MS-DRG - 349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

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  2. ICD-10-PCS MS-DRG V38.0
  3. MS-DRG - 349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 349 ANAL AND STOMAL PROCEDURES WITHOUT Complication Comorbidity/Major Complication or Comorbidity diseases in version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC 06 0.9793 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.		 1.90 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.		 2.30 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

ICD-10-PCS Codes in Diagnostic Related Group

  • 065Y0ZC - Destruction of Hemorrhoidal Plexus, Open Approach
  • 065Y3ZC - Destruction of Hemorrhoidal Plexus, Percutaneous Approach
  • 065Y4ZC - Destruction of Hemorrhoidal Plexus, Percutaneous Endoscopic Approach
  • 06BY0ZC - Excision of Hemorrhoidal Plexus, Open Approach
  • 06BY3ZC - Excision of Hemorrhoidal Plexus, Percutaneous Approach
  • 06BY4ZC - Excision of Hemorrhoidal Plexus, Percutaneous Endoscopic Approach
  • 06LY0CC - Occlusion of Hemorrhoidal Plexus with Extraluminal Device, Open Approach
  • 06LY0DC - Occlusion of Hemorrhoidal Plexus with Intraluminal Device, Open Approach
  • 06LY0ZC - Occlusion of Hemorrhoidal Plexus, Open Approach
  • 06LY3CC - Occlusion of Hemorrhoidal Plexus with Extraluminal Device, Percutaneous Approach
  • 06LY3DC - Occlusion of Hemorrhoidal Plexus with Intraluminal Device, Percutaneous Approach
  • 06LY3ZC - Occlusion of Hemorrhoidal Plexus, Percutaneous Approach
  • 06LY4CC - Occlusion of Hemorrhoidal Plexus with Extraluminal Device, Percutaneous Endoscopic Approach
  • 06LY4DC - Occlusion of Hemorrhoidal Plexus with Intraluminal Device, Percutaneous Endoscopic Approach
  • 06LY4ZC - Occlusion of Hemorrhoidal Plexus, Percutaneous Endoscopic Approach
  • 0D5Q0ZZ - Destruction of Anus, Open Approach
  • 0D5Q3ZZ - Destruction of Anus, Percutaneous Approach
  • 0D5Q7ZZ - Destruction of Anus, Via Natural or Artificial Opening
  • 0D5QXZZ - Destruction of Anus, External Approach
  • 0D5R0ZZ - Destruction of Anal Sphincter, Open Approach
  • 0D5R3ZZ - Destruction of Anal Sphincter, Percutaneous Approach
  • 0D7Q0DZ - Dilation of Anus with Intraluminal Device, Open Approach
  • 0D7Q0ZZ - Dilation of Anus, Open Approach
  • 0D7Q3DZ - Dilation of Anus with Intraluminal Device, Percutaneous Approach
  • 0D7Q3ZZ - Dilation of Anus, Percutaneous Approach
  • 0D7Q4DZ - Dilation of Anus with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0D7Q4ZZ - Dilation of Anus, Percutaneous Endoscopic Approach
  • 0D8R0ZZ - Division of Anal Sphincter, Open Approach
  • 0D8R3ZZ - Division of Anal Sphincter, Percutaneous Approach
  • 0D9Q00Z - Drainage of Anus with Drainage Device, Open Approach
  • 0D9Q0ZZ - Drainage of Anus, Open Approach
  • 0D9Q40Z - Drainage of Anus with Drainage Device, Percutaneous Endoscopic Approach
  • 0D9Q4ZZ - Drainage of Anus, Percutaneous Endoscopic Approach
  • 0D9Q70Z - Drainage of Anus with Drainage Device, Via Natural or Artificial Opening
  • 0D9Q7ZZ - Drainage of Anus, Via Natural or Artificial Opening
  • 0D9Q80Z - Drainage of Anus with Drainage Device, Via Natural or Artificial Opening Endoscopic
  • 0D9Q8ZZ - Drainage of Anus, Via Natural or Artificial Opening Endoscopic
  • 0D9QX0Z - Drainage of Anus with Drainage Device, External Approach
  • 0D9QXZZ - Drainage of Anus, External Approach
  • 0D9R00Z - Drainage of Anal Sphincter with Drainage Device, Open Approach
  • 0D9R0ZZ - Drainage of Anal Sphincter, Open Approach
  • 0D9R40Z - Drainage of Anal Sphincter with Drainage Device, Percutaneous Endoscopic Approach
