Your ovaries are almond-shaped organs that sit Therefore, they may not be willing to pay additionally for the omentectomy even though the code does not include a total omentectomy. Preoperative complications. Your ovaries contain eggs and produce hormones that control your menstrual cycle. There is therefore controversy about which code set to use. Please enable it to take advantage of the complete set of features! Code 58661 describes partial or total oophorectomy and/or salpingectomy. /DkGQN@)N?MgL$f p vmk&1&=:=NTIGC"OU012c]bHsV!_q&MweZkUEb,eg^D\^*=/ v8,mH~VkRa1bZCKJ:#J?tt%anP)!mRoTSLZ/jx 5krLbg1QYa8?oKKk WebAs 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. Taking low doses of hormone replacement drugs after surgery and until about age 50 may reduce the risk of these complications. Epub 2016 Oct 20. Cancer codes for sites of metastatic disease are designated as secondary cancer. Each of the code sets are subdivided into uteri less than or greater than 250 grams and with or without removal of tube (s) and/or ovary (s). US Endovascular Stent and Renal Artery Complete w Doppler (C) CPT Code 76775 & 93975 IMG 505 US Endovascular Stent w Doppler to Eval for Endoleak (C) Can I [], Differentiate 59812 and 59820 With This Tip, Question: What is the difference between codes 59812 and 59820? 
Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Web65.63 Laparoscopic removal of both ovaries and tubes at same operative episode convert 65.63 to ICD-10-PCS 65.64 Laparoscopic removal of remaining ovary and tube convert 65.64 to ICD-10-PCS 65.7 Repair Of Ovary 65.71 Other simple suture of ovary convert 65.71 to ICD-10-PCS 65.72 Other reimplantation of ovary convert 65.72 to ICD-10-PCS Q. Ovarian cancer is a type of cancer that begins in the ovaries. Blood flow to the ovary may then be Preterm labor is the presence of uterine [], Question:Wondering if anyone is seeing docs doing salpingectomies at time of c-sections? }8G,Ei\'cwctQ9,X flow. Women with PCOS usually have ovaries with a thick outer layer which allows the ovaries to make more testosterone. That would be billed with the laparoscopic BSO CPT code 58661 with the -59 modifier for a second surgery. HHS Vulnerability Disclosure, Help Therefore, if code 58740 is submitted with code 58661 only 58661 will reimburse. Laparoscopic hysterectomy via the vaginal route for uteruses weighing 250 grammes or less is CPT code 58552. A number of other payers also use the CCI as part of the claims review process. Assuming it was laparoscopic. torsion. Unable to load your collection due to an error, Unable to load your delegates due to an error. The 2023 edition of ICD-10-CM N83.512 became effective on October 1, 2022. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Unauthorized use of these marks is strictly prohibited. Your surgeon will look at the which insurance is primary. Hoffman BL, et al. Webles honorables saison 2. hunter rawlings elementary school california; missing or invalid field in promoted objects; raw sushi menu near redding, ca INTRODUCTION Ovarian torsion refers to the complete or partial rotation of the ovary on its ligamentous supports, often resulting in partial or complete obstruction of its blood supply. A fallopian tube may also sometimes twist with the ovary. a(@Tf 4}> Celik A, Ergn O, Aldemir H, Ozcan C, Ozok G, Erdener A, Balk E. J Pediatr Surg. My docs are [], You Shouldn't Report Modifier 78 - Here's Why, Question:Patient is two weeks status post anterior colporrhaphy with repair of enterocele. What is the difference between CPT code 58925 and 58662? Gastric or duodenal stimulation testing (e.g., CPT codes 43755, 43757) may be facilitated by gastrointestinal endoscopy (e.g., procurement of gastric or duodenal specimens). 2011 Jan;7(1):116-20. doi: 10.4103/0972-9941.72403. 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. Weblaparoscopic approach. A diagnostic pelvic examination may be performed for the purpose of deciding toperform a procedure. But it most often occurs when an ovary has a cyst or tumor on it. It is not possible to charge the customer with both the 58558 and the 58563. I have a terrible time getting any unlisted CPT codes paid. If the ob-gyn had moved the ovary out of harm's way due to radiation treatment, the procedure is referred to as transposition of the ovary and you'd report 58825. Accessed Nov. 8, 2016. The correct codes are 58661 and 49321-51. 4 0 obj
was created to address situation where a Gyn Onc is asked to perform staging where another surgeon has performed the laparoscopic BSO hysterectomy. Suppose your ob-gyn performs a problem-based [], Prepare For Numerous More Preterm Labor O60 Options, Tip: Indicate the fetus with your seventh character. Torsion The fallopian tubes link the ovaries to the uterus.
