MSP Billing Codes
Specialty: Neurosurgery
Filter by section
Code | Description | Anes | Fee |
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Cerebral Procedures |
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03132 | - two surgeons - neurosurgeon | 8 | $2,019.98 |
03094 | Anterior decompressing craniovertebral junction | 8 | $2,947.49 |
03125 | Bilateral craniectomies for cranial expansion or delayed treatment of synostosis (patient must be older than 1 year) | 8 | $1,913.31 |
03144 | Corpus callosum - section of corpus callosum | 8 | $2,255.16 |
03238 | Cortical or deep brain localization with seep or stimulation in an awake patient (extra to craniotomy) | 0 | $471.01 |
03147 | Cranial reconstruction for complex deformity in a child | 8 | $2,480.37 |
03122 | Craniectomy for osteomyelitis or skull tumor | 7 | $1,061.40 |
03123 | Craniectomy osteomyelitis or tumor w/cranioplasty | 7 | $1,493.23 |
03121 | Cranioplasty | 7 | $950.12 |
03057 | Craniotomy - cortical resection -epilepsy | 8 | $2,149.49 |
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03055 | Craniotomy - microsurgical-resection-epilepsy-ga | 8 | $2,474.42 |
03053 | Craniotomy - neurosurgical component | 8 | $685.59 |
03056 | Craniotomy - resection - epilepsy/awake | 8 | $3,249.23 |
03239 | Craniotomy and insertion of subdural grid electrodes with or without additional strip electrodes unilateral | 7 | $1,465.22 |
03059 | Craniotomy and microsurgical hemispherotomy | 8 | $2,592.93 |
03114 | Craniotomy and microsurgical removal of tumour | 8 | $2,909.46 |
03136 | Craniotomy for intracranial aneurysm or angioma | 9 | $2,731.29 |
03133 | Craniotomy for removal of extra-axial brain tumour using operating microscope | 8 | $2,909.46 |
03130 | Craniotomy for removal of extra-axial brain tumour using operating microscope when procedure is prolonged more than 8 hours (to include operative report) | 8 | $4,490.32 |
03129 | Craniotomy for tumor | 8 | $1,701.87 |
03222 | Craniotomy lasting more than 12 hours | 9 | $5,337.81 |
03135 | Craniotomy or laminectomy using operating microscope when procedure is prolonged more than 8 hours (to include operative report) | 9 | $3,924.59 |
03066 | Craniotomy-microsurgical resection-extra-axial | 0 | $193.16 |
03148 | Forehead reconstruction/extra linear craniectomy | 0 | $285.85 |
03058 | Hemispherectomy | 8 | $2,235.64 |
03139 | Implantation of stimulator | 3 | $985.00 |
03236 | Insertion of subdural strip electrodes - unilateral [epilepsy surgery, to include burrhole(s)] | 8 | $1,099.02 |
03140 | Intra-cranial stimulating electrodes | 7 | $2,450.00 |
03143 | Lateral canthal - bilateral | 8 | $1,280.35 |
03137 | Lateral canthal advancement or similar procedure for coronal synostosis - unilateral | 8 | $1,195.69 |
03124 | Linear craniectomy or craniotomy for cranial stenosis - 1st suture | 7 | $1,032.86 |
03127 | Linear craniectomy or craniotomy for cranial stenosis - additional sutures to a maximum of 3 - each extra | 7 | $253.50 |
03146 | Morcellation of skull for craniosynostosis | 8 | $1,745.53 |
03120 | Neurosurgical fee for facial craniotomy reconstruction | 9 | $1,347.34 |
03235 | Ntraoperative cortical localization ssep or stimulation studies g.a. (extra to craniotomy) | 0 | $235.48 |
03095 | Posterior decompression - no dural repair | 8 | $1,549.63 |
03097 | Posterior decompression - with 4th ventricular rep | 8 | $2,124.50 |
03096 | Posterior decompression - with dural repair | 8 | $1,874.56 |
03241 | Re-opening of craniotomy for removal of subdural grid electrodes unilateral | 6 | $789.19 |
03126 | Re-opening or removal of bone flap | 6 | $693.26 |
03320 | Removal of skull tumour without craniectomy | 6 | $418.78 |
03237 | Removal of subdural strip electrodes - unilateral | 6 | $471.01 |
03128 | Stereotactic biopsy for intracranial pathology via frame-based or frameless techniques | 7 | $1,474.65 |
03189 | Stereotactic localization during neurosurgery in association with craniotomy and spinal fusion/stabilization procedures extra | 0 | $481.50 |
03131 | Transsphenoidal removal of pituitary tumour or hypophysectomy - one surgeon | 8 | $2,022.48 |
