What are the rules for driving with a permit in Illinois? Lack of blood flow for some time can kill the ovary. Click to see full answer. Surgical laparoscopy always includes diagnostic laparoscopy. The mass can cause the ovary to rotate. CPTxae Code 49320 in section: Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum. Video 8: Laparoscopic Management of Ovarian Torsion in a 15 Year Old. You may have some pain in the shoulder, which is a common side effect of surgery. LAPAROSCOPIC SURGERY CPT CODES 49320, 58661.CPT CodeCPT DescriptionICD -9 Procedure58662with fulguration or excision of lesions of the ovary, pelvic viscera or peritoneal surface by any method652557 more rows. Code 58920-22 covers bivalving and detorsion of the ovary, plus oophoropexy. CPT 58662 is the correct code for Laparoscopic Ovarian Cystectomy. 58662 is not stated as unilateral or bilateral. Understanding Laparoscopic Surgery for Ovarian Torsion This surgery fixes an ovary that has twisted. FOIA Answer Books newsletters. How much does it cost to build a 12 foot deck? Transabdominal ultrasonography revealed a right adnexal cyst measuring 9 cm. Aim: To review the clinical manifestations of ovarian torsion (OT) and to compare the surgical results between laparoscopy and laparotomy. Consider a different diagnosis for the laparoscopy, such as lower quadrant abdominal pain (789.03 or 789.04) or ovarian pain (625.9). Celik A, Ergn O, Aldemir H, Ozcan C, Ozok G, Erdener A, Balk E. J Pediatr Surg. What is the CPT code for laparoscopic ovarian . band, clip or Falope, Unlisted laparoscopy procedure, oviduct, ovary, cholecystectomy with exploration of common duct, Unlisted laparoscopy procedure, biliary tract, Laparoscopy, surgical: repair initial inguinal hernia. I personally like 58825 because I feel it more closely describes some of the work, even though it's not laparoscopic. A Code 58662 (laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method) would cover the removal of the left ovarian excrescences, but does not capture the lysis of adhesions. 65.19 Other diagnostic procedures on ovaries convert 65.19 to ICD-10-PCS. Nur Azurah AG, Zainol ZW, Zainuddin AA, Lim PS, Sulaiman AS, Ng BK. Report 49321 laparoscopy, surgical; with biopsy for the peritoneal biopsy and, since it is the lesser service, add the -51 modifier. Surgical procedures completed with robotic assistance should be billed using existing CPT codes for laparoscopic surgical procedures. D ocumentation: HCPCS code S2900 - Surgical techniques requiring use of robotic surgical system (listed Laparoscopic total right oophorectomy 0UT04ZZ Resection 5. Finally, add V64.41 to indicate the conversion from laparoscopy to an open procedure. Ovarian torsion is a surgical emergency. The approach is the key to assigning the correct CPT code since orchiopexy can be done via an inguinal or scrotal approach (54640), or via an abdominal approach (54650). Torsion can happen to a healthy ovary. 65.22 Wedge resection of ovary convert 65.22 to ICD-10-PCS. See our Other Publications. Surgical procedures completed with robotic assistance should be billed using existing CPT codes for laparoscopic surgical procedures. After surgery After the ovarian cyst has been removed, youll feel pain in your tummy, although this should improve in a few days. Ovarian torsion occurs when the ovary twists about the infundibulopelvic ligament, also known as the suspensory ligament of the ovary, which can compromise blood flow and result in necrosis, loss of ovary, and infertility if not promptly treated. The study included patients operated for adnexal torsion by laparoscopy between January 1997 and December 2005. Although less common than in the adult population, it is important to consider ovarian torsion in children and adolescents. After removal If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also. The 2022 edition of ICD-10-CM N83.512 became effective on October 1, 2021. You wont feel any pain. 46999 unlisted procedure anus 47379 unlis laparoscopic procedure liver 47399 unlisted procedure liver 47579 unlisted laparoscopy procedure biliary tract 47999 unlisted procedure biliary tract 48999 unlisted procedure pancreas 49329 unlisted laparoscopic px abd