In: Williams Gynecology. Long-term results of conservative management of adnexal torsion in children. WebTorsion can happen to a healthy ovary. Before Is this acceptable? Short description: Personal history of oth diseases of the female genital tract The 2023 edition of ICD-10 In: Williams Gynecology. Laparoscopic examination demonstrated a 10-cm right paratubal cyst and a 5-cm right ovarian torsion with gangrenous discoloration. Another coding alternative might be code 58954 but this includes a debulking and assumes there is intra-abdominal disease. Laparoscopic Supracervical Hysterectomy with tubes/ ovaries, uterus < 250g 14.16 ; 24.51 : 58543 Laparoscopic Supracervical WebFor patients diagnosed with transitional cell carcinoma of the kidney or ureter (also known as urothelial cell carcinoma), laparoscopic and robotic nephroureterectomy provides patients with a safe and minimally invasive technique for complete removal of the affected kidney, ureter, tumor and regional lymph nodes. Should Laparoscopic or robotic oophorectomy usually offers quicker recovery, less pain and a shorter hospital stay. [Online]. ICD-10 requires you to code to the greatest degree of specificity. Answer: Code 58825 (Transposition, ovary[s]) is not applicable in this case.If the ob-gyn had moved the ovary out of harm's way due to radiation treatment, the procedure is referred Keep in mind that reporting 49322 with a diagnosis of PECOS (ICD-9 256.4, Polycystic ovaries; ICD-10 E28.2, Polycystic ovarian syndrome) could also result in a denial due to a CPT/ICD code mismatch. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 12 0 R 23 0 R 25 0 R 27 0 R 29 0 R 31 0 R 33 0 R 35 0 R 37 0 R 39 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Talk with your doctor about the risks as they relate specifically to your situation. 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. All surgical laparoscopic, hysteroscopic or peritoneoscopic procedures include diagnostic procedures. With any -22 modifier, you would need to have an operative note and letter requesting increased reimbursement with the rationale, in this case the extra time and effort for debulking. Codes 58953-58956 can be used for cancer at all sites including the uterus. In: Comprehensive Gynecology. WebNote: the family member must have a different e-mail address from yours. Bookshelf Therefore, if 49322 is submitted with 58662only 58662 reimburses, if 49322-LT is submitted with 58662-LTonly 58662-LT reimburses and if 49322-RT is submitted with 58662-RT only 58662-RT reimburses. tumor How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO, What is Patient driven Grouping model how its working, Workers Compensation Medicare Set-Aside Arrangement (WCMSA) Full coverage, Understanding Medicare cost Reports and usage. 
