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 E04 Surgical Procedures, Operative D013514 +
  E04.950 Urogenital Surgical Procedures D013519 +
   E04.950.300 Gynecologic Surgical Procedures D013509 +
    E04.950.300.766 Sterilization, Tubal D013246 
 E04 Surgical Procedures, Operative D013514 +
  E04.950 Urogenital Surgical Procedures D013519 +
   E04.950.599 Sterilization, Reproductive D013245 +
    E04.950.599.683 Sterilization, Tubal D013246