  • 0D9R4ZZ - Drainage of Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DB83ZZ - Excision of Small Intestine, Percutaneous Approach
  • 0DB87ZZ - Excision of Small Intestine, Via Natural or Artificial Opening
  • 0DB88ZZ - Excision of Small Intestine, Via Natural or Artificial Opening Endoscopic
  • 0DBA3ZZ - Excision of Jejunum, Percutaneous Approach
  • 0DBA4ZZ - Excision of Jejunum, Percutaneous Endoscopic Approach
  • 0DBA7ZZ - Excision of Jejunum, Via Natural or Artificial Opening
  • 0DBA8ZZ - Excision of Jejunum, Via Natural or Artificial Opening Endoscopic
  • 0DBB3ZZ - Excision of Ileum, Percutaneous Approach
  • 0DBB4ZZ - Excision of Ileum, Percutaneous Endoscopic Approach
  • 0DBB7ZZ - Excision of Ileum, Via Natural or Artificial Opening
  • 0DBB8ZZ - Excision of Ileum, Via Natural or Artificial Opening Endoscopic
  • 0DBC0ZZ - Excision of Ileocecal Valve, Open Approach
  • 0DBC3ZZ - Excision of Ileocecal Valve, Percutaneous Approach
  • 0DBC4ZZ - Excision of Ileocecal Valve, Percutaneous Endoscopic Approach
  • 0DBC7ZZ - Excision of Ileocecal Valve, Via Natural or Artificial Opening
  • 0DBC8ZZ - Excision of Ileocecal Valve, Via Natural or Artificial Opening Endoscopic
  • 0DBE7ZZ - Excision of Large Intestine, Via Natural or Artificial Opening
  • 0DBF7ZZ - Excision of Right Large Intestine, Via Natural or Artificial Opening
  • 0DBG7ZZ - Excision of Left Large Intestine, Via Natural or Artificial Opening
  • 0DBGFZZ - Excision of Left Large Intestine, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
  • 0DBH7ZZ - Excision of Cecum, Via Natural or Artificial Opening
  • 0DBK7ZZ - Excision of Ascending Colon, Via Natural or Artificial Opening
  • 0DBL7ZZ - Excision of Transverse Colon, Via Natural or Artificial Opening
  • 0DBLFZZ - Excision of Transverse Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
  • 0DBM7ZZ - Excision of Descending Colon, Via Natural or Artificial Opening
  • 0DBMFZZ - Excision of Descending Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
  • 0DBN7ZZ - Excision of Sigmoid Colon, Via Natural or Artificial Opening
  • 0DBNFZZ - Excision of Sigmoid Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
  • 0DBP3ZZ - Excision of Rectum, Percutaneous Approach
  • 0DBP7ZZ - Excision of Rectum, Via Natural or Artificial Opening
  • 0DBQ0ZZ - Excision of Anus, Open Approach
  • 0DBQ3ZZ - Excision of Anus, Percutaneous Approach
  • 0DBQ4ZZ - Excision of Anus, Percutaneous Endoscopic Approach
  • 0DBQ7ZZ - Excision of Anus, Via Natural or Artificial Opening
  • 0DBQXZZ - Excision of Anus, External Approach
  • 0DBR0ZZ - Excision of Anal Sphincter, Open Approach
  • 0DBR3ZZ - Excision of Anal Sphincter, Percutaneous Approach
  • 0DBR4ZZ - Excision of Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DCQ0ZZ - Extirpation of Matter from Anus, Open Approach
  • 0DCQ3ZZ - Extirpation of Matter from Anus, Percutaneous Approach
  • 0DCQ4ZZ - Extirpation of Matter from Anus, Percutaneous Endoscopic Approach
  • 0DCR0ZZ - Extirpation of Matter from Anal Sphincter, Open Approach
  • 0DCR3ZZ - Extirpation of Matter from Anal Sphincter, Percutaneous Approach
  • 0DCR4ZZ - Extirpation of Matter from Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DFP0ZZ - Fragmentation in Rectum, Open Approach
  • 0DFP3ZZ - Fragmentation in Rectum, Percutaneous Approach
  • 0DFP4ZZ - Fragmentation in Rectum, Percutaneous Endoscopic Approach
  • 0DFP7ZZ - Fragmentation in Rectum, Via Natural or Artificial Opening
  • 0DFP8ZZ - Fragmentation in Rectum, Via Natural or Artificial Opening Endoscopic
  • 0DFQ0ZZ - Fragmentation in Anus, Open Approach