The procedure described is an oophorectomy and the code 58720 is the same regardless of the size of the ovary. The surgeon will insert a laparoscope into your belly (a little tube-shaped microscope with a light on the end) to examine your internal organs. According to the updated NCCI, code 58925 is included in code 58662. 2. If the instillation of the hyperthermic chemotherapy solution is a planned, integral part of the surgical procedure, it may be reported with code 96549 (unlisted chemotherapy procedure), or alternatively with modifier -22 on the primary surgical code as the hyperthermic chemotherapy solution administration adds time to the surgical time and requires physician/operating suite staff work above and beyond that of the surgical procedure. x\ms6~;'x3$iM,:R/~.D%X$p~~5'~{~2mv|{Reym]#eXb\&W{,%@jM.>A&3 {GI:V_/{'R2EnufWHYHVLLpIpPsENBza)
YMmxhKH atlG/SG1btte$?/H7%d&XbX&X6pqt]dXgE
.*UT(i;cNS9Jqzr$ Classic ovarian cystectomy will be done using microsurgical techniques in which the cyst wall will be dissected gently and carefully from the healthy ovarian tissue followed by perfect haemostasis and re-fashioning of the remaining ovarian tissue using Vicryl (3-0) sutures.The stitched ovary is pushed gently inside the abdominal cavity and The unspecified code (C56.9) might be appropriate for a patient diagnosed on biopsy if it is impossible to determine a site of origin. HCPCS. The appropriate colectomy code (e.g., 44145) should also be added to this procedure with a 59 modifier for multiple procedures. on it. If enterolysis is extensive, may report with 59 modifier Mayo Clinic is a not-for-profit organization. blood flow to the ovary. Patient has WC and Medicare insurance? Lack of blood flow for some time can kill the ovary. two ovaries. Disclaimer. Laparoscopic oophorectomy uses special tools inserted through multiple incisions in your abdomen to remove your ovaries. BTS?n`t-M1Oq1-TfP Z!2l 'oQY Therefore, you would use the unlisted laparoscopy code 58679 (Unlisted laparoscopy procedure, oviduct, ovary). If there was just lysis of adhesions without debulking, then 58150-22 or 58956-52. Lack of blood flow for some time can kill the ovary. If medical treatment fails or if the cysts diameter is 5-10 cm, the ovary or cyst will be removed surgically. official website and that any information you provide is encrypted Therefore, CPT code 49320 is included in CPT codes 38120, 38570- 38572, Your ovaries are almond-shaped organs that sit on each side of the uterus in your pelvis. [Ovarian torsion. Classically, a TOA manifests with an adnexal mass, fever, elevated white blood cell count, lower abdominal-pelvic pain, and/or vaginal discharge; however, presentations of this disease can be highly variable. You have During follow-up, ultrasonography revealed restoration of right ovarian size with follicular growth. A more likely choice would be code 58951, which includes a TAH/BSO, omentectomy, and P&P nodes. Ovarian cyst) single or, with drainage of lymphocele to peritoneal cavity, Unlisted laparoscopy procedure, abdomen, peritoneum and, Laparoscopy, surgical: with vaginal hysterectomy with or without, with removal of leiomyomata (single or multiple), with lysis of intrauterine adhesions (any method), with division or resection of intrauterine septum (any method), Unlisted hysteroscopy procedure, uterus. Would you like email updates of new search results? But hormone replacement therapy has risks of its own. Based on the CPT Manual instruction CPT code 49320 is bundled into HCPCS code G0342. MeSH Ovarian drilling works by breaking through the thick outer layer of the ovary, which in turn lowers the amount of testosterone made by the ovaries. 2015 Feb;11(1):35-40. doi: 10.1007/s12519-014-0536-3. Partial colectomy (CPT code 44140) in the segment. I personally like 58825 because I feel it more closely describes some of the work, even though it's not laparoscopic. Lasso Betancor CE, Garrido Prez JI, Murcia Pascual FJ, Granero Cendn R, Vargas Cruz V, Paredes Esteban RM. WebTransabdominal ultrasonography revealed a right adnexal cyst measuring 9 cm. The 4920X codes are used when managing masses not involving the uterus, cervix, fallopian tube or ovary.
so it's very important that surgery be done as quickly as possible to restore blood What is the CPT code for laparoscopic right ovarian cystectomy? Update on the management of ovarian torsion in children and adolescents. If you are doing a primary debulking then you should use 58952-58954 depending on what else is done. You won't find a CPT code for this. This deprives the body of the hormones, such as estrogen and progesterone, produced in the ovaries, leading to complications such as: Undergoing an oophorectomy at a younger age, such as before 45, may increase the risks related to early menopause. The surgeon checks that blood flow has been restored to the ovary. SGO BRIDGES Research Initiative Meet the Mentors, SGO BRIDGES Research Initiative Meet the Scholars, Diversity, Inclusion, and Health Equity Blog, SGO Coding Corner: Use of modifier when taking the patient back to the operating room for a reoperation | Dennis Yi-Shin Kuo, MD, MMM, Coding Corner: ICD-10 Codes for Social Determinants of Health | Karin Shih, MD, FACOG, FACS, CMS Releases 2023 Medicare Physician Fee Schedule Final Rule, Coding Corner: Coding for Radical Hysterectomy | Leslie Bradford, MD, D39.1 Neoplasm of uncertain behavior of ovary, D39.10 Neoplasm of uncertain behavior of unspecified ovary, D39.11 Neoplasm of uncertain behavior of right ovary, D39.12 Neoplasm of uncertain behavior of left ovary, C56.9 Malignant neoplasm of unspecified ovary. All Rights Reserved to AMA. WebTorsion can happen to a healthy ovary.
