Cummins 4922089 Camshaft PAI 191809CROSS REFERENCE: 4922089 APPLICATION: Cummins ISM M11 Multiple Use Application. BRAND: PAI 191809 Cummins 4922089 Camshaft PAI 191809. Replacement truck parts and aftermarket truck parts. Regulates valve motion and supports engine stability. All components are proudly manufactured in the U. S. A. by PAI Industries Inc., an ISO9001 certified company with over 50 years of experience in the heavy duty truck parts industry. This part is built brand new