  • 0DFQ3ZZ - Fragmentation in Anus, Percutaneous Approach
  • 0DFQ4ZZ - Fragmentation in Anus, Percutaneous Endoscopic Approach
  • 0DFQ7ZZ - Fragmentation in Anus, Via Natural or Artificial Opening
  • 0DFQ8ZZ - Fragmentation in Anus, Via Natural or Artificial Opening Endoscopic
  • 0DHQ0DZ - Insertion of Intraluminal Device into Anus, Open Approach
  • 0DHQ3DZ - Insertion of Intraluminal Device into Anus, Percutaneous Approach
  • 0DHQ4DZ - Insertion of Intraluminal Device into Anus, Percutaneous Endoscopic Approach
  • 0DHQ7DZ - Insertion of Intraluminal Device into Anus, Via Natural or Artificial Opening
  • 0DHQ8DZ - Insertion of Intraluminal Device into Anus, Via Natural or Artificial Opening Endoscopic
  • 0DHR0MZ - Insertion of Stimulator Lead into Anal Sphincter, Open Approach
  • 0DHR3MZ - Insertion of Stimulator Lead into Anal Sphincter, Percutaneous Approach
  • 0DHR4MZ - Insertion of Stimulator Lead into Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DLP0CZ - Occlusion of Rectum with Extraluminal Device, Open Approach
  • 0DLP0DZ - Occlusion of Rectum with Intraluminal Device, Open Approach
  • 0DLP0ZZ - Occlusion of Rectum, Open Approach
  • 0DLP3CZ - Occlusion of Rectum with Extraluminal Device, Percutaneous Approach
  • 0DLP3DZ - Occlusion of Rectum with Intraluminal Device, Percutaneous Approach
  • 0DLP3ZZ - Occlusion of Rectum, Percutaneous Approach
  • 0DLP4CZ - Occlusion of Rectum with Extraluminal Device, Percutaneous Endoscopic Approach
  • 0DLP4DZ - Occlusion of Rectum with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0DLP4ZZ - Occlusion of Rectum, Percutaneous Endoscopic Approach
  • 0DLP7DZ - Occlusion of Rectum with Intraluminal Device, Via Natural or Artificial Opening
  • 0DLP7ZZ - Occlusion of Rectum, Via Natural or Artificial Opening
  • 0DLP8DZ - Occlusion of Rectum with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0DLP8ZZ - Occlusion of Rectum, Via Natural or Artificial Opening Endoscopic
  • 0DLQ0CZ - Occlusion of Anus with Extraluminal Device, Open Approach
  • 0DLQ0DZ - Occlusion of Anus with Intraluminal Device, Open Approach
  • 0DLQ0ZZ - Occlusion of Anus, Open Approach
  • 0DLQ3CZ - Occlusion of Anus with Extraluminal Device, Percutaneous Approach
  • 0DLQ3DZ - Occlusion of Anus with Intraluminal Device, Percutaneous Approach
  • 0DLQ3ZZ - Occlusion of Anus, Percutaneous Approach
  • 0DLQ4CZ - Occlusion of Anus with Extraluminal Device, Percutaneous Endoscopic Approach
  • 0DLQ4DZ - Occlusion of Anus with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0DLQ4ZZ - Occlusion of Anus, Percutaneous Endoscopic Approach
  • 0DLQ7DZ - Occlusion of Anus with Intraluminal Device, Via Natural or Artificial Opening
  • 0DLQ7ZZ - Occlusion of Anus, Via Natural or Artificial Opening
  • 0DLQ8DZ - Occlusion of Anus with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0DLQ8ZZ - Occlusion of Anus, Via Natural or Artificial Opening Endoscopic
  • 0DLQXCZ - Occlusion of Anus with Extraluminal Device, External Approach
  • 0DLQXDZ - Occlusion of Anus with Intraluminal Device, External Approach
  • 0DLQXZZ - Occlusion of Anus, External Approach
  • 0DNP0ZZ - Release Rectum, Open Approach
  • 0DNP3ZZ - Release Rectum, Percutaneous Approach
  • 0DNP4ZZ - Release Rectum, Percutaneous Endoscopic Approach
  • 0DNP7ZZ - Release Rectum, Via Natural or Artificial Opening
  • 0DNP8ZZ - Release Rectum, Via Natural or Artificial Opening Endoscopic
  • 0DNQ0ZZ - Release Anus, Open Approach
  • 0DNQ3ZZ - Release Anus, Percutaneous Approach
  • 0DNQ4ZZ - Release Anus, Percutaneous Endoscopic Approach
  • 0DNQ7ZZ - Release Anus, Via Natural or Artificial Opening