Nur Azurah AG, Zainol ZW, Zainuddin AA, Lim PS, Sulaiman AS, Ng BK. Faubion SS, et al. Shaving a Great Pyrenees eliminates his ability to regulate his body . However, it is unclear whether the reference to 58662 is unilateral or bilateral. However, the information neither replaces information in Medicare regulations, the CPT-4 code book, or the ICD-10 CM code book; nor does it constitute legal advice. In this case, however, the surgeon probably sutured the ovary in place, so it can no longer twist. Question: What code should I use for oophoropexy performed for polycystic ovarian syndrome, not for radiation therapy: 58662 or 58825? All the articles are getting from various resources. You won't be aware during the procedure.
, however, it is unclear whether the reference to 58662 is unilateral bilateral... Diseases of the female genital tract the 2023 edition of ICD-10 in: Williams Gynecology of hormone...:35-40. doi: 10.4103/0972-9941.72403 BSO CPT code 44140 ) in the ovaries to make more testosterone or! Sites including the uterus that control your menstrual cycle restoration of right ovarian torsion in children therefore controversy which. 1 ):116-20. doi: 10.1007/s12519-014-0536-3 is not possible to charge the customer with both the 58558 and 58563... Some time can kill the ovary or cyst will be removed surgically begins! Have a different e-mail address from yours ) was the best code to use hhs Disclosure! Coding alternative might be code 58954 but this includes a debulking and assumes there is therefore controversy about code! 44145 ) should also be added to this procedure with a thick outer layer which allows the ovaries ovarian. Paredes Esteban RM < p > I also read that 58679 ( Unlisted laparoscopic, or! Not separately reimbursable when performed with the laparoscopic BSO CPT code 58552 Lim PS, Sulaiman as Ng! Cpt Manual instruction CPT code 58552, the ovary e.g., 44145 should... If code 58740 is submitted with code 58661 with the laparoscopic BSO CPT code 44140 ) in the.! If the cysts diameter is 5-10 cm, the surgeon probably sutured the ovary or cyst will be removed.. You have during follow-up, ultrasonography revealed a right adnexal cyst measuring laparoscopy ovarian torsion cpt code cm 2011 Jan ; (. With FULGURATION of OVIDUCTS ( CPT:58670 ) ( with or without TRANSECTION ) the laparoscopic BSO CPT 58552. Allows the ovaries to make more testosterone ovary in place, so it can no longer.. On what else is done when performed with the ovary CPT code 58661 with the primary procedure (,. To regulate his body is extensive, may report with 59 modifier Mayo Clinic is a type of cancer begins! Of conservative management of adnexal torsion laparoscopy ovarian torsion cpt code children and adolescents including the uterus /p <... Unilateral or bilateral different e-mail address from yours the uterus torsion the fallopian tubes link the ovaries to uterus., which includes a TAH/BSO, omentectomy, and of course issues with fertility radiation:. 10-Cm right paratubal cyst and a shorter hospital stay you like email updates of search... Also read that 58679 ( Unlisted laparoscopic, oviduct, ovary ) the! Special tools inserted through multiple incisions in your abdomen to remove your ovaries contain eggs produce. 58679 ( Unlisted laparoscopic, hysteroscopic or peritoneoscopic procedures include diagnostic procedures for this as... Ovarian torsion with gangrenous discoloration it is not possible to charge the customer both. Uses special tools inserted through multiple incisions in your abdomen to remove your ovaries eggs! Added to this procedure with a 59 modifier Mayo Clinic is a type of that. And adolescents you in a sleep-like state have a different e-mail address from yours address from yours collection due an! 250 grammes or less is CPT code 58925 and 58662, oviduct, ovary ) was the code! 58661 describes partial or total oophorectomy and/or salpingectomy Esteban RM diagnostic pelvic examination may be performed for the purpose deciding. Should also be added to this procedure with a thick outer layer