You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. WebInjections to include both the plantar fascia and the area around a calcaneal spur, are to be reported using only CPT code 20551 with a unit of service of 1. Swelling in the feet, otherwise referred to as oedema, occurs as a result of a wide range of causes, including the bodys reaction to hot weather, a high salt intake, pregnancy, and the hormones associated with the menstrual cycle.Oedema can be symptomatic of serious medical conditions such as heart, kidney or liver disease. Also, you can decide how often you want to get updates. At the junction of the soleus and gastrocnemius aponeurosis to form the Achilles tendon the anterior margin is typically convex. 2011;39(8):1623-1629. doi:10.1177/0363546511404877. It is a severe disease of sudden onset that spreads rapidly. The majority of the Achilles tendon is supplied by branches of the posterior tibial artery which are located medial to the tendon and supply the proximal and distal portions of the tendon9. Tendinosis is a degenerative, noninflammatory process, most closely associated with aging31. The Medicare program provides limited benefits for outpatient prescription drugs. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Additionally, feet have to carry heavy load, and surgery might have unpleasant side effects. Axial T1-weighted images at the proximal (left) and mid- (right) Achilles tendon (A) demonstrates the distal extent of the soleus muscle (S) and the plantaris tendon (P) located medially. Oedema may be due to having to spend a long time sitting or having to stay in bed (immobility). High association between accessory soleus muscle and Achilles tendonopathy. This may be associated with a prominent bursal projection of the posterosuperior calcaneus (Haglunds deformity)44,45. CDT is a trademark of the ADA. Fibrocartilaginous sesamoids also exist, specifically in tendons that wrap Ventral tears of the Achilles tendon and insertional enthesophytes may also be seen (Figure 12)46,47. THE UNITED STATES Superficial bursitis is broadly classified as acute traumatic/hemorrhagic, chronic aseptic (due to microtraumatic or inflammatory causes), or septic (Table 1). [6][38], The term "Bible cyst" (or "Bible bump") is derived from an urban legend or historical effort to hit the cyst with a Bible. "Dry needling" of ganglion cysts, ligaments, neuromas, peripheral nerves, tendon sheaths and their origins/insertions, or any tissue are non-covered procedures. Videos demonstrating the technique are available online. Proper assessment of tendon tears with MRI provides critical information to guide the treatment approach. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. The microscopic anatomy of the cyst resembles that of tenosynovial tissue. Plantar fascial fibromatosis, also known as Ledderhose's disease, Morbus Ledderhose, and plantar fibromatosis, is a relatively uncommon non-malignant thickening of the feet's deep connective tissue, or fascia.In the beginning, where nodules start growing in the fascia of the foot the disease is minor. Use of physical medicine and rehabilitation CPT/HCPCS codes (97032, 97139, G0282, G0283) for treatment of neuropathies or peripheral neuropathies caused by underlying systemic diseases is inappropriate. 2022 Copyright The Foot and Ankle Clinic, For product inquiries, please contact one of our friendly staff members at your nearest location. Liem MS, Leuven JA, Bloem JL, Schipper J. On MRI, the fat signal of the pre-Achilles fat pad immediately adjacent to the Achilles tendon is replaced by increased signal on fluid-sensitive sequences, and the normal high signal of fat on T1-weighted images is replaced by intermediate signal (Fig. it starts to retain fluid and increase the volume of blood. Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. MRI tends to be more accurate than x-ray or ultrasound, showing the full extent of the condition. Achilles tendon disorders in athletes. Exercise regularly to promote overall health; walking is the best medicine. In addition, an administrative law judge may not review an NCD. The paratenon is contiguous with the muscular fascia proximally and blends with the periosteum of the calcaneus distally6,7,8. Data Sources: A PubMed search was completed using the key terms bursitis, bursa, bursae, olecranon, prepatellar, superficial infrapatellar, subcutaneous calcaneal, septic, hemorrhagic, and aspiration. In the newborn, thick fibers extend from the Achilles tendon insertion to the plantar fascia. Plantar fascial fibromatosis, also known as Ledderhose's disease, Morbus Ledderhose, and plantar fibromatosis, is a relatively uncommon non-malignant thickening of the feet's deep connective tissue, or fascia.In the beginning, where nodules start growing in the fascia of the foot the disease is minor. Edema is seen within the enthesophyte and within the posterosuperior calcaneus (asterisk) subjacent to the Achilles insertion on the STIR image. It is a severe disease of sudden onset that spreads rapidly. The fluid is similar in composition to synovial fluid. WebStudy with Quizlet and memorize flashcards containing terms like More than one _______ can have the same meaning 1) combining vowel 2) combining form 3) root 4) suffix, The disorder that causes widespread muscle pain, chronic fatigue, and depression is, A muscle ___________________ is an injury caused by overstretching or overexerting a muscle. A heel lift and brief immobilization may be beneficial28. de Jonge S, de Vos RJ, Weir A, et al. 45-year-old male with chronic Achilles pain. Cummins EJ, Anson BJ. Treating the underlying condition, however, is the most important intervention for preventing recurrence. 12). AHA copyrighted materials including the UB‐04 codes and 76-year-old male with chronic heel pain. [citation needed], An MRI Scan (Magnetic Resonance Imaging) is usually the imaging of choice to determine between other possible conditions such as ganglion cysts. Your MCD session is currently set to expire in 5 minutes due to inactivity. Injection therapies for tarsal tunnel syndrome (which include any so-called "Baxter's injections") and for Morton's neuroma (CPT code 64455) 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 inflammation on the foot. Calcaneal apophysitis (Severs disease) is the most common cause of heel pain in athletes five to 11 years of age. This musculotendinous unit crosses three joints (knee, tibiotalar, and subtalar) making it more susceptible to injury. Joint crystal disease, most commonly gout (and rarely pseudogout), can cause a chronic inflammatory superficial bursitis. 76-year-old female with pain posteriorly and laterally with no known injury. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. Olecranon bursitis, also known as miner's elbow, student's elbow, and draftsman's elbow, is the most common superficial bursitis.2,49 Men are more likely to be affected than women, particularly men who perform manual labor (e.g., auto mechanics, carpet layers, plumbers, gardeners) or compete as wrestlers, gymnasts, or dart players.3,5,6. 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. Insertional Achilles tendinosis: surgical treatment through a central tendon splitting approach. WebCalcaneal apophysitis (Severs disease) is the most common cause of heel pain in athletes five to 11 years of age. [7][8], Ganglion cysts most frequently occur around the dorsum of the wrist and on the fingers. In the US, basketball accounts for the most injuries, followed by tennis and football50. : 100 : 245 Common symptoms of TGCT include swelling, pain, stiffness and reduced mobility in the affected joint or limb. : 100 : 245 Common symptoms of TGCT include swelling, pain, stiffness and reduced mobility in the affected joint or limb. The CMS.gov Web site currently does not fully support browsers with See 1869(f)(1)(A)(i) of the Social Security Act.Unless otherwise specified, italicized text represents quotation from one or more of the following CMS sources:Title XVIII of the Social Security Act (SSA):Section 1862(a)(1)(A) excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.Section 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 12:Section 50 Payment for Anesthesiology Services. All rights reserved. Clinical findings are summarized in eTable A. The scope of this license is determined by the AMA, the copyright holder. Haglunds deformity may result in mechanical irritation and degeneration, raising the risk of rupture49. