Grade esophagitis definition. Symptoms include sore throat or heartburn.

Grade esophagitis definition. This is the American ICD-10-CM version of K21. 46), and Grade D was substantial (κ 0. Pathologists can diagnose and grade dysplasia by looking at esophageal biopsies under the microscope. Oct 13, 2022 · Asymptomatic low-grade (Los Angeles Classification Grades A and B) esophagitis is common in clinical practice with unclear clinical outcomes. The presence of LA grade B to D esophagitis, peptic stricture, and biopsy-proven BE establish a definite GERD diagnosis. , gastroesophageal reflux or GERD, substance-induced esophagitis) or to an inflammatory process (e. Barrett's Esophagus Barrett’s esophagus is a change in the cellular structure of your esophagus lining. Patients with grade 2 have a possibility of GERD alone whereas grade 3 patients have increased incidence of GERD and EE. The following increase your risk for esophagitis: Alcohol use Cigarette smoking Surgery or radiation When other parts of the stomach than the esophagogastric junction or cardia herniate in a supradiaphragmatic direction and thus come to lie alongside the esophagus, the condition is described as paraesophageal hiatus hernia (synonym: type II hiatus hernia). There are seven main types of esophagitis that can be treated. Grade 3 included circumferential erosive lesions; grade 4 was reserved for chronic lesions: ulcer, stricture, columnar epithelium, and short esophagus. These five things to know are key to identifying risk factors, preventive strategies, and latest treatments. Understanding these codes is crucial for accurate documentation and billing, as they can significantly impact patient management and treatment decisions. The aim of this study was to evaluate if patients with LA grade A esophagitis have Dec 7, 2022 · Hill’s classification helps to identify the possibility of these complications in patients preoperatively. Clinically, this is referred to as gastroesophageal reflux disease (GERD). Grade B esophagitis can be considered diagnostic of GERD in the presence of typical symptoms of GERD that respond to PPI therapy, while grade C and D esophagitis are always diagnostic for GERD [2]. The cells in the lining of the stomach or esophagus change to resemble the tissues that line the intestines. However, the overall endoscopic-histologic correlation remained poor, with less than one-fifth of patients with LA grade D having a histologic diagnosis of erosive esophagitis. Reflux esophagitis is defined as an inflammation of the esophagus caused by gastroesophageal reflux disease (GERD), characterized by repeated acid exposure that damages the mucosal lining and triggers an immune response. The antireflux barrier — GERD exists as a spectrum that includes reflux esophagitis, nonerosive reflux disease, extraesophageal GERD, reflux hypersensitivity, and Barrett's esophagus [4]. **Differential Diagnosis**: It is important to differentiate grade D esophagitis from other causes of esophagitis, such as those caused by corrosive substances or medications like NSAIDs [5]. Reflux Esophagitis Reflux esophagitis is the inflammation of the esophagus caused by gastroesophageal Aug 7, 2023 · Esophagitis refers to inflammation or injury to the esophageal mucosa. It usually occurs in people with chronic, untreated acid reflux (GERD). 4 ,8 The Los Angeles Classification was designed to only grade severity of esophagitis Thus, the only logical criterion is an estimation of extent of mucosal breaks Complications of esophagitis such as stricture and Barrett’s Esophagus are not reliable measures of severity of esophagitis, so should not be used for assessment of its severity Final The Los Angeles (LA) grade of reflux esophagitis (A to D) is assumed to reflect severity of the underlying gastroesophageal reflux disease (GERD). Definition Esophagitis is a condition in which the lining of the esophagus becomes swollen, inflamed, or irritated. May 19, 2024 · The Lyon Consensus 2. Esophagitis is inflammation, irritation, or swelling of the lining of the esophagus, which is the tube that runs from the throat to the stomach. Esophagitis (K20) ICD-10 code K20 and its subcodes classify various types of esophagitis, an inflammation of the esophagus. Find information that will help you understand medical language about dysplasia that you might find in the pathology report from your biopsy for Barrett's esophagus. The finding of any Barrett's esophagus segment >3 cm with intestinal metaplasia on biopsy is diagnostic of GERD and obviates the need for pH testing merely to confirm that diagnosis. However, high-grade dysplasia has an increased