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 E04 Surgical Procedures, Operative D013514 +
  E04.928 Thoracic Surgical Procedures D019616 +
   E04.928.600 Pulmonary Surgical Procedures D013510 +
    E04.928.600.495 Lung Transplantation D016040 +
      E04.928.600.495.450 Heart-Lung Transplantation D016041 
 E04 Surgical Procedures, Operative D013514 +
  E04.936 Transplantation D014180 +
   E04.936.450 Organ Transplantation D016377 +
    E04.936.450.495 Lung Transplantation D016040 +
      E04.936.450.495.450 Heart-Lung Transplantation D016041