| Disease Subtype(s) |
HCT Disease Inserts Required |
Cellular Therapy Disease Inserts Required |
Multiple Sclerosis
|
Form 2043 & 2143 |
No disease inserts required |
Connective Tissue Diseases
- Systemic sclerosis (scleroderma) (607)
|
Form 2044 & 2144 |
Arthritis
- Rheumatoid arthritis (603)
- Psoriatic arthritis / psoriasis (604)
- Juvenile idiopathic arthritis (JIA): systemic (Stills disease) (640)
- JIA: oligoarticular (641)
- JIA: polyarticular (642)
- JIA: other (643)
- Other arthritis (633)
Connective Tissue Diseases
- Systemic lupus erythematosis (SLE) (605)
- Sjögren syndrome (608)
- Polymyositis / dermatomyositis (606)
- Antiphospholipid syndrome (614)
- Other connective tissue disease (634)
Vasculitis
- Wegener granulomatosis (610)
- Classical polyarteritis nodosa (631)
- Microscopic polyarteritis nodosa (632)
- Churg-Strauss (635)
- Giant cell arteritis (636)
- Takayasu (637)
- Behcet syndrome (638)
- Overlap necrotizing arteritis (639)
- Other vasculitis (611)
Other Neurologic Autoimmune Disease
- Myasthenia gravis (601)
- Other autoimmune neurological disorder (644)
Hematologic Autoimmune Disease
- Idiopathic thrombocytopenic purpura (ITP) (645)
- Hemolytic anemia (646)
- Evan syndrome (647)
- Other autoimmune cytopenia (648)
Bowel Disease
- Crohn’s disease (649)
- Ulcerative colitis (650)
- Other autoimmune bowel disorder (651)
Metabolic
- Diabetes mellitus type 1 (660)
Other
- Other autoimmune disease (629)
|
No disease inserts required |
Last modified:
May 29, 2024
