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| Code(s) | | Description |
| 250.1 | Treatment of Psoriasis |
| 250.2 | Hemorheograph |
| 250.3 | Intravenous Immune Globulin for the Treatment of Autoimmune Mucocutaneous Blistering Diseases |
| 250.4 | Treatment of Actinic Keratosis |
| 250.5 | Dermal Injections for the Treatment of Facial Lipodystrophy Syndrome (LDS) |