Because of different cab configurations we cannot include exhaust piping. Also the elbow coming off the turbo, you will need to specify if you need a 45 degree or a 90. Includes 45 or 90 degree elbow, clamp, and seal. This kit requires off road tuning. The item "Cummins VGT removal ISX CM2250 CM2350 full turbo swap install kit 2011-2017 ISX" is in sale since Tuesday, March 12, 2019.This item is in the category "eBay Motors\Parts & Accessories\Commercial Truck Parts\Other Commercial Truck Parts". The seller is "grr515" and is located in Shoemakersville, Pennsylvania. This item can be shipped to United States.