03138 | Unilateral stereotaxic intracranial procedures | 7 | $1,195.69 |
Cervical - Instrumented Procedures |
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03354 | Cervical | 6 | $2,836.82 |
03358 | Cervical - orif | 7 | $1,008.32 |
03341 | Cervical - segmental (includes c1-2 transarticular screws). | 6 | $1,087.67 |
03340 | Cervical - simple, single or multiple level (includes gallie fusion).. | 6 | $541.49 |
03347 | Cervical - stabilization alone (with neurosurgeon). | 6 | $504.14 |
03348 | Cervical - with plates and discectomy | 6 | $1,574.63 |
03349 | Cervical - with plates and discectomy | 6 | $1,769.22 |
Ceverical - Decompression Procedures |
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03362 | Cervical - single level | 6 | $625.53 |
03363 | Cervical - two or more levels | 6 | $807.58 |
03365 | Vertebral body resection - cervical | 6 | $1,633.84 |
Endoscopy / Hydrocephalus |
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03037 | Removal of ventricular shunt (operation only) | 6 | $288.15 |
03038 | Stereotactic localiz w intracran shunt proc-extra | 6 | $380.65 |
Extra-cranial Vascular Procedures |
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03142 | Application of silverstone clamps (operation only) | 5 | $561.66 |
03141 | Cerebral re-vascularization procedure with extracranial-intracranial anastomosis | 9 | $2,222.19 |
Functional Neurosurgery / Pain |
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03276 | Dual channel neural stimulator implant test -prof | 0 | $69.11 |
03277 | Dual channel neural stimulator implant test tech | 0 | $46.08 |
03274 | Single channel nerual stimulator implant test prof | 0 | $46.08 |
03275 | Single channel neural stimulator implant test-tech | 0 | $23.04 |
Hydrocephalus |
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03240 | Implantation of totally implantable ventricular access device (e.g.: ommaya reservoir) - (operation only) | 6 | $467.81 |
03184 | Lumbar peritoneal shunt for hydrocephalus | 5 | $1,011.31 |
03182 | Revision-shunt/ventricular obstruction | 6 | $1,011.31 |
03181 | Shunt procedure for ventricular obstruction | 6 | $1,011.31 |
03188 | Ventriculostomy or insertion of external ventricular drain (operation only) | 6 | $339.44 |
Maxillo-facial |
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61381 | Plastic surgery portion | 8 | $2,073.65 |
Maxillo-facial, Cerebral Procedures |
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03080 | Bilat orbital advancement-hypertelorism team-neurosurgery portion | 8 | $2,235.25 |
03082 | Bilateral orbital advancement-team proc-neurosurgery portion | 8 | $2,773.64 |
61380 | Plastic surgery portion | 8 | $2,235.25 |
61382 | Plastic surgery portion | 8 | $2,773.64 |
03081 | Unilateral orbital advancement-team proc-neurosurgery portion | 8 | $2,073.65 |
Microsurgery |
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06214 | Intrafascicular nerve graft - digital or palmar | 2 | $533.59 |
06215 | Intrafascicular nerve graft - major nerve | 4 | $1,600.00 |
06213 | Microfascicular neurorraphy - major nerve | 2 | $614.93 |
06212 | Microfascicular neurorraphy - digital or palmar | 2 | $288.08 |
06210 | Microneural surgery; neurolysis - external | 2 | $288.08 |
06211 | Microneural surgery; neurolysis - intraneural | 2 | $438.94 |
03207 | Microsurgical removal of neoplasm/major peripheral nerve | 3 | $815.19 |
Miscellaneous |
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03145 | Cranioplasty using autologous bone graft | 7 | $1,341.20 |
03221 | Implantation of vagal nerve stimulator to include electrodes and stimulator | 4 | $531.34 |
03100 | Intra-operative ultrasound during neurosurgery | 0 | $40.87 |
00750 | Lumbar puncture in a patient 13 years of age and over | 2 | $55.28 |
03211 | Muscle biopsy | 2 | $55.80 |
03065 | Neurosurgical component of cranial facial resection for tumour of ethmoid, frontal sinus or orbit, as a combined procedure with ent | 7 | $1,639.46 |
03224 | Neurosurgical component of microsurgical removal of cerebellar pontine angle tumour | 8 | $1,885.07 |