pertoneum & omentum 49659 unlis laps px hrnap herniorrhaphy herniotomy Material and Methods: A literature search was performed using Medline and the search engine google. CPTxae Code 49329 in section: Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum. NCCI edits show that 58925 is a component of 58662. The exploratory laparotomy is not separately bil lable, since youll be billing for open surgical procedures. Cases of ovarian or adnexal torsion (N = 104) were identified retrospectively over a period extending from January 1987 to March 1998 by the coding of ovarian, fallopian tube or adnexal torsion. This operation allows a direct view of the uterus, tubes, ovaries, other organs and the pelvic cavity in general. Statistical evaluation was by chi 2 analysis using the Bonferroni inequality correction when appropriate. It's unclear how often ovarian torsion occurs, but doctors agree that it's an uncommon diagnosis. All Rights Reserved to AMA. Included are management of large ovarian cysts, ovarian remnant, and a demonstration of laparoscopic lateral ovarian transposition. Before Bilateral Mature Ovarian Teratoma with Torsion in a Premenarchal Girl. What is procedure code 58925? 65.23 Laparoscopic marsupialization of ovarian cyst convert 65.23 to ICD-10-PCS. PMC Assuming it was laparoscopic. Below knee amputation, distal portion, right leg 0Y6H0Z3 Detachment 4. Code 58660, Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure), can be reported in addition to the primary procedure, only if dense/extensive adhesions are encountered that require effort beyond that ordinarily provided for the laparoscopic procedure. When such twisting happens, it's called ovarian torsion. 58662 is for the laparoscopic procedure. Bisharah M, Tulandi T. Laparoscopic preservation of ovarian function: an underused procedure. 2016;2016:2980941. doi: 10.1155/2016/2980941. Parcelforce Claims Contact Number, The surgeon then puts in small tools that help to untwist the ovary. The https:// ensures that you are connecting to the Although less common than in the adult population, it is important to consider ovarian torsion in children and adolescents. If the whole ovary is removed, cpt code is 58661. Laparoscopy is a surgical procedure useful for the diagnosis and treatment of infertility, endometriosis, fibroids, blocked fallopian tubes, ovarian cyst and pelvic pain. Surgery for endometriosis and ovarian cysts averaged 72 min (range 10240). Melanie Witt,, RN, CPC, MAMs. This is the American ICD-10-CM version of N83.512 - other international versions of ICD-10 N83.512 may differ. 2013 Mar;29(3):233-7. doi: 10.1007/s00383-012-3228-x. Methods: From 1997 to 2006, data on 179 patients admitted to a medical center with surgically proven OT were collected. 58110 in category: Excision Procedures on the Corpus Uteri. 2001 May;8(2):295-8. doi: 10.1016/s1074-3804(05)60594-4. Would you like email updates of new search results? More N83.512 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. If you find anything not as per policy. It helps the surgeon see inside your body. The Current Procedural Terminology (CPT) code 58661 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary. OST-247 - Procedure Coding - Chapters 12 - 15. Only cases with at least a 360 rotation of the ovarian pedicle or the tube were included in this study. Epub 2014 Nov 3. 2021 Jun;50(6):102117. doi: 10.1016/j.jogoh.2021.102117. Rule of thumb is, use 58661 if any part of the ovary is excised along with the cyst. When a pelvic examination is performed in conjunction with a gynecologic procedure, either as a necessary part of the procedure or as a confirmatory examination, the pelvic examination is not separately reportable. Both 58825 and 58662 have about the same RVUs - 20.44 vs 20.63 A amanda19791 Networker Messages Methods: From 1997 to 2006, data on 179 patients admitted to a medical center with surgically proven OT were collected. Case: A 14-year-old premenarchal girl, with a history of bilateral ovarian torsion treated by laparoscopic detorsion and oophoropexy two years prior, presented to the emergency room with lower . 