  • 0DNQ8ZZ - Release Anus, Via Natural or Artificial Opening Endoscopic
  • 0DNQXZZ - Release Anus, External Approach
  • 0DNR0ZZ - Release Anal Sphincter, Open Approach
  • 0DNR3ZZ - Release Anal Sphincter, Percutaneous Approach
  • 0DNR4ZZ - Release Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DQQ0ZZ - Repair Anus, Open Approach
  • 0DQQ3ZZ - Repair Anus, Percutaneous Approach
  • 0DQQ4ZZ - Repair Anus, Percutaneous Endoscopic Approach
  • 0DQQ7ZZ - Repair Anus, Via Natural or Artificial Opening
  • 0DQQ8ZZ - Repair Anus, Via Natural or Artificial Opening Endoscopic
  • 0DQQXZZ - Repair Anus, External Approach
  • 0DQR0ZZ - Repair Anal Sphincter, Open Approach
  • 0DQR3ZZ - Repair Anal Sphincter, Percutaneous Approach
  • 0DQR4ZZ - Repair Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DRR07Z - Replacement of Anal Sphincter with Autologous Tissue Substitute, Open Approach
  • 0DRR0JZ - Replacement of Anal Sphincter with Synthetic Substitute, Open Approach
  • 0DRR0KZ - Replacement of Anal Sphincter with Nonautologous Tissue Substitute, Open Approach
  • 0DRR47Z - Replacement of Anal Sphincter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DRR4JZ - Replacement of Anal Sphincter with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0DRR4KZ - Replacement of Anal Sphincter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DSQ0ZZ - Reposition Anus, Open Approach
  • 0DSQ4ZZ - Reposition Anus, Percutaneous Endoscopic Approach
  • 0DSQ7ZZ - Reposition Anus, Via Natural or Artificial Opening
  • 0DSQ8ZZ - Reposition Anus, Via Natural or Artificial Opening Endoscopic
  • 0DTQ0ZZ - Resection of Anus, Open Approach
  • 0DTQ4ZZ - Resection of Anus, Percutaneous Endoscopic Approach
  • 0DTQ7ZZ - Resection of Anus, Via Natural or Artificial Opening
  • 0DTQ8ZZ - Resection of Anus, Via Natural or Artificial Opening Endoscopic
  • 0DTR0ZZ - Resection of Anal Sphincter, Open Approach
  • 0DTR4ZZ - Resection of Anal Sphincter, Percutaneous Endoscopic Approach
  • 0DUP07Z - Supplement Rectum with Autologous Tissue Substitute, Open Approach
  • 0DUP0JZ - Supplement Rectum with Synthetic Substitute, Open Approach
  • 0DUP0KZ - Supplement Rectum with Nonautologous Tissue Substitute, Open Approach
  • 0DUP47Z - Supplement Rectum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DUP4JZ - Supplement Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0DUP4KZ - Supplement Rectum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DUP77Z - Supplement Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 0DUP7JZ - Supplement Rectum with Synthetic Substitute, Via Natural or Artificial Opening
  • 0DUP7KZ - Supplement Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 0DUP87Z - Supplement Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0DUP8JZ - Supplement Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 0DUP8KZ - Supplement Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0DUQ07Z - Supplement Anus with Autologous Tissue Substitute, Open Approach
  • 0DUQ0JZ - Supplement Anus with Synthetic Substitute, Open Approach
  • 0DUQ0KZ - Supplement Anus with Nonautologous Tissue Substitute, Open Approach
  • 0DUQ47Z - Supplement Anus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DUQ4JZ - Supplement Anus with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0DUQ4KZ - Supplement Anus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DUQ77Z - Supplement Anus with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 0DUQ7JZ - Supplement Anus with Synthetic Substitute, Via Natural or Artificial Opening