03227 | Neurosurgical interpretation and written report of submitted x-ray films (including ct scan, mri) | 0 | $59.43 |
03217 | Percutaneous ventricular puncture (operation only) | 2 | $129.36 |
03216 | Puncture of ventricular shunt for csf aspiration (operation only) | 2 | $36.20 |
03225 | Removal of vagal nerve stimulator and electrodes | 4 | $391.52 |
03230 | Repeat neurosurgery | 0 | $3,892.38 |
03223 | Replacement of stimulator component of vagal nerve stimulator | 3 | $221.49 |
Peripheral Nerve |
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03045 | Brachial plexus exploration for neurolysis, primary repair or tumour removal | 3 | $1,500.00 |
03196 | Exploration, mobilization and transposition | 2 | $281.48 |
03204 | Hypoglossal facial anastomosis | 4 | $681.78 |
03205 | Nerve graft | 3 | $431.81 |
03048 | Nerve graft done in addition to brachial plexus exploration, extra per graft | 0 | $194.02 |
03198 | Neurectomy of major peripheral nerve | 2 | $222.43 |
03049 | Neurotization in brachial plexus surgery, extra | 0 | $452.71 |
03047 | Ntraoperative diagnostic monitoring in brachial plexus surgery, extra | 0 | $213.42 |
03046 | Post traumatic delayed or repeat exploration in brachial plexus surgery, extra | 3 | $550.00 |
03200 | Secondary suture including transposition | 3 | $575.24 |
03201 | Secondary suture of major nerve | 3 | $437.73 |
Referred Cases |
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03101 | Avulsion supra or intra-orbital nerve | 3 | $225.93 |
03011 | Consultation, limited, neurosurgery | 0 | $90.17 |
03010 | Consultation, neurosurgery | 0 | $172.86 |
03232 | Cranial nerve with graft/microsurgical anastomosis | 0 | $733.22 |
03233 | Cranial nerve without graft - microsurgical | 0 | $449.18 |
03102 | Decompression gasserian ganglion | 8 | $1,195.79 |
03005 | Emergency visit - neurosurgery | 0 | $112.94 |
03250 | Microelectrode recording (mer) | 0 | $3,127.23 |
03104 | Percutaneous rhizotomy 5th nerve | 3 | $1,024.33 |
03106 | Posterior fossa exploration w/ rhizotomy 5th nerve | 8 | $1,722.07 |
03315 | Pre-operative assessment - neurosurgery | 0 | $172.86 |
03103 | Preganglionic rhizotomy 5th nerve | 3 | $1,037.96 |
03310 | Telehealth consultation - neurosurgery | 0 | $172.86 |
03312 | Telehealth repeat/limited consult - neurosurgery | 0 | $90.17 |
03318 | Telehealth subsequent hospital visit -neurosurgery | 0 | $29.63 |
03317 | Telehealth subsequent office visit - neurosurgery | 0 | $47.16 |
03009 | Visit, home, neurosurgery | 0 | $54.82 |
03008 | Visit, hospital, neurosurgery | 0 | $29.63 |
03007 | Visit, office, neurosurgery | 0 | $47.16 |
Spinal |
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03170 | - in conjunction with orthopaedic surgeon (operation only) | 0 | $649.23 |
03173 | - in conjunction with orthopaedic surgeon (operation only) | 0 | $649.23 |
03179 | - thoracic or general surgeon | 8 | $470.49 |
03305 | - using laminotomy electrode (operation only) | 5 | $951.90 |
03369 | Abscess or hematoma, extraspinal, under ga (operation only). | 4 | $186.72 |
03164 | Anterior cervical discectomy and fusion - multiple level | 6 | $1,936.16 |
03163 | Anterior cervical discectomy and fusion - one level | 6 | $1,429.88 |
03152 | Bischoff's or longitudinal myelotomy | 5 | $936.10 |
03177 | Cordotomy | 5 | $791.17 |
03368 | Discogram (operation only) | 2 | $92.97 |
03172 | Fracture of spine with cord injury - open reduction and fusion | 7 | $937.07 |
03169 | Fracture of spine without cord injury - open reduction and fusion | 7 | $686.74 |
03303 | Implantation of pulse generator or receiver for chronic pain stimulation (operation only) | 3 | $605.71 |
03304 | Implantation of spinal stimulator (complete system), to include implantation of pulse generator/receiver - using percutaneous electrode (operation only) | 3 | $851.71 |
03165 | Insertion of intracranial pressure monitoring device - operation only | 6 | $296.11 |
03215 | Insertion of spinal subarachnoid catheter (operation only) | 2 | $46.62 |