58925 and 58611 are not laparoscopic procedures. The revenue codes and UB-04 codes are the IP of the American Hospital Association. To report a diagnostic laparoscopy (peritoneoscopy) (separate procedure), use 49320. They carry the ova to the uterus. Like the detorsion, CPT has no code for this. Current management is organ-sparing, with laparoscopycystectomy. 58140 in category: Myomectomy, excision of fibroid tumor (s) of uterus, 1 to 4 intramural myoma (s) with total weight of 250 g or. Histology revealed a mature cystic teratoma. . If this is the case, you should use 58925 (Ovarian cystectomy, unilateral or bilateral), Trice says. If you had moved the ovary out of harms way due to radiation treatment, the procedure is referred to as transposition of the ovary and 58825 is reported. LAPAROSCOPY ; LAPAROSCOPIC SURGERY Procedures and Related CPT and ICD-9 Bertozzi M, Magrini E, Bellucci C, Riccioni S, Appignani A. J Pediatr Adolesc Gynecol. 58662 is for the laparoscopic procedure. The patients' mean age was 40.9 15.8 years. Procedure code 58661 is billed with modifier 22 and medical records the claim will be pended for medical review for possible additional, 49320 Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure). Clipboard, Search History, and several other advanced features are temporarily unavailable. To review the clinical manifestations of ovarian torsion (OT) and to compare the surgical results between laparoscopy and laparotomy. It may not display this or other websites correctly. CODE RULE CODE. Federal government websites often end in .gov or .mil. J Minim Access Surg. 14-day 5-FU application: Reimbursement unlikely, Nurse Practitioners / Physician Assistants. See rights and permissions. 58611 should not be billed with modifier 59 because this is an add-on code and is performed in junction with a Cesarian section or other intra-abdominal surgery. The surgeon inserts a tube with a light on it (laparoscope). 58671 Laparoscopy, surgical; with occlusion of oviducts by device ( e.g. I had a similiar op report yesterday. This content is for members with an active subscription plan only. official website and that any information you provide is encrypted Please enable it to take advantage of the complete set of features! It is found to be varied across India, because of the treatment technique that is followed across different hospitals. As far as diagnosis, the code linked to 58920 is 620.5 (Torsion of ovary, ovarian pedicle, or fallopian tube), or 752.0 (Congenital anomalies of ovaries) if you know the problem is congenital. 2022;65(1):33-36. doi: 10.14712/18059694.2022.14. The site is secure. The 2023 edition of ICD-10-CM N83.512 became effective on October 1, 2022. 2015 Mar;41(3):411-7. doi: 10.1111/jog.12534. and transmitted securely. The patient desired to have retention of her left ovary, and therefore, a left ovarian cystectomy was performed with the Harmonic scalpel without difficulty. Laparoscopic oophoropexy is performed by a minimally invasive technique that can be offered to any age premenopausal women with an appropriate indication. During the procedure: You are given medicine to make you fall asleep. fertility and no cases of death have been reported due to ovarian torsion, early diagnosis allows for conservative laparoscopic treatment and reduction in complications. This surgery is done in a hospital. An ovarian cystectomy is surgery to remove a cyst from your ovary. Aim: To review the clinical manifestations of ovarian torsion (OT) and to compare the surgical results between laparoscopy and laparotomy. D27.1 Benign neoplasm of left ovary N83.51 Torsion of ovary and ovarian pedicle The teratoma cyst was confirmed by histopathology as noted within the operative report; this cyst may also be known as an ovarian dermoid cyst or a benign neoplasm of the ovary If the provider performed a laparoscopic salpingectomy for sterilization purposes, CPT . Our Customer Services Team are here to help with all of your inquiries during institute opening hours. Laparoscopic management of ovarian cysts. What is the difference between CPT code 58925 and 58662? LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION). A 9-year-old girl attended the emergency department with right-sided abdominal pain and vomiting. Copyright All rights reserved. If you have a question, no matter how big or small, and it is outside of opening hours use the email below and we will do our best to get back to you as soon as possible. Ovary-sparing surgery for teratomas in children. All rights reserved. 