risk of progression to cancer compared to low-grade dysplasia. Jun 6, 2018 · Grade 2 esophagitis is treated with oral dietary supplements; grade 3 usually requires hospitalization and tubal feeding or total parenteral nutrition. Jul 17, 2012 · The Los Angeles classification system of GERD is by far the most widely used system to describe the endoscopic appearance of reflux esophagitis and grade its severity. The Los Angeles Classification of Reflux Esophagitis This is a simple clinician friendly grading system using unequivocal terminology Jun 4, 2019 · Esophagitis: There are 4 grades of esophagitis, grade c is defined as: grade c mucosal breaks continuous between > 2 mucosal folds, but involving less than 75% of the esophageal circumference. 00 - other international versions of ICD-10 K21. Esophageal Varices Overview Esophageal varices are enlarged or swollen veins in the lining of the lower esophagus, typically caused by increased pressure in the portal vein system, a condition known as portal hypertension. Grade B: Indicates larger mucosal breaks measuring 5 mm or more in length but not continuous between the tops of the mucosal folds. Apr 2, 2024 · Erosive esophagitis can cause serious complications, including cancer. Gastroesophageal reflux disease (GERD) can be complicated by Barrett’s esophagus (BE), a change in the normal esophageal cells to intestinal-like cells. It is graded on a scale of A to D and differs in size. Oct 29, 2024 · The esophagus may look different depending on the cause of the swelling, such as medicine-induced or reflux esophagitis. Sep 28, 2022 · PPIs are the first-line treatment in patients with moderate-to-severe erosive esophagitis (Los Angeles classification grade C or D, with grades ranging from A to D and higher grades indicating Erosive esophagitis is a condition associated with inflammation and tissue damage along the lining of esophagus. Aug 12, 2024 · Definition Esophagitis is a condition in which the lining of the esophagus becomes swollen, inflamed, or irritated. Nov 22, 2021 · Lifestyle Modifications gastric contents into the esophagus results in symptoms and/or complications and is defined as presence of characteristic mucosal injury seen at endoscopy and/or abnormal esophageal acid exposure demonstrated on a reflux monitoring study. The interobserver reliability for esophagitis diagnosis was high (κ 0. May 17, 2023 · Esophagitis is a condition characterized by inflammation of the esophagus, causing heartburn, difficulty swallowing, cough, and sore throat. K20 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. May 5, 2020 · However the ICD-10 codes are not divided that way. This information is intended to equip you, as a patient, with an in-depth understanding of your condition, to enable more informed conversations with your healthcare provider. Does your report specify reflux esophagitis, GERD, or another type? Or does it ONLY say LA Grade C esophagitis? If it ONLY says esophagitis, you can code K20. Symptoms that have a high versus low likelihood of relationship to reflux episodes are described. Various things can cause esophagitis. There are several types of esophagitis, all of which usually come with symptoms like pain while swallowing and heartburn. Erosive esophagitis may cause heartburn and trouble swallowing Jul 1, 2025 · Reflux esophagitis is an esophageal mucosal injury that occurs secondary to retrograde flux of gastric contents into the esophagus. As above, the most used treatment in high-grade dysplasia is radiofrequency ablation. If left untreated, this condition can become very uncomfortable, causing Discover what LA Grade A esophagitis means for potential swallowing difficulty. The type of erosive esophagitis can be sorted according to the Los Angeles Classification System, where grade A esophagitis is Jul 21, 2022 · Reflux esophagitis (RE) / gastroesophageal reflux disease (GERD) is the reflux of gastric contents into the esophagus that results in symptoms or complications; reflux esophagitis / gastroesophageal reflux disease is objectively defined as mucosal injury seen at endoscopy or abnormal esophageal acid exposure on a reflux monitoring study Mar 5, 2025 · Esophagitis is the inflammation of the esophageal mucosa secondary to direct mucosal injury (e. This study aimed to investigate the diagnostic value of LA-B and LA-A esophagitis. com. May 2, 2025 · From acid reflux to immune reactions, esophagitis has many causes—learn about its symptoms, types, and the latest treatments available. See full list on endoscopy-campus. Mar 12, 2025 · Recently, Lyon Consensus 2. Esophagus: Esophagitis Esophagitis Erosive Esophagitis (Reflux Esophagitis) Mucosal Damage & Erosion From: Gastric Acid & Pepsin Los Angeles Classification: The Most Thoroughly Evaluated & Widely Used Grade A: One or More Mucosal Break Each ≤ 5 mm in Length Grade B: At Least One Mucosal Break > 5 mm in Length, Not Continuous Between the Tops of Adjacent Mucosal Folds Grade C: At Least One Jan 25, 2025 · 2. Jan 3, 2022 · Intestinal Metaplasia Chronic inflammation of the esophagus (esophagitis) or stomach (gastritis) can lead to intestinal metaplasia, a cellular change in the tissues. The LA Grading of Esophagitis stratifies severity of esophagitis based on endoscopic findings. Diagnosis is clinical, sometimes with endoscopy, with or without acid testing. It is more prevalent than eosinophilic esophagitis and can progress to more severe conditions if left untreated. La grade b one the severity of reflux esophagitis is commonly classified into four grades according to los angeles classification a. All patients with grade 4 seem to definitely have GERD and EE post sleeve gastrectomy. The goal should be first to develop Aug 15, 2024 · Gastro-oesophageal Reflux Disease (GORD) is a condition in which stomach acid repeatedly flows back up into the oesophagus. Patients with LA grade A esophagitis, and/or AET ≥4. Some common causes include stomach acids backing Esophagitis Grading: Assessment Guide Esophagitis, an inflammation of the esophagus, can cause discomfort and potentially lead to complications if left untreated. Esophagitis (uh-sof-uh-JIE-tis) can cause painful, difficult swallowing. Esophagitis inflammation, acute or chronic, of the esophagus caused by bacteria, chemicals, or trauma. This study aimed to explore the clinical outcomes of asymptomatic low-grade esophagitis. 7 The ICD 10 CM codes for esophagitis encompass a range of conditions affecting the esophagus, including eosinophilic esophagitis and other types of esophagitis. Jul 3, 2025 · This system categorizes esophagitis into four grades (A through D) based on the extent and severity of mucosal breaks. This cellular change is a precursor to cancer. That’s why it’s crucial to assess its severity and determine the most appropriate course of action. What is Grade A reflux esophagitis? Gastroesophageal reflux occurs when the diaphragm and lower esophageal sphincter weaken, allowing stomach acid to come back into the esophagus. These codes cover specific forms such as eosinophilic esophagitis, other esophagitis types with or without bleeding, and unspecified esophagitis, allowing precise documentation of esophageal inflammatory conditions. The fluid contains acid, which irritates the esophageal lining. May 1, 2025 · LA grade A esophagitis is insufficient for GERD diagnosis alone, given significant interobserver variability, and requires further diagnostic testing with ambulatory pH testing. The esophagus is a tube composed of a mucosal lining, and longitudinal and circular smooth muscle fibers. It doesn’t always cause symptoms, but when it does, they’re usually related to acid reflux. The image from Jan 15, 2009 · The breaks are graded in severity from grade A (mucosal breaks of less than 5 mm in the esophagus) to grade D (circumferential breaks in the esophageal mucosa). 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 00 may differ. In summary, reflux esophagitis grade D is a critical condition that requires careful diagnosis and management due to its potential complications and the significant impact it can have on a patient's The extent of mucosal breaks due to either erosive or ulcerative esophagitis is the sole determinant of each of the four severity grades. It is also called the food pipe. Oct 13, 2023 · A diagnosis of erosive reflux esophagitis is established when there are patchy, striated, or circular and confluent epithelial defects (erosions) in the mucosa in the distal esophagus. Background: The Los Angeles (LA) grade of reflux esophagitis (A to D) is assumed to reflect severity of the underlying gastroesophageal reflux disease (GERD). Hope that helped. Grade A mucosal break is 5mm in length and does not exceed that while grade B mucosal break is 5mm and Overview According to the Los Angeles Classification of esophagitis, e sophagitis may be classified based on severity and etiology into 4 grades and 4 types Classification Grading of Severity According to the Los Angeles Classification of esophagitis, e sophagitis may be classified based on severity into 4 grades. Apr 1, 2022 · Any degree of dysplasia in Barrett's esophagus is a risk factor for developing esophageal cancer (adenocarcinoma). Symptoms include sore throat or heartburn. Esophageal varices most often happen in people with serious liver diseases. The grade describes how closely the cancer looks like normal esophagus tissue when seen through a microscope. This grading system plays a crucial role in guiding treatment decisions and evaluating the Sep 5, 2025 · Esophagitis is inflammation of your esophagus from infectious and non-infectious reasons. 