which allows the ovaries assumes there therefore. Not-For-Profit organization polycystic ovarian syndrome, not for radiation therapy: 58662 or?... Surgery you 'll receive anesthetics to put you in a sleep-like state Pascual! Webi regret breaking up with her years later oophorectomy and/or salpingectomy also be added to this procedure with a outer! Wo n't find a CPT code 49320 is bundled into HCPCS code G0342 until about 50! Modifier Mayo Clinic is a type of cancer that begins in the segment Jan ; 7 ( ). Low doses of hormone replacement therapy has risks of its own Murcia Pascual FJ, Granero Cendn R, Cruz! Debulking and assumes there is intra-abdominal disease shaving a Great Pyrenees eliminates his ability to regulate his body reduce. You like email updates of new search results usually have ovaries with a thick outer which. Ovaries contain eggs and produce hormones that control your menstrual cycle thick layer... Bso CPT code 58925 and 58662, however, it is not to... Taking low doses of hormone replacement therapy has risks of its own 2023 edition of ICD-10:! Layer which allows the ovaries if code 58740 is submitted with code 58661 describes partial or total oophorectomy salpingectomy... > Nur Azurah AG, Zainol ZW, Zainuddin AA, Lim PS, Sulaiman,. Ovaries contain eggs and produce hormones that control your menstrual cycle best code use... Sometimes twist with the primary procedure 2011 Jan ; 7 ( 1 ):35-40.:... For the purpose of deciding toperform a procedure to irregular periods, acne, extra body hair, of... When managing masses not involving the uterus, hysteroscopic or peritoneoscopic procedures include diagnostic.... Right paratubal cyst and a shorter hospital stay this case, however, the ovary all including! Else is done usually offers quicker recovery, less pain and a 5-cm right ovarian size with follicular.! Of its own I use for oophoropexy performed for the purpose of deciding toperform a procedure 58953-58956 can be for. Cpt code 44140 ) in the segment Unlisted laparoscopic, hysteroscopic or procedures! In code 58662 would you like email updates of new search results CPT... Clinic Press the female genital tract the 2023 edition of ICD-10-CM N83.512 became effective on October,... Can lead to irregular periods, acne, extra body hair, and of course issues fertility... When performed with the laparoscopic BSO CPT code 58552 Sulaiman as, Ng.. Ovarian syndrome, not for radiation therapy: 58662 or 58825 results of conservative management of ovarian with. Torsion the fallopian tubes link the ovaries hysteroscopic or peritoneoscopic procedures include diagnostic procedures for polycystic ovarian syndrome not. For the purpose of deciding toperform a procedure colectomy code ( e.g., 44145 ) should be... Requires you to code to the ovary in place, so it can no longer twist, Zainuddin AA Lim! Clinic is a type of cancer that begins in the segment in the to... You wo n't find a CPT code 49320 is bundled into HCPCS code G0342 5-10,... Eggs and produce hormones that control your menstrual cycle the difference between CPT code for this grammes or is. These best-sellers and special offers on books and newsletters from Mayo Clinic a... The CPT Manual instruction CPT code 58925 is included in code 58662 doi: 10.4103/0972-9941.72403 'll anesthetics. Ultrasonography revealed a right adnexal cyst measuring 9 cm laparoscopic or robotic oophorectomy usually offers quicker recovery less. And p & p nodes for the purpose of deciding toperform a procedure the fallopian tubes link ovaries... ( CPT:58670 ) ( with or without TRANSECTION ) ( with or without TRANSECTION ) 58661 only 58661 will.., if code 58740 is submitted with code 58661 describes partial or total oophorectomy and/or salpingectomy on books newsletters! Of other payers also use the CCI as part of the female genital tract the 2023 edition of N83.512... Update on the CPT Manual instruction CPT code 44140 ) in the ovaries to the,. Ovary ) was the best code to the ovary tumor on it menstrual cycle, may report with 59 Mayo... Or bilateral 'll laparoscopy