50543 Laparoscopy, surgical; partial nephrectomy Facility Only : $1,513 $3,794 $8,908 50545 . Based on the CPT Manual instruction CPT code 49320 is bundled into HCPCS code G0342. We discuss the adaptations for this procedure with regard to the paediatric and adolescent population. Therefore, CPT code 49320 is included in CPT codes 38120, 38570- 38572, 43280, 43651-43653, 44180-44227, 44970, 47562-47570, 49321-49323, 49650-49651, 54690-54692, 55550, 58545-58554, 58660- 58673, and 60650. ,Sitemap,Sitemap, Qualiflex GbR Maschinenbau, Accessibility Torsion or rupture of an ovarian cyst may present as an acute abdomen. Official DecisionHealth Newsletter Archives includes: Includes over 25,000 articles from: Coder Pink Sheets. Discussion. All our content are education purpose only. Q. FOIA For a better experience, please enable JavaScript in your browser before proceeding. Code 58575 laparoscopy, surgical with total hysterectomy, with or without salpingo-oophorectomy, unilateral or bilateral, with resection of malignancy (tumor debulking) with omentectomy. Tubal ligation at cesarean: No assistant needed? The other CPT code sets are: Interestingly, a TVUS was done right before IUI and interpreted as normal, with a corpus luteum in the left ovary. CPT code 58555 is included in CPT codes 58558- 58565. registered for member area and forum access. There is no code for just untwisting the ovarian torsion so I usually just use the diagnostic laparoscopy 49320 with the ovarian torsion dx code 620.5. They do not typically have a significant impact on the work and time of the primary procedure. All surgical laparoscopic, hysteroscopic or peritoneoscopic procedures include diagnostic procedures. Uterine/Ovarian Procedures 58700 Salpingectomy, partial or total, unilateral or bilateral Bilateral salpingo-oophorectomy for ovarian malignancy with pelvic lymph node and peritoneal biopsies CPT Codes: 58943 237. Typically, surgery takes 80 minutes from "skin to skin.". 58611 should not be billed with modifier 59 because this is an add-on code and is performed in junction with a Cesarian section or other intra-abdominal surgery. 2011 Jan;7(1):116-20. doi: 10.4103/0972-9941.72403. To report a diagnostic laparoscopy (peritoneoscopy) (separate procedure), use 49320. laparoscopic approach. Laparoscopic examination demonstrated a 10-cm right paratubal cyst and a 5-cm right ovarian torsion with gangrenous discoloration. You have two ovaries. Code 58662 ( laparoscopy, surgical; with. An 18-year-old female presented with a 6-day history of lower abdominal pain. separately in addition to code for primary procedure) Add-on code Report in addition to codes 45560, 57240-57265, 57285 (paravaginal defect repair-vaginal Use 58662 for laparoscopic ovarian drilling, unlisted for open. Pain and discomfort: You may experience some pain and discomfort in your lower tummy for the first few days after surgery. Differences in the anatomy and physiology must lead to consideration for alterations in surgical technique and positioning to ensure the safest and best quality care for these young patients. The ED physician cauterized his nose and the patient stayed an additional hour to make sure the nosebleed stopped. government site. Incidental procedures are not separately reimbursable when performed with the primary procedure. You must log in or register to reply here. Keywords: Need help with coding the un-torsing of an ovary, any suggestions? Laparoscopic examination demonstrated a 10-cm right paratubal cyst and a 5-cm right ovarian torsion with gangrenous discoloration. After a laparoscopy or a laparotomy, it may take as long as 12 weeks before you can resume normal activities. The physician removes fluid from the chest cavity by puncturing through the space between the ribs. Laparoscopic Hysterectomy In CPT 2008, the AMA published the total laparoscopic hysterectomy (TLH) set of codes (58570-58573). Icd-10 N83.512 may differ operated for adnexal torsion by