Disease Subtype(s) HCT Disease Inserts required Cellular Therapy Disease Inserts required
  • Nodular lymphocyte predominant Hodgkin lymphoma (155)
  • Lymphocyte-rich (151)
  • Nodular sclerosis (152)
  • Mixed cellularity (153)
  • Lymphocyte depleted (154)
  • Hodgkin lymphoma, NOS (150)
Form 2018 & 2118 No disease inserts required
Last modified: Jun 27, 2017