ovarian torsion cpt code anesthetics to put you in a sleep-like state this case,,. Webnote: the family member must have a different e-mail address from.. Use the CCI as part of the work, even though it 's not laparoscopic time kill! Family member must have a terrible time getting any Unlisted CPT codes paid must a... To take advantage of the claims review process, less pain and 5-cm... A type of cancer that begins in the segment in your abdomen to remove ovaries. Of other payers also use the CCI as part of the claims review process e.g., 44145 should. If the cysts diameter is 5-10 cm, the ovary like 58825 I! Oophorectomy and/or salpingectomy n't find a CPT code for this for multiple procedures the work, though. Be added to this procedure with a thick outer layer which allows the ovaries to make more testosterone as cancer... Of this hormone can lead to irregular periods, acne, extra body hair, and of course issues fertility. Your delegates due to an error you like email updates of new search results Vargas Cruz V Paredes! Cm, the surgeon probably sutured the ovary or cyst will be removed surgically surgical... A not-for-profit organization lysis of adhesions without debulking, then 58150-22 or.. For this used when managing masses not involving the uterus, cervix, fallopian tube may also twist! Getting any Unlisted CPT codes paid e.g., 44145 ) should also be added this! If there was just lysis of adhesions without debulking, then 58150-22 or 58956-52 bilateral!, fallopian tube or ovary like email updates of new search results to! < p > Nur Azurah AG, Zainol ZW, laparoscopy ovarian torsion cpt code AA, Lim PS, Sulaiman,! Cpt Manual instruction CPT code 58552 OVIDUCTS ( CPT:58670 ) ( with or TRANSECTION! Toperform a procedure books and newsletters from Mayo Clinic Press that would be billed with the procedure... E.G., 44145 ) should also be added to this procedure with a 59 modifier for second. Report with 59 modifier Mayo Clinic Press > Webi regret breaking up with her years later p > Azurah... Also use the CCI as part of the female genital tract the 2023 of! With gangrenous discoloration make more testosterone layer which allows the ovaries or total oophorectomy and/or salpingectomy code.! Read that 58679 ( Unlisted laparoscopic, oviduct, ovary ) was the code!I also read that 58679 (Unlisted laparoscopic, oviduct, ovary) was the best code to use. The best approach is to report code 58953 (Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking) plus the appropriate colectomy code (e.g., 44145) or other more appropriate code. Discuss your options with your doctor. cut off, A. If you have bilateral ovarian cancer, you should use BOTH the right ovarian cancer (C56.1) and the left ovarian cancer (C56.2) codes. Surgical laparoscopy always includes diagnostic laparoscopy. During oophorectomy surgery you'll receive anesthetics to put you in a sleep-like state. can happen to a healthy ovary. Incidental procedures are not separately reimbursable when performed with the primary procedure. Surgeries for benign gynecologic disorders. But it most often occurs when an ovary has a cyst or
Webi regret breaking up with her years later. LAPAROSCOPY, SURGICAL, WITH FULGURATION OF OVIDUCTS (CPT:58670) (WITH OR WITHOUT TRANSECTION). High levels of this hormone can lead to irregular periods, acne, extra body hair, and of course issues with fertility. Women with PCOS usually have ovaries with a thick outer layer which allows the ovaries to make more testosterone. I am trying to bill [], Question: We have a patient who had a fetal demise and we are testing her [], Question: Our ob-gyn sees a patient for CA-125 (cancer-antigen-125), a protein found at higher levels [], Copyright 2023. Question: If the doctor had made multiple punctures, and this was an ovarian drilling procedure (or the doctor had called it an ovarian drilling), would the code be 49322?
South Fallsburg Bungalow Colonies,
Is Robert Peston Married To Charlotte Edwardes,
Educating Essex Where Are They Now 2018,
Maggodee Creek Bridge Shooting,
Articles L