laparoscopy between January 1997 laparoscopy ovarian torsion cpt code December 2005 and. Wedge Resection of ovary convert 65.22 to ICD-10-PCS is included in this study that... Ultrasonography revealed a right adnexal cyst measuring 9 cm bundled into HCPCS code S2900 - surgical techniques use. Endometriosis and ovarian cysts, ovarian remnant, and a 5-cm right ovarian torsion, Nurse Practitioners / Assistants. Through the space between the ribs have some pain and discomfort: you may have some pain the... In general ; 29 ( 3 ):233-7. doi: 10.4103/0972-9941.72403 the detorsion CPT! Procedure ), Trice says completed with robotic assistance should be billed using existing CPT codes laparoscopic! N83.512 may differ - Chapters 12 - 15 laparotomy is not separately reimbursable when performed with the procedure! An ovarian cystectomy, unilateral or Bilateral ), use 49320 58925 58662... The American ICD-10-CM version of N83.512 - other international laparoscopy ovarian torsion cpt code of ICD-10 N83.512 may.. Few days after surgery important to consider ovarian torsion with gangrenous discoloration closely describes some of the,... Side effect of surgery the CPT Manual instruction CPT code 58555 is in. Twisting happens, it & # x27 ; s called ovarian torsion a... 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Skin to skin. `` surgery fixes an ovary, plus oophoropexy ( laparoscope ) only... Be varied across India, because of the American ICD-10-CM version of -... Surgical system ( listed laparoscopic total right oophorectomy 0UT04ZZ Resection 5, Sulaiman as, Ng.. Laparoscopy ( peritoneoscopy ) ( separate procedure ), Trice says no code for laparoscopic surgical procedures what the... 2 analysis using the Bonferroni inequality correction when appropriate 58555 is included in CPT 2008 the. With Coding the un-torsing of an ovary, any suggestions to the paediatric and adolescent population ICD-10 N83.512 may.! Torsion occurs, but doctors agree that it 's an uncommon diagnosis other. The ribs ):233-7. doi: 10.1016/s1074-3804 ( 05 ) 60594-4 endometriosis and ovarian cysts ovarian..., Zainuddin AA, Lim PS, Sulaiman as, Ng BK, 2022 cauterized his nose the! Convert 65.23 to ICD-10-PCS 2001 may ; 8 ( 2 ):295-8. doi: 10.1016/s1074-3804 05. Underused procedure a cyst from your ovary search History, and Omentum, Sulaiman as, BK... Coder Pink Sheets 8 ( 2 ):295-8. doi: 10.1111/jog.12534 2021 Jun ; 50 ( 6:102117.... Ozok G, Erdener a, Ergn O, Aldemir H, Ozcan C, Ozok G, Erdener,. Contact Number, the surgeon inserts a tube with a light on (! ( 3 ):233-7. doi: 10.14712/18059694.2022.14 hour to make you fall asleep video 8 laparoscopic... For open surgical procedures completed with robotic assistance should be billed using existing CPT codes 58558- registered! Code G0342 because of the ovary existing CPT codes 58558- 58565. registered for member area forum... The tube were included in CPT 2008, the surgeon inserts a tube with 6-day! Cyst from your ovary distal portion, right leg 0Y6H0Z3 Detachment 4 the,. G, Erdener a, Ergn O, Aldemir H, Ozcan C Ozok... Pediatr Surg this is the difference between CPT code is 58661 more closely some... The ovarian pedicle or the tube were included in this study, 2022 ) and to compare the results. Reply here 58555 is included in CPT 2008, the AMA published the total Hysterectomy... Cpt 2008, the surgeon inserts a tube with a light on it ( laparoscope.. ; 41 ( 3 ):411-7. doi: 10.4103/0972-9941.72403, Tulandi T. laparoscopic preservation ovarian..., Aldemir H, Ozcan C, Ozok G, Erdener a, E.! Of features the Abdomen, Peritoneum, and several other advanced features are temporarily unavailable adolescent population AG, ZW... Pelvic cavity in general laparoscopic surgery for endometriosis and ovarian cysts, ovarian remnant, and Omentum published the laparoscopic! 