03220 | Insertion of spinal subarachnoid catheter access device-reservoir/pump in anterior chest wall or abdominal wall (operation only) | 3 | $626.46 |
03219 | Insertion of spinal subarachnoid device reservoir in paraspinal region (operation only) | 3 | $391.54 |
03158 | Laminectomy for lumbar disc - one level | 5 | $670.94 |
03157 | Laminectomy for cervical disc - multiple levels | 6 | $2,204.84 |
03156 | Laminectomy for cervical disc - one level | 6 | $2,003.94 |
03168 | Laminectomy for intradural spinal cord or extra-medullary tumour or vascular malformation by micro-surgical technique | 7 | $2,213.98 |
03159 | Laminectomy for lumbar disc - multiple levels | 5 | $1,333.43 |
03153 | Laminectomy with drez lesion for pain | 6 | $1,408.69 |
03150 | Laminectomy, 03153, 03155 for selective posterior rhizotomy | 5 | $1,256.01 |
03301 | Laminotomy for insertion of spinal stimulator electrode for chronic pain (operation only) | 5 | $472.93 |
03183 | Microsurgical repair of meningomyelocele | 6 | $1,754.52 |
03108 | Operative facet rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic | 4 | $450.00 |
03178 | Operative microsurgical rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic | 5 | $932.43 |
03176 | Percutaneous cordotomy | 4 | $984.04 |
03361 | Percutaneous discectomy | 3 | $270.75 |
03302 | Percutaneous fluoroscopically controlled insertion of spinal stimulator electrode for chronic pain (operation only) | 2 | $353.75 |
03185 | Postero-lateral microsurgical thoracic discectomy | 8 | $1,915.56 |
03367 | Removal of spinal instrumentation | 5 | $863.50 |
03307 | Removal of spinal/brain stimulator system | 3 | $400.79 |
03166 | Removal of thoracic disc | 8 | $2,349.45 |
03175 | Repair of meningocoele or encephalocoele | 6 | $1,001.39 |
03231 | Repair of spinal csf leak or pseudomeningocoele | 5 | $698.96 |
03218 | Replacement of spinal subarachnoid catheter access device with infusion pump for spinal subarachnoid infusion (operation only) | 3 | $462.00 |
03306 | Revision of spinal/cranial stimulator pulse generator | 3 | $605.71 |
03151 | Stereotaxic surgery | 5 | $791.17 |
03174 | Trans-thoracic or trans-abdominal removal of thoracic disc; team procedure - neurosurgeon | 8 | $1,239.79 |
Thoracolumbar Decompression Procedures |
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03372 | Posterior lumbar interspinous/interlaminar stabilization/instrumentation - multiple level | 0 | $403.00 |
03371 | Posterior lumbar interspinous/interlaminar stabilization/instrumentation - single level | 0 | $201.50 |
03366 | Thoracolumbar | 8 | $1,904.58 |
03374 | Thoracolumbar spinal fusion (6+ hours) - multiple level | 0 | $604.50 |
03373 | Thoracolumbar spinal fusion (6+ hours) - single level | 0 | $403.00 |
03364 | Thoracolumbar- includes decompression | 8 | $1,442.43 |
Thoracolumbar - Instrumented Procedures |
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03359 | Orif with segmental fixation alone. | 7 | $1,307.07 |
03360 | Orif with segmental fixation and decompression. | 7 | $1,577.82 |
03356 | Posterior instrumentation and fusion - adult | 7 | $1,769.22 |
03357 | Posterior instrumentation and fusion - pediatric | 7 | $1,442.43 |
03352 | Thoracolumbar | 8 | $1,442.43 |
03350 | Thoracolumbar - approach and stabilization alone (with neurosurgeon). | 8 | $952.30 |
03351 | Thoracolumbar - instrumentation with anterior release or vertebrectomy. | 8 | $2,449.42 |
03346 | Thoracolumbar - segmental instrumentation and fusion with decompression - multiple levels . | 7 | $2,411.31 |
03345 | Thoracolumbar - segmental instrumentation and fusion with decompression - single level . | 7 | $2,058.13 |
03344 | Thoracolumbar - segmental instrumentation and spinal fusion | 7 | $1,251.05 |
03343 | Thoracolumbar - simple instrumentation (harrington or wires or screws, etc.). | 7 | $774.90 |
03353 | Thoracolumbar - with anterior instrumentation and correction. | 8 | $1,713.19 |
03342 | Thoracolumbar - without instrumentation | 5 | $490.15 |
03355 | Thoracolumbar spinal fusion | 7 | $3,526.25 |
03370 | Thoracolumbar spinal fusion (6+ hours) | 0 | $50.79 |
Trauma |