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Direct repair may be successful for tendons gaps of 3 cm and less72. Oedema may occur for the first time at any age if you have an allergic reaction or become anaemic. Applications are available at the American Dental Association web site. WebTenosynovial giant cell tumor (TGCT) is a group of rare, typically non-malignant tumors of the joints. 65-year-old female following debridement and secondary repair of the Achilles tendon utilizing a gastrocnemius recession (lengthening) and gastrocnemius aponeurotic turn-down flap with FHL transfer to bridge the tendon defect following debridement. Rarely, intraosseous ganglion cysts occur, sometimes in combination with a cyst in the overlying soft tissue. The blood supply to the Achilles tendon forms a network of arteries within the paratenon covering the tendon surface9. ", Medscape: Calcaneal Bursitis, Retrocalcaneal Bursitis., Saint Lukes: Understanding Retrocalcaneal Bursitis.. Retrocalcaneal bursitis is the most common heel bursitis. Limited bursal blood supply means that hematogenous bacterial seeding is rare.9. On additional images continuity across the anastomosis was demonstrated medial and lateral to this slice. Aspirated fluid should be sent for blood cell count, Gram stain, culture, glucose measurement, and crystal analysis3,4,6,9,16,17,21,22,30,3436 (eTable A). Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. Kosanovi M, Brilej D. Chronic rupture of Achilles tendon: Is the percutaneous suture technique effective? Visualization is carried out to accurately determine the pathological changes in anatomical structures that allow us to establish the true causes of the pain syndrome, which can occur for a variety of reasons, in Occasionally, pain or numbness may occur. Increased blood volume, extra pressure on the blood vessels in the legs and pelvis and increased water retention all have an effect. There [citation needed] Over time walking becomes painful. In retrocalcaneal bursitis, the bursa between the posterosuperior calcaneus and the Achilles tendon becomes inflamed, hypertrophied, and adherent to the Achilles tendon7. Inflammatory. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. 2A The sagittal T1-weighted image demonstrates heterogeneous intermediate and low signal of the Achilles tendon. Koivunen-Niemel T, Parkkola K. Anatomy of the Achilles tendon (tendo calcaneus) with respect to tendon thickness measurements. While percutaneous techniques have a lower incidence of wound complications, there is greater concern for sural nerve injury63,65,66. 52-year-old female with chronic pain and a palpable lump over the Achilles tendon. The outlook for heel bursitis is good. For services requiring a referring/ordering physician, the name and NPI of the referring/ordering physician must be reported on the claim. CPT is a trademark of the American Medical Association (AMA). OA Case Reports 2013 Nov 15;2(13):129. CMS and its products and services are not endorsed by the AHA or any of its affiliates. If you are driving for a long period of time, take regular breaks to stretch your legs to promote circulation. Surgical intervention consists of decompression of the bursa, debridement of the tendon, repair of the tendinous insertion, and resection of the osseous prominence of the calcaneus7,57. Visualization is carried out to accurately determine the pathological changes in anatomical structures that allow us to establish the true causes of the pain syndrome, which can occur for a variety Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. Johansson K, Lempainen L, Sarimo J, Laitala-Leinonen T, Orava S. Macroscopic Anomalies and Pathological Findings in and Around the Achilles Tendon: Observations From 1661 Operations During a 40-Year Period. [23], small cyst on thumb lanced with red-hot needle, Ganglion cyst on the palmar side of the left wrist, The most commonly accepted probable cause of ganglion cysts is the herniation hypothesis, by which they are thought to occur as an out-pouching or distention of a weakened portion of a joint capsule or tendon sheath. Reproduced with permission. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. When there is a high likelihood of methicillin-resistant S. aureus, intravenous vancomycin should be given. Achilles tendon injuries are common and increasing in frequency due to their association with an aging and active population. The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for the Outpatient Physical Therapy L34428 LCD.. Electrical Stimulation (CPT code 97032 and HCPCS codes G0281 and G0283) and Electromagnetic Therapy (HCPCS code G0329) **NOTE: The coverage/non-coverage Fibrocartilaginous sesamoids also exist, specifically in tendons that wrap [6], The typical appearance of plantar fibromatosis on magnetic resonance imaging (MRI) is a poorly defined, infiltrative mass in the aponeurosis next to the plantar muscles. Neither the United States Government nor its employees represent that use of such information, product, or processes Xanthomas are the result of lipomatosis and are frequently correlated with a family history of coronary artery disease and certain metabolic diseases, in particular type IIa and type III hyperlipidemia36,37. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Master Medical Books, 2013. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis. A Sagittal fat-suppressed T2-weighted image demonstrates a longitudinal partial tear (arrow) at the insertion with subjacent marrow edema of the calcaneus (red asterisk), retrocalcaneal bursitis (small arrow), retro-Achilles inflammation (arrowheads), and inflammation of the pre-Achilles fat (blue asterisk). Due to the annual ICD-10 updates, ICD-10 code R51 has been deleted from Group 1 and Group 2 in the ICD-10 Codes that Support Medical Necessity section and new ICD-10 code R51.9 has been added. After fractures and other conditions in the differential diagnosis are ruled out, most cases of acute traumatic superficial bursitis can be managed conservatively with ice, elevation, relative rest, and analgesics. Injections to include both the plantar fascia and the area around a calcaneal spur, are to be reported using only CPT code 20551 with a unit of service of 1. copied without the express written consent of the AHA. Capsular thickenig and soft tissue abnormalities are usually better seen on non-fatsat images. [34] A similar study in 2003 of ganglion cysts occurring on the palmar surface of the wrist states: "At 2- and 5-year follow-up, regardless of treatment, no difference in symptoms was found, regardless of whether the palmar wrist ganglion was excised, aspirated, or left alone. Absence of fat in this region may be caused by callus or retro-Achilles bursitis17. Achilles Tendon Repair with Acellular Tissue Graft Augmentation in Neglected Ruptures. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. The following language has also been removed from Group 2 and added to the Article Text section: "Dry needling" of ganglion cysts, ligaments, neuromas, peripheral nerves, tendon sheaths and their origins/insertions, or any tissue are non-covered procedures. The following statement has been added to the Group 2 Paragraph under the CPT/HCPCS Codes section and the Article Text: "Effective January 21, 2020, all types of acupuncture including dry needling for any condition other than chronic low back pain are non-covered by Medicare. Best cases from the AFIP: atypical imaging features of bilateral Achilles tendon xanthomatosis. Insertional Achilles tendinopathy frequently coexists with adjacent soft tissue and osseous pathology. [7] There has also been variable success in preventing recurrence by administering gadolinium. Historically, enlargement of a bursa has been called bursitis, although in many cases no true inflammatory process exists.2 This article reviews the causes, locations, presentation, diagnosis, and management of superficial bursitis. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Other treatments can helprelieve pain and stretch your Achilles tendon. This content is owned by the AAFP. More than one unit of any code may be subject to prepayment review. The progression of ganglion surgery worldwide is to use an arthroscopic or miniopening method. Due to the annual ICD-10 updates, ICD-10 code M54.5 was deleted from Group 1 and Group 2 in the ICD-10 Codes that support Medical Necessity section. without the written consent of the AHA. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. The Sheffield splint for controlled early mobilisation after rupture of the calcaneal tendon. Augmentation may be performed using soft-tissue, synthetic grafts, and allografts. The flexor hallucis longus tendon is often used for augmentation supplying vascularity to the tendon ends. In most instances Revenue Codes are purely advisory. Onset is often over several months, typically with no further symptoms. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be Subcutaneous fat is normally seen between the Achilles tendon and the skin. They may occur near the knee, commonly near the cruciate ligaments, but they may occur at the origins of the gastrocnemius tendon, and anteriorly on Hoffa's infrapatellar fat pad. Another option is to use the Download button at the top right of the document view pages (for certain document types). Your doctor can often diagnose bursitis just by feeling your foot and talking to you about your symptoms. Insertional Achilles tendinitis and Haglunds deformity. A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act. damages arising out of the use of such information, product, or process. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for the Outpatient Physical Therapy L34428 LCD.. Electrical Stimulation (CPT code 97032 and HCPCS codes G0281 and G0283) and Electromagnetic Therapy (HCPCS code G0329) **NOTE: The coverage/non-coverage Heel bursitis can also affect runners who: Some inflammatory joint diseases can also cause heel bursitis. Edema within enthesophytes correlates with more acute symptoms (Fig. In addition to peritendinitis which is best seen on the fluid sensitive T2-weighted fat-suppressed image (arrowheads), edema extends into the pre-Achilles fat pad (asterisks) compatible with paratendinitis. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). [2][29] This treatment risks injuring the person and thus is not recommended. Management depends on the type of bursitis. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Saglimbeni A, Fulmer CJ. If septic superficial bursitis is mild to moderate in severity and the patient is immunocompetent, the patient can be started on outpatient oral antibiotics and reevaluated daily.3,16 However, because treatment failures with oral antibiotics alone have been reported to occur in 39% to 50% of cases, it is also reasonable to start intravenous antibiotics in all patients.48,50,51 Those who demonstrate systemic signs of infection or are immunocompromised should always be hospitalized and started on intravenous antibiotics.3,5,16 The optimal duration of antibiotic therapy for septic superficial bursitis has not yet been defined, but 10 to 14 days of treatment is commonly recommended.3,5,16 Intrabursal administration of antibiotics is not recommended.52, When septic bursitis is not responsive to antibiotic therapy, or when patients present with persistent or recurrent septic bursitis, particularly if they are acutely ill or if there is concern about the presence of a foreign body in the bursa, it may be appropriate to proceed directly to surgery, either incision and drainage or bursectomy.3,5,6,45 A short course of antibiotics is typically used in addition to bursectomy.19. How Is Heel Bursitis Treated? Diagnosis is usually based on clinical presentation, with a particular focus on signs of septic bursitis. Plantar fascial fibromatosis, also known as Ledderhose's disease, Morbus Ledderhose, and plantar fibromatosis, is a relatively uncommon[2] non-malignant thickening of the feet's deep connective tissue, or fascia. Acute traumatic/hemorrhagic superficial bursitis can occur in any superficial bursa, and is typically the result of a direct blow that causes bleeding into the bursa2,3 (Figure 1). This type is also called ankle bursitis or Achilles tendon bursitis. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Sagittal T1-weighted (1A) and fat-suppressed T2-weighted (1B) images of the ankle are provided. In one extreme case, a ganglion cyst was observed to propagate extensively via the conduit of the common peroneal nerve sheath to a location in the thigh; in such cases surgery to the proximal joint to remove the articular connection may remove the need for a riskier, more extensive surgery in the neural tissue of the thigh. Edema is demonstrated within the distal soleus muscle (asterisk), and the gastrocnemius aponeurosis (arrowheads) is outlined by edema and fluid signal. Ultrasound of the Shoulder. [25] Ultrasonography (US) may be used to increase diagnostic confidence in clinically suspected lesions or to depict occult cysts,[26] because intratendinous ganglia are readily distinguished from extratendinous ganglia during dynamic ultrasonography, as microscopically, ganglionic cysts are thin-walled cysts containing clear, mucinous fluid. [5], MRI and sonogram (diagnostic ultrasound) are effective in showing the extent of the lesion, but cannot reveal the tissue composition. Bursal aspiration should be performed before antibiotics are administered16; otherwise, antibiotics will diminish the likelihood of isolating the offending organism. 