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 E04 Surgical Procedures, Operative D013514 +
  E04.950 Urogenital Surgical Procedures D013519 +
    E04.950.165 Castration D002369 +
    E04.950.599 Sterilization, Reproductive D013245 
    E04.950.300 Gynecologic Surgical Procedures D013509 +
    E04.950.774 Urologic Surgical Procedures D013520 +