  • 0DUQ7KZ - Supplement Anus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 0DUQ87Z - Supplement Anus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0DUQ8JZ - Supplement Anus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 0DUQ8KZ - Supplement Anus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0DUQX7Z - Supplement Anus with Autologous Tissue Substitute, External Approach
  • 0DUQXJZ - Supplement Anus with Synthetic Substitute, External Approach
  • 0DUQXKZ - Supplement Anus with Nonautologous Tissue Substitute, External Approach
  • 0DUR07Z - Supplement Anal Sphincter with Autologous Tissue Substitute, Open Approach
  • 0DUR0JZ - Supplement Anal Sphincter with Synthetic Substitute, Open Approach
  • 0DUR0KZ - Supplement Anal Sphincter with Nonautologous Tissue Substitute, Open Approach
  • 0DUR47Z - Supplement Anal Sphincter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DUR4JZ - Supplement Anal Sphincter with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0DUR4KZ - Supplement Anal Sphincter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0DVP0CZ - Restriction of Rectum with Extraluminal Device, Open Approach
  • 0DVP0DZ - Restriction of Rectum with Intraluminal Device, Open Approach
  • 0DVP0ZZ - Restriction of Rectum, Open Approach
  • 0DVP3CZ - Restriction of Rectum with Extraluminal Device, Percutaneous Approach
  • 0DVP3DZ - Restriction of Rectum with Intraluminal Device, Percutaneous Approach
  • 0DVP3ZZ - Restriction of Rectum, Percutaneous Approach
  • 0DVP4CZ - Restriction of Rectum with Extraluminal Device, Percutaneous Endoscopic Approach
  • 0DVP4DZ - Restriction of Rectum with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0DVP4ZZ - Restriction of Rectum, Percutaneous Endoscopic Approach
  • 0DVP7DZ - Restriction of Rectum with Intraluminal Device, Via Natural or Artificial Opening
  • 0DVP7ZZ - Restriction of Rectum, Via Natural or Artificial Opening
  • 0DVP8DZ - Restriction of Rectum with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0DVP8ZZ - Restriction of Rectum, Via Natural or Artificial Opening Endoscopic
  • 0DVQ0CZ - Restriction of Anus with Extraluminal Device, Open Approach
  • 0DVQ0DZ - Restriction of Anus with Intraluminal Device, Open Approach
  • 0DVQ0ZZ - Restriction of Anus, Open Approach
  • 0DVQ3CZ - Restriction of Anus with Extraluminal Device, Percutaneous Approach
  • 0DVQ3DZ - Restriction of Anus with Intraluminal Device, Percutaneous Approach
  • 0DVQ3ZZ - Restriction of Anus, Percutaneous Approach
  • 0DVQ4CZ - Restriction of Anus with Extraluminal Device, Percutaneous Endoscopic Approach
  • 0DVQ4DZ - Restriction of Anus with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0DVQ4ZZ - Restriction of Anus, Percutaneous Endoscopic Approach
  • 0DVQ7DZ - Restriction of Anus with Intraluminal Device, Via Natural or Artificial Opening
  • 0DVQ7ZZ - Restriction of Anus, Via Natural or Artificial Opening
  • 0DVQ8DZ - Restriction of Anus with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0DVQ8ZZ - Restriction of Anus, Via Natural or Artificial Opening Endoscopic
  • 0DVQXCZ - Restriction of Anus with Extraluminal Device, External Approach
  • 0DVQXDZ - Restriction of Anus with Intraluminal Device, External Approach
  • 0DVQXZZ - Restriction of Anus, External Approach
  • 0DWR0MZ - Revision of Stimulator Lead in Anal Sphincter, Open Approach
  • 0DWR3MZ - Revision of Stimulator Lead in Anal Sphincter, Percutaneous Approach
  • 0DWR4MZ - Revision of Stimulator Lead in Anal Sphincter, Percutaneous Endoscopic Approach
  • 0W3P7ZZ - Control Bleeding in Gastrointestinal Tract, Via Natural or Artificial Opening
  • 0WQFXZ2 - Repair Abdominal Wall, Stoma, External Approach