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03116 | Abscess intra-cranial | 8 | $1,719.76 |
03113 | Cerebral laceration with skull fracture | 8 | $1,867.71 |
03118 | Craniotomy repair cfs leak | 8 | $1,612.18 |
03119 | Craniotomy, microvascular decompression | 8 | $1,999.53 |
03110 | Elevation of depressed skull fracture in infant | 6 | $142.29 |
03115 | Exploration subdural space | 6 | $914.11 |
03112 | Skull fracture depressed compound | 6 | $1,177.67 |
03111 | Skull fracture depressed simple | 5 | $729.98 |
Venticuloscopic Procedures |
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03036 | Ventricular shunt with ventriculoscopic guidance | 6 | $1,074.87 |
03035 | Ventriculoscopic resection /intraventricular tumor | 6 | $2,576.95 |
03033 | Ventriculoscopic retrieval of foreign body | 6 | $1,638.85 |
03030 | Ventriculoscopy | 6 | $840.73 |
03031 | Ventriculoscopy, third ventriculostomy | 6 | $1,324.72 |
03032 | Ventriculoscopy/endoscopy biopsy /intraventricular | 6 | $1,909.66 |
03034 | Ventriculoscopy/fenestration of cyst or septum | 6 | $1,475.45 |
Vertebra, Facette and Spine |
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58250 | Abscess/hematoma - extraspinal/ga | 4 | $185.33 |
58710 | Application of halo - c-spine fracture/dislocation | 4 | $186.72 |
11845 | Biopsy, with ga | 3 | $242.74 |
58715 | Cervical spine - orif | 7 | $1,000.81 |
58680 | Deformity correction - cervical | 6 | $2,427.87 |
58670 | Deformity correction - thoracolumbar | 8 | $1,431.69 |
58675 | Deformity correction - thoracolumbar/anterior inst | 8 | $1,700.44 |
58690 | Deformity; instrumentation/fusion/posterior, adult | 7 | $1,756.05 |
58695 | Deformity; instrumentation/fusion/posterior, child | 7 | $1,431.69 |
58305 | Discectomy | 3 | $268.73 |
58375 | Discectomy - cervical - >2 levels | 6 | $801.57 |
58370 | Discectomy - cervical, single level | 6 | $620.87 |
58376 | Discectomy - thoracolumbar | 8 | $1,431.69 |
58210 | Discogram | 2 | $92.28 |
58725 | Fracture/dislocation, thoracolumbar spine/fixation | 7 | $1,297.34 |
58205 | Injection/aspiration - facet joint | 2 | $92.97 |
03167 | Insertion of skull tongs (operation only) | 4 | $126.29 |
03155 | Laminectomy - for hematoma, tumour or vascular malformation | 6 | $1,202.45 |
03160 | Laminectomy for congenital spinal malformation or tethered spinal cord | 5 | $2,027.87 |
03162 | Laminectomy for generalized spinal stenosis (more than two levels) | 5 | $1,213.99 |
03161 | Laminectomy for localized spinal stenosis (two levels or less) | 5 | $789.13 |
03180 | Multiple level laminectomy for cervical cord compression, three or more levels | 6 | $1,430.75 |
11831 | Needle biopsy - soft tissue/bone - lumbar spine, under ga | 2 | $186.72 |
11830 | Needle biopsy - soft tissue/bone - thoracic spine, under ga | 2 | $214.73 |
58685 | Osteotomy - thoracolumbar- posterior | 7 | $2,427.87 |
58410 | Spinal instrumentation - removal | 5 | $509.68 |
58655 | Stabilization - anterior - thoracolumbar | 8 | $945.21 |
58640 | Stabilization - anterior: cervical | 6 | $500.39 |
58645 | Stabilization - cervical - plates/discectomy | 6 | $982.27 |
58650 | Stabilization - cervical - plates/vertebrectomy | 6 | $1,756.05 |
58605 | Stabilization - posterior - cervical | 6 | $537.46 |
58610 | Stabilization - segmental - cervical | 6 | $1,079.57 |
58625 | Stabilization - thoracolumbar/segmental instrument | 7 | $1,241.74 |
58630 | Stabilization thoracolumbar, fusion/decompression | 7 | $1,566.07 |
58620 | Stabilization thoracolumbar/simple instrumentation | 7 | $769.13 |
58615 | Stabilization thoracolumbar/without instrumentatio | 5 | $486.50 |
58660 | Stabilization; anterior, thoracolumbar/instrument | 8 | $2,024.76 |
58635 | Thoracolumbar fusion/decompression/multiple levels | 7 | $1,834.81 |
58726 | Thoracolumbar spine; orif/fixation + decompression | 7 | $1,566.07 |
58385 | Vertebral body resection - cervical | 6 | $1,621.68 |
58386 | Vertebral body resection - thoracolumbar | 8 | $1,890.40 |
The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.
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