Table 6P.4a - Data Analysis of Claims with Principal Diagnosis of Diabetes and Secondary Diagnosis of Stroke by MS-DRG 				
MS-DRG	ICD-10-CM code	Number of Cases	Average Length of Stay	Average Costs
"003 - ECMO or Tracheostomy with MV > 96 hours or PDX except Face, Mouth and Neck with Major O.R. Procedure"	All Cases	"13,543"	29.6	"$124,753"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	11	31.1	"$109,037"
"004 - Tracheostomy with MV > 96 hours or PDX except Face, Mouth and Neck without Major O.R. Procedure"	All Cases	"11,740"	24.0	"$76,827"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	13	24.9	"$55,148"
037 - Extracranial Procedures with MCC	All Cases	"3,331"	7.3	"$24,155"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	14.0	"$41,480"
"040 - Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC"	All Cases	"4,558"	10.6	"$28,531"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	3	9.0	"$22,801"
073 - Cranial and Peripheral Nerve Disorders with MCC	All Cases	"6,952"	5.1	"$10,654"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	53	8.4	"$14,592"
124 - Other Disorders of the Eye with MCC	All Cases	947	5.1	"$10,256"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	5	2.8	"$8,145"
239 - Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC	All Cases	"9,285"	13.1	"$31,446"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	55	22.2	"$53,964"
240 - Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC	All Cases	"7,356"	8.6	"$18,887"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	14	11.6	"$26,381"
241 - Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC	All Cases	675	5.2	"$11,134"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	3.0	"$7,007"
246 - Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with MCC or 4+ Arteries or Stents	All Cases	"48,179"	5.3	"$23,215"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	3	5.3	"$28,195"
247 - Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without MCC	All Cases	"81,268"	2.5	"$14,815"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	17.0	"$65,857"
252 - Other Vascular Procedures with MCC	All Cases	"33,444"	7.5	"$24,369"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	40	13.4	"$41,150"
253 - Other Vascular Procedures with CC	All Cases	"23,905"	5.4	"$19,316"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	18	8.0	"$25,423"
255 - Upper Limb and Toe Amputation for Circulatory System Disorders with MCC	All Cases	"2,154"	8.1	"$17,822"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	3	23.7	"$52,779"
256 - Upper Limb and Toe Amputation for Circulatory System Disorders with CC	All Cases	"1,975"	6.0	"$11,879"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	4	9.3	"$16,103"
264 - Other Circulatory System O.R. Procedures	All Cases	"9,666"	9.1	"$22,637"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	8	17.5	"$39,988"
268 - Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC	All Cases	"3,447"	9.4	"$50,822"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	9.0	"$53,426"
270 - Other Major Cardiovascular Procedures with MCC	All Cases	"17,816"	9.4	"$37,100"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	28	19.9	"$72,464"
271 - Other Major Cardiovascular Procedures with CC	All Cases	"13,733"	5.8	"$26,219"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	12	11.3	"$43,318"
"280 - Acute Myocardial Infarction, Discharged Alive with MCC"	All Cases	"86,277"	5.4	"$11,633"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	7.0	"$10,991"
"284 - Acute Myocardial Infarction, Expired with CC"	All Cases	"1,026"	2.2	"$5,516"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	5.0	"$9,658"
299 - Peripheral Vascular Disorders with MCC	All Cases	"17,393"	5.2	"$10,611"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	21	13.4	"$27,778"
300 - Peripheral Vascular Disorders with CC	All Cases	"25,937"	3.9	"$7,378"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	11	8.5	"$15,713"
301 - Peripheral Vascular Disorders without CC/MCC	All Cases	"6,951"	2.7	"$5,350"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	2.0	"$10,665"
"616 - Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC"	All Cases	"2,811"	12.3	"$27,111"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	29	17.8	"$46,818"
"617 - Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC"	All Cases	"14,153"	7.0	"$14,488"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	32	10.4	"$21,776"
"622 - Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC"	All Cases	"1,893"	11.0	"$24,299"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	13	19.5	"$54,923"
"623 - Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with CC"	All Cases	"5,607"	6.5	"$13,377"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	4	18.5	"$32,395"
"628 - Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC"	All Cases	"3,273"	10.5	"$26,404"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	17	14.9	"$40,731"
"629 - Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC"	All Cases	"5,180"	7.4	"$16,750"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	5	18.6	"$41,223"
637 - Diabetes with MCC	All Cases	"31,809"	5.0	"$9,984"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	595	7.1	"$15,137"
638 - Diabetes with CC	All Cases	"50,714"	3.6	"$6,496"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	46	5.7	"$10,030"
639 - Diabetes without CC/MCC	All Cases	"8,261"	2.5	"$4,575"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	6	3.0	"$6,021"
652 - Kidney Transplant	All Cases	"11,324"	6.0	"$25,424"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	2	7.5	"$38,722"
673 - Other Kidney and Urinary Tract Procedures with MCC	All Cases	"13,068"	11.0	"$26,528"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	1	11.0	"$11,453"
698 - Other Kidney and Urinary Tract Diagnoses with MCC	All Cases	"62,950"	6.1	"$11,526"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	13	11.9	"$20,496"
981 - Extensive O.R. Procedure Unrelated to Principal Diagnosis with MCC	All Cases	"25,914"	11.4	"$31,281"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	27	13.6	"$38,205"
982 - Extensive O.R. Procedure Unrelated to Principal Diagnosis with CC	All Cases	"13,990"	6.2	"$17,714"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	3	10.3	"$36,014"
987 - Non-Extensive O.R. Procedure Unrelated to Principal Diagnosis with MCC	All Cases	"8,266"	10.3	"$23,442"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	5	11.2	"$32,723"
988 - Non-Extensive O.R. Procedure Unrelated to Principal Diagnosis with CC	All Cases	"7,566"	5.7	"$12,426"
	Cases with prinicpal diagnosis of diabetes (E08.00 through E13.9) with secondary diagnosis of stroke (I60.00 through I63.9)	2	7.0	"$15,290"
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
				
