structures described by CPT code 20550 and 20551 or direct injection into other peripheral nerves but rather the focal injection of tissue surrounding a specific …Injection of the flexor tendon in the hand is most commonly performed for the treatment of stenosing tenosynovitis. Stenosing tenosynovitis, also known as trigger finger, involves a size mismatch between a thickened or stenotic first annular (A1) pulley in the hand and the flexor tendon trying to glide through the pulley.aka. “PIP injection” Indications. Osteoarthritis (painful) of the proximal interphalangeal (PIP) joint; Rheumatoid arthritis of the proximal interphalangeal (PIP) joint **see all ICD-9 and ICD-10 codes at end of post; CPT code: 20600 “Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)” Materials Needed The trigger point injection CPT codes are 20552 and 20553, also called a dry beedling procedure. CPT 20552 narrates injection (s) administration in a single or multiple trigger point (s) for either 1 or 2 muscles. The CPT 20553 narrates as the injection (s) is administered for single or multiple trigger point (s) for either three or more muscles. www.MPSurgery.comwww.hand411.comHere is a good little video on how to inject a trigger finger with steroid in the clinic.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle.Jan 7, 2019 ... Improve Your Medical Skills: www.medicalskillscourses.com In this training video we demonstrate the corticosteroid injection technique for ...There are two CPT ® codes for Trigger point injections: 20552-Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) 20553-Injection (s); single or multiple trigger point (s), 3 or more muscles. Local anesthesia is included in these services. However, imaging guidance can be billed in addition to the injection if necessary ...Tendons, Ligaments, and Muscle Injections. Tendon sheath or Ligament (e.g., iliolumbar Ligament, trigger finger):CPT 20550; Tendon origin/insertion: CPT 20551; Trigger point injection (1 or 2 muscles):CPT 20552; Trigger point injection (3 or more muscles):CPT 20553; Sacroiliac joint (SIJ) without fluoroscopy (billed as a trigger point injection ... There are two CPT ® codes for Trigger point injections: 20552-Injection (s); single or multiple trigger point (s), 1 or 2 muscle (s) 20553-Injection (s); single or multiple trigger point (s), 3 or more muscles. Local anesthesia is included in these services. However, imaging guidance can be billed in addition to the injection if necessary ... History/Background and/or General Information. Trigger point injection is one of many modalities utilized in the management of chronic pain. Myofascial trigger points are self-sustaining hyperirritative foci that may occur in any skeletal muscle in response to strain produced by acute or chronic overload.This study aims to compare outcomes of A1 pulley resection versus the standard release (or division) for patients with trigger finger. We hypothesize that complete resection of the A1 pulley will result in fewer instances of scarring and potential redevelopment of the pulley and subsequent postoperative referrals to occupational therapy (OT ...The tendons pass through the pulleys as the finger moves. The pulley at the base of the finger is called the ‘A1 pulley.’ This is the pulley that is most often involved in trigger finger.” You get trigger finger when that A1 pulley thickens or makes it tough for the flexor tendon to move through it when the finger bends.
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No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle ...20551 is for trigger points into various muscles, just one or 2. More than 2 muscles injected is 20552. Both of these codes can be billed only a single time per encounter. If your physician is injecting tendons, the code would be 20550 Injection (s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia") For the knee, this … CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Medication. The drug used for the injection must be on the same claim as the trigger point administration. The search was conducted using Current Procedural Terminology (CPT) codes 20550 (injection; tendon sheath, ligament), 20551 (injection; tendon origin/insertion), or 20600 (arthrocentesis, aspiration, or injection) and International Classification of Diseases, Ninth Revision (ICD-9) codes 727.03 (trigger finger) or 727.05 (tenosynovitis; hand ... Which CPT code is used 20550 or 20551 for a trigger finger /A1 pulley injection?However, CPT's section on elbow introduction or removal includes the notation, "for injection of tennis elbow, use CPT 20550" (Injection[s], single tendon sheath, or ligament, aponeurosis [e.g., plantar "fascia"]). Code 20551 might be the best choice in many cases, but check your physician's documentation to be sure you shouldn't be …I have a physician that did a in injection for trigger finger on both the right and left hands. The patient was also treated for other problems during the office visit. All was paid except the 2nd injection. This is how it was billed 99213/25 20550/RT-F7 20550/59-LT This was not paid j1040*2Trigger Finger Release. Comments. TECHNIQUE STEPS 0 % 0. 0 Preoperative Patient Care A. Intermediate Evaluation and Management. 1. Obtain focused history and performs focused exam . check range of motion check radial and ulnar pulses ...Description. This document addresses trigger point injections. Trigger points are small, circumscribed, hyperirritable foci in muscles, often found within a firm or taut band of skeletal muscle. Frequently affected sites include the trapezius, supraspinatus, infraspinatus, teres major, lumbar paraspinals, gluteus and pectoralis muscles.CPT ® 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. The code includes all injections made into the muscle. Medication. The drug used for the injection must be on the same claim as the trigger point administration.May 27, 2010 · Answer: Yes, you can report codes such as 26055 ( Tendon sheath incision [e.g., for trigger finger]) multiple times during the same procedure when appropriate. List each finger on separate lines on your claim and include the "F" modifier (such as F1, Left hand, second digit) to indicate the finger treated. Note: If the surgeon made two separate ... Jan 7, 2019 ... Improve Your Medical Skills: www.medicalskillscourses.com In this training video we demonstrate the corticosteroid injection technique for ...Injection technique. Use 1ml steroid mixed with 1ml lidocaine 1% plain in a 2ml syringe with a 1.6cm needle. Insert the needle over the crease overlying the metacarpophalangeal joint and advance it proximally into the flexor tendon. Ask the patient to flex that finger, which will move the needle and confirm the needle point is in the tendon.No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately. ... Pain in right finger(s) M79.645 Pain in left finger(s ...A forum thread where a user asks for help with coding a procedure of injecting kenalog and lidocaine into the flexor tendon sheaths of the trigger fingers. Two experts reply with different CPT codes for the procedure, one for flexor tendon injections and one for trigger point injections.Find the CPT and ICD codes for trigger finger injection, a procedure to release the tendon sheath around the finger. The web page lists the most common coding combinations, submenus, and alternative codes for trigger finger injection, as well as the related codes for tendon sheath incision, mucous cyst, and synovitis.Background The purpose of the present study was to evaluate the clinical effectiveness of ultrasonography-guided needle release of A1 pulley combined with corticosteroid injection by comparing it with ultrasound-guided needle release of the A1 pulley alone. Methods A total of 49 patients (55 fingers, thumb) with trigger fingers …No more than 3 Trigger point injection sessions in a rolling 12 months will be considered reasonable and necessary, regardless of the code billed. CPT 20552 limits to 1 or 2 muscles and 20553 is 3 or more muscles. The number of injections into the muscle group are not billed separately.A progestogen-only injectable contraceptive (POIC) is a long-acting, reversible contraceptive. More about progestogen-only injectable contraception (POIC). Try our Symptom Checker ...Jul 22, 2016 ... One to 2 mL is injected in the sheath or subcutaneously around the A1 pulley. Avoid injecting into the tendon itself; if increased resistance is ...Trigger Release. Trigger finger is a condition that causes pain, stiffness, and a sensation of locking or catching when you bend and straighten your finger. The condition is also known as “stenosing tenosynovitis.”. The ring finger and thumb are most often affected by trigger finger, but it can occur in the other fingers, as well..
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