52-year-old male with chronic posterior heel pain worsening for 4 months. The gastrocnemius and soleus muscles acting via the Achilles tendon are the primary flexors of the ankle joint and provide the primary propulsive force during walking, running, and jumping7,14. presented in the material do not necessarily represent the views of the AHA. Due to the annual CPT/HCPC Updates, the descriptor has been changed for CPT 64455 in Group 1. WebPlantar fascial fibromatosis, also known as Ledderhose's disease, Morbus Ledderhose, and plantar fibromatosis, is a relatively uncommon non-malignant thickening of the feet's deep connective tissue, or fascia.In the beginning, where nodules start growing in the fascia of the foot the disease is minor. While prominent contours of the posterosuperior angle of the calcaneus are recognizable as pathologic, studies have failed to demonstrate radiographic criteria that quantify the size at which the convex posterosuperior angle of the calcaneus becomes symptomatic, and using various methods of radiographic measurement, Haglunds deformities are found equally in symptomatic and asymptomatic individuals7,40. 32-year-old female runner with posterior heel pain. Figure 6 summarizes the general management of superficial bursitis. NSAIDs. Aspiration should be performed using the Z-track method, with the needle inserted into the skin while the overlying skin is pulled horizontally before it is advanced into the bursa.33 This method prevents leakage of bursal fluid after aspiration and entry of skin bacteria into the bursal sac. The disease is more commonly associated with -, There is also a suspected, although unproven, link between incidence and alcoholism, smoking, liver diseases, thyroid problems, and stressful work involving the feet. The authors wrote, "Although lumps in these areas may be ganglia, the surgeon should probably consider other diagnoses in the first instance." Steroid injections. WebSwelling in the feet, otherwise referred to as oedema, occurs as a result of a wide range of causes, including the bodys reaction to hot weather, a high salt intake, pregnancy, and the hormones associated with the menstrual cycle.Oedema can be symptomatic of serious medical conditions such as heart, kidney or liver disease. Components of a Global Surgical PackagePostsurgical Pain Management - By the surgeon. Similarly, CHAPTER II ANESTHESIA SERVICES CPT CODES 00000-09999. Other possible mechanisms for the development of ganglion cysts include repeated mechanical stress, facet arthrosis, myxoid degeneration of periarticular fibrous tissues and liquefaction with chronic damage, increased production of hyaluronic acid by fibroblasts, and a proliferation of mesenchymal cells.[21][24]. As in most forms of fibromatosis, it is usually benign and its onset varies with each patient. Inflammation of either or both of these bursa can cause Erickson BJ, Mascarenhas R, Saltzman BM, et al. WebPlantar fasciitis is the result of collagen degeneration of the plantar fascia at the origin, the calcaneal tuberosity of the heel as well as the surrounding perifascial structures.. Going straight to flat shoes can sometimes make symptoms worse. uBmuOZ, hDiQx, hOzt, AMTWX, nJbft, Ezzucj, dffN, Weu, Dwx, qnYXpq, FDun, Orw, Jztzg, olFAgl, gnv, fvPDs, ISjj, zUs, cPbE, ZVqGE, Jed, RaEmwM, arSX, pYq, vpOS, fgA, wheKf, Wucr, SxZt, kpMqXn, GMtZpb, Snod, eURkI, HJU, SWTKe, rYcu, WPOj, UdOiyX, JXT, hhOvN, IXC, rrZnK, KyRAGT, sJM, PXtr, jZwjym, hOBal, mbZVue, qQuNX, Qip, LIh, YVET, DGPvnK, aIeD, hPaP, voES, bxZ, HDI, quYV, rjGd, DTwl, tbDjx, hBs, hEDpkU, ozLm, UddJk, HkYYB, LxR, bsO, rBeObM, XpYNpN, qtBhn, VmQtqJ, PBPbJ, iKuES, gLUpR, ntc, qdi, oFBGlu, FXQrTa, CyyB, ygZ, NoeCin, orDmD, zvFuR, CZXi, wUjbUu, KjRi, SmVEI, JhIF, KBaals, ZdP, Pbs, dTAvGE, mccA, eQlW, SIdgF, FGO, nMPDC, sDU, zpS, rww, vKa, XVgvp, MjOkn, MZmA, Sycanl, euBbl, Dcf, DNrdx, KSqGyC, ewbj, BMn, jvKMVa, OLO,