41), Grade B was poor (κ 0. Doctors can treat it with medication and lifestyle changes, but some cases require surgery. 0 provides a modern definition of actionable GERD, where evidence from oesophageal testing supports revising, escalating or personalising GERD management for the symptomatic patient. Mar 2, 2018 · 2018-03-02 國際間將胃食道逆流 (gastroesophageal reflux disease，GERD)嚴重程度分為A、B、C、D四級，是依照食道黏膜受損程度而定 We would like to show you a description here but the site won’t allow us. Thus, LA-D esophagitis patients might be expected to have the most conditions predisposing to GERD (eg, obesity, hiatal hernia), and the highest frequency of GERD symptoms. LA grade B reflux esophagitis is a disease that leads to the inflammation of the oesophagus and it can be either chronic or acute. Aug 16, 2024 · Esophagitis is an irritation or inflammation of the esophagus, the tube that carries food from your mouth to your stomach. It can make swallowing painful or difficult and cause heartburn. Esophagitis, Peptic inflammation of the esophagus that is caused by the reflux of gastric juice with contents of the stomach and duodenum. Jun 1, 2013 · The Los Angeles classification system of GERD is by far the most widely used system to describe the endoscopic appearance of reflux esophagitis and grade its severity. Nov 13, 2023 · Esophagitis is an inflammation of the lining of the esophagus, the tube that carries food from the throat to the stomach. Oct 9, 2024 · Esophagitis describes inflammation of the esophagus, which is the tube that connects the throat to the stomach. Dec 1, 2022 · Long-term PPI therapy or antireflux surgery is recommended for patients with Los Angeles classification grade C esophagitis (erosions extending over mucosal folds, but over less than three-quarters of the circumference) or grade D esophagitis (confluent erosions extending over more than three-quarters of the circumference). Treating the underlying condition can help prevent Barrett’s esophagus from progressing to cancer. These dilated veins are fragile and prone to rupture, which can lead to life-threatening bleeding. Aug 12, 2024 · Esophagitis is often caused by stomach fluid that flows back into the food pipe. The 2026 edition of ICD-10-CM K20 became effective on October 1, 2025. 29), Grade C was fair (κ 0. Acid reflux or certain medications can cause the condition. To find your code, use the index, starting at esophagitis. High grade dysplasia (HGD) refers to precancerous changes in the cells of the esophagus. 1 This article is part of an expert video encyclopedia. Feb 2, 2022 · Erosive esophagitis of Los Angeles Grade B or higher, and/or AET ≥6. Feb 14, 2025 · Reflux esophagitis is inflammation of the esophageal mucosa caused by gastroesophageal reflux disease (GERD), which results from the reflux of stomach acid and other gastric contents into the esophagus. If a diagnosis of high-grade dysplasia is confirmed, it is recommended that the patient undergo endoscopic treatments to get rid of the Barrett’s esophagus. May 20, 2025 · An irregular Z-line in an esophageal ultrasound indicates an incorrect joining with the gastroesophageal junction at the base of the esophagus. LA simply stands for Los Angeles and is a classification system used to diagnose the extent of esophagitis. [1][2] Mild, and presumably early, esophagitis was graded 1 or 2, based on the presence of erosive lesions and their relationship to mucosal folds. In order to evaluate the level of evidence and strength of recommendations, we used the GRADE (Grading of Recommendations Assessment Major GERD phenotypes are non-erosive reflux disease, GERD hypersensitivity, low or high grade esophagitis, Barrett's esophagus, reflux chest pain, laryngopharyngeal reflux, and regurgitation dominant reflux. Short description: Gastro-esophageal reflux dis with esophagitis, without bleed The 2026 edition of ICD-10-CM K21. It’s a risk factor for cancer, but the risk is low. Erosive esophagitis – Erosive esophagitis is the unequivocal finding of GERD. Esophagitis can arise from various etiologies, including allergies, infections Jan 5, 2024 · The Lyon Consensus 2. Conclusion: The diagnostic accuracy for esophagitis and grading of esophagitis varies among endoscopists. This damage is a result of chronic gastric reflux, and leads to symptoms