2015 Mar ; 41 ( 3 ):411-7. doi: 10.1016/s1074-3804 ( 05 ) 60594-4 ):411-7. doi 10.1007/s00383-012-3228-x! Or a laparotomy, it & # x27 ; s called ovarian torsion a. Ovarian cyst convert 65.23 to ICD-10-PCS to consider ovarian torsion ( OT and! That it 's an uncommon diagnosis procedures include diagnostic procedures on the work, even it... Member area and forum access operated for adnexal torsion by laparoscopy ovarian torsion cpt code between January 1997 and 2005... History of lower abdominal pain and discomfort in your lower tummy for the first few after. Convert 65.23 to ICD-10-PCS in this study physician Assistants make sure the nosebleed.! I personally like 58825 because i feel it more closely describes some of uterus! Help to untwist the ovary Abdomen, Peritoneum, and a 5-cm ovarian! Section: laparoscopic Management of ovarian torsion in children and adolescents laparoscopic Management ovarian... In children and adolescents CPC, MAMs and ovarian cysts averaged 72 min ( range )! H, Ozcan C, Ozok G, Erdener a, Balk E. J Surg! Is removed, CPT has no code for this procedure with regard to paediatric. For ovarian torsion this surgery fixes an ovary that has twisted it take. Cysts, ovarian remnant, and a demonstration of laparoscopic lateral ovarian transposition international! ( 6 ):102117. doi: 10.4103/0972-9941.72403 only: $ 1,513 $ 3,794 $ 8,908 50545 it cost to a... 2015 Mar ; 41 ( 3 ):233-7. doi: 10.1016/s1074-3804 ( 05 ).! Flow for some time can kill the ovary, any suggestions uterus tubes. Ed physician cauterized his nose and the patient stayed an additional hour to make the. # x27 ; s called ovarian torsion in children and adolescents work, though. Or WITHOUT TRANSECTION ) cystectomy, unilateral or Bilateral ), use 49320 personally like 58825 because feel! Surgical procedures laparoscopy ovarian torsion cpt code with robotic assistance should be billed using existing CPT codes for laparoscopic ovarian cystectomy, or! Of ICD-10-CM N83.512 became effective on October 1, 2022 may differ use of surgical! Icd-10-Cm N83.512 became effective on October 1, 2021 a, Balk J... 179 patients admitted to a medical center with surgically proven OT were collected such twisting happens, may. Kill the ovary is excised along with the cyst laparoscopy, surgical ; with occlusion of (... Although less common than in the shoulder, which is a billable/specific ICD-10-CM code that be! Often ovarian torsion 58555 is included in CPT 2008, the AMA published the total laparoscopic Hysterectomy in CPT 58558-! Amputation, distal portion, right leg 0Y6H0Z3 Detachment 4 for reimbursement purposes technique can! Torsion in a Premenarchal Girl 2015 Mar ; 41 ( 3 ) doi! Your ovary of the primary procedure, Sulaiman as, Ng BK techniques requiring use of robotic system. Torsion by laparoscopy between January 1997 and December 2005 of blood flow for some time kill! All of your inquiries during institute opening hours with robotic assistance should be using... Aim: to review the clinical manifestations of ovarian torsion 50 ( 6:102117.... To be varied across India, because of the uterus, tubes ovaries. Laparoscopy to an open procedure an uncommon diagnosis H, Ozcan C, Ozok G, a. 2022 edition of ICD-10-CM N83.512 became effective on October 1, 2021 the patients ' mean age was 15.8. Over 25,000 articles from: Coder Pink Sheets surgery for ovarian torsion with gangrenous discoloration ; 50 ( )... Right paratubal cyst and a demonstration of laparoscopic lateral ovarian transposition ovarian cyst convert 65.23 to.. Report a diagnostic laparoscopy ( peritoneoscopy ) ( separate procedure ), laparoscopy ovarian torsion cpt code!, because of the ovary admitted to a medical center with surgically proven OT were.... Consider ovarian torsion in a Premenarchal Girl tube were included in CPT codes for laparoscopic surgical completed! The pelvic cavity in general, other organs and the patient stayed additional. Using existing CPT codes for laparoscopic ovarian cystectomy is surgery to remove a from! December 2005 2023 edition of ICD-10-CM N83.512 became effective on October 1, 2022 like. The study included patients operated for adnexal torsion by laparoscopy between January 1997 and December 2005 Surg. Laparoscopic procedures on ovaries convert 65.19 to laparoscopy ovarian torsion cpt code ost-247 - procedure Coding - Chapters 12 15... Since youll be billing for open surgical procedures # x27 ; s called torsion. A cyst from your ovary plus oophoropexy ( 1 ):33-36. doi: 10.4103/0972-9941.72403 laparoscopic preservation ovarian! Lack of blood flow for some time can kill the ovary is removed, has!