like pain when eating or drinking, vomiting with blood and blood in the stool. Learn about the causes, symptoms, treatments and more. The Los Angeles classification system of GERD is by far the most widely used system to describe the endoscopic appearance of reflux esophagitis and grade its severity. May 27, 2023 · Gastro-Esophageal Reflux Disease (GERD) is most commonly diagnosed based on the symptoms. Esophagitis, also spelled oesophagitis, is a disease characterized by inflammation of the esophagus. Nearly all of the guidelines on the diagnosis and treatment of reflux disease recommend that reflux esophagitis should be classified endoscopically. It also can lead to chest pain. Grade A: One (or more) mucosal break no longer than 5mm, that does not extend between the tops of two mucosal folds Grade B: One (or more) mucosal break more than 5mm long that does not extend between the tops of two mucosal folds Grade A: Represents the mildest form of esophagitis, characterized by one or more mucosal breaks measuring less than 5 mm in length. Oct 1, 2020 · K21. An autoimmune and allergic disorder called eosinophilic esophagitis also causes this condition. 00 became effective on October 1, 2025. This fluid irritates and eventually destroys the esophageal mucosa. [1][2] Oct 16, 2024 · Varied definitions exist for GERD and include those based on symptoms, endoscopy findings, physiologic testing with pH-metry, or even response to antisecretory therapy [1-3]. Esophageal varices form when regular blood flow to the liver is blocked by a clot or scar tissue in the liver. Dec 30, 2024 · 5. com LA grade A (LA-A) esophagitis is defined as one or more mucosal breaks not longer than 5 mm, and not extending between the tops of two mucosal folds (Figure 1). Grade A indicates one or more mucosal breaks confined to mucosal folds and less than 5mm in length. Apr 8, 2024 · Grade C esophagitis What does "Grade C esophagitis" mean in a report or doctor's letter? In our medical dictionary, you will find a patient-friendly explanation of the meaning of this medical term. 3, 21 Low-grade esophagitis (LA grade A esophagitis) can be seen in healthy asymptomatic individuals a The presence of LA grade C or D esophagitis, bipositional reflux, extreme levels of acid exposure (AET > 12% or DeMeester score > 50), and/or a large hiatal hernia may indicate a more severe GERD phenotype. There are many causes of esophagitis and essentially the presentation is similar which include retrosternal chest, heartburn, dysphagia or odynophagia. 0% on 2 or more days constitutes conclusive GERD evidence. Oct 29, 2024 · Overview Esophagitis is swelling and irritation, called inflammation, of the tissues that line the esophagus. 0 and current ACG clinical guideline for gastroesophageal reflux disease (GERD) notably include Los Angeles (LA) grade B esophagitis as conclusive endoscopic evidence of GERD. Apr 3, 2024 · Erosive esophagitis is a type of esophagitis in which there is damage to the tissue lining. For information on Irritable Bowel Syndrome (IBS) visit: GERD-IBS. Treatment varies based on the specific cause, but Mar 10, 2023 · GERD esophagitis is a common condition that causes acid indigestion and damage to the esophagus. The esophagus is the tube that leads from your mouth to the stomach. Typical symptoms include heart burn, acid regurgitation and difficulty in swallowing. Before this test, you receive medicine that helps you relax. 73). 9 for esophagitis, unspecified. Mar 6, 2025 · Esophageal varices are enlarged veins in the esophagus, the tube that connects the throat and stomach. The diagnosis of both erosive esophagitis and Barrett's mucosa were progressively more common as the LA grade increased. The purpose of this guideline is to review the definition and epidemiology of BE, available screening modalities for BE detection, rationale and methods for surveillance, and available treatment modalities including medical, endoscopic, and surgical techniques. Incompetence of the lower esophageal sphincter allows reflux of gastric contents into the esophagus, causing burning pain. Irregular Z-lines often lead to a diagnosis of Barrett's esophagus, according to a study published by the National Institutes of Health. Oct 12, 2023 · Esophagitis is inflammation of the esophagus. This article aims to provide a comprehensive overview of esophagitis, including its definition, causes, symptoms, diagnosis, treatment options, complications, prevention strategies, and prognosis. 84), Grade A was fair (κ 0. Because the lining of the esophagus is sensitive, many things can cause swelling and irritation. Los Angeles Classification of Esophagitis * Grade A Mucosal break < 5 mm in length Grade B Mucosal break > 5mm Grade C Mucosal break continuous between > 2 mucosal folds Grade D Mucosal break > 75% of esophageal circumference. It is a common cause of esophageal injury and can lead to complications if untreated. In outpatients, LA grade D EE is a manifestation of severe GERD, but LA grade D EE might not be a reliable index of GERD severity in hospitalized patients. Clinical research on H2 blockers and proton pump inhibitor drugs has confirmed the importance of, and need for, precise definitions of the grades of severity of reflux esophagitis. g. AI generated definition based on: Diet, Inflammation, and Official ACG 2013 GERD guideline summary for diagnosis and management of patients suffering from gastroesophageal reflux disease. g Therefore, based on these studies, PPIs are safe for long-term use, especially in patients with erosive esophagitis, Barrett esophagus, esophageal stricture, eosinophilic esophagitis, and PPI-dependent GERD. Prolonged reflux may lead to esophagitis, stricture, and rarely metaplasia or cancer. The scale used for grading esophageal cancers is from 1 to 3. Jun 30, 2023 · Hiatal Hernia A hiatal hernia happens when the top of your stomach bulges through an opening in your diaphragm. Understanding esophagitis is crucial, as it can arise from various causes and may lead to serious complications if left untreated. Extent is judged primarily by the radial pattern of mucosal breaks, using the longitudinal esophageal mucosal folds as landmarks, as shown in cartoons (see the LA Classification Poster). Sep 13, 2025 · Erosive esophagitis develops when inflammation damages the fragile lining of the esophagus. Cytokine-triggered inflammation may also cause alterations in mucosal permeability and esophageal sensitivity in the absence of esophagitis. 0 recommended Los Angeles (LA)-B esophagitis as conclusive evidence and LA-A esophagitis as borderline evidence for gastroesophageal reflux disease (GERD). However, both based on limited objective data continue to label LA grade A esophagitis as inconclusive for GERD. Surgical and endoscopic options for GERD Antireflux surgery performed by an experience surgeon is a recommended option for long-term treatment in those with objective evidence of GERD. This is the American ICD-10-CM version of K20 - other international versions of ICD-10 K20 may differ. Treatment is available for hiatal hernias that cause symptoms. This problem is called gastroesophageal reflux (GERD). Those most likely to benefit from this procedure are individuals with severe reflux esophagitis (LA grade C/D), large hiatal hernias, and/or persistent, troublesome GERD symptoms. 0% but otherwise not meeting criteria for conclusive GERD are considered to have borderline GERD. Accurate endoscopic diagnosis of reflux esophagitis and its grading or classification requires well-defined, visually identifiable evidence of injury in the esophageal mucosa. This is a very common condition, especially as you get older. 3 Diagnostic imaging plays an increasingly Since high-grade esophagitis is only observed in one-third of treatment naive symptomatic patients and in one-tenth of symptomatic patients on acid suppression, further diagnostic evaluation is typically needed if upper endoscopy is unrevealing. Get expert insights and answers to your pressing questions on our Q&A page! Esophagitis is the irritation and inflammation of the lining of your esophagus, or food pipe. The main symptom is heartburn. GERD is common throughout the world, and its epidemiology is linked to the Western lifestyle, obesity, and the demise of Helicobacter pylori. Treatment involves lifestyle modification, acid suppression using proton pump inhibitors, and sometimes Grade D Esophagitis Causes & Treatment Understanding the Esophagitis Grading System Grade D Esophagitis Causes & Treatment When it comes to assessing the severity of esophagitis, a standardized grading system is employed to determine the extent of inflammation and damage to the esophageal tissue. In contrast, LA-D esophagitis is defined as one or more mucosal breaks involving 75% or more of the esophageal circumference (Figure 2). The esophagus is the muscular tube that carries food and drink from the mouth to the stomach. In grade A gastroesophageal reflux, the esophageal mucosa is mildly injured, although there are still scratches and inflammation. The purpose of this article is to provide a comprehensive overview of esophagitis, including its definition, description, and risk factors. Mild reflux esophagitis la grade a b. m8h1sc okdppbk y70pi wlt f2t hb8 amhyd r2fj bpdo hk