Disease Subtype(s) HCT Disease Inserts required Cellular Therapy Disease Inserts required
MDS
  • Refractory cytopenia with unilineage dysplasia (RCUD) (includes refractory anemia (RA)) (51)
  • Refractory anemia with ringed sideroblasts (RARS) (55)
  • Refractory anemia with excess blasts-1 (RAEB-1) (61)
  • Refractory anemia with excess blasts-2 (RAEB-2) (62)
  • Refractory cytopenia with multilineage dysplasia (RCMD) (64)
  • Childhood myelodysplastic syndrome (Refractory cytopenia of childhood (RCC)) (68)
  • Myelodysplastic syndrome with isolated del(5q) (5q– syndrome) (66)
  • Myelodysplastic syndrome (MDS), unclassifiable (50)*+MPN+*
  • Chronic neutrophilic leukemia (165)
  • Chronic eosinophilic leukemia, NOS (166)
  • Essential thrombocythemia (includes primary thrombocytosis, idiopathic thrombocytosis, hemorrhagic thrombocythemia) (58)
  • Polycythemia vera (PCV) (57)
  • Primary myelofibrosis (includes chronic idiopathic myelofibrosis (CIMF), agnogenic myeloid metaplasia (AMM), myelofibrosis/sclerosis with myeloid metaplasia (MMM), idiopathic myelofibrosis) (167)
  • Myeloproliferative neoplasm (MPN), unclassifiable (60)
MPN
  • Chronic neutrophilic leukemia (165)
  • Chronic eosinophilic leukemia, NOS (166)
  • Essential thrombocythemia (includes primary thrombocytosis, idiopathic thrombocytosis, hemorrhagic thrombocythemia) (58)
  • Polycythemia vera (PCV) (57)
  • Primary myelofibrosis (includes chronic idiopathic myelofibrosis (CIMF), agnogenic myeloid metaplasia (AMM), myelofibrosis/sclerosis with myeloid metaplasia (MMM), idiopathic myelofibrosis) (167)
  • Myeloproliferative neoplasm (MPN), unclassifiable (60)
MDS / MPN
  • Chronic myelomonocytic leukemia (CMMoL) (54)
  • Myelodysplastic / myeloproliferative neoplasm, unclassifiable (69)
Forms 2014 & 2114 No disease insert required
Disease Subtype(s) HCT Disease Inserts required Cellular Therapy Disease Inserts required
  • Juvenile myelomonocytic leukemia (JMML/JCML)(no evidence of Ph1 or BCR/ABL)(36)
Forms 2015 & 2115 No disease insert required
  • Atypical chronic myeloid leukemia, Ph-/bcr/abl- {CML, NOS} (45)
  • Atypical chronic myeloid leukemia, Ph-/bcr unknown {CML, NOS} (46)
  • Atypical chronic myeloid leukemia, Ph unknown/bcr- {CML, NOS} (48)
  • Atypical chronic myeloid leukemia, Ph unknown/bcr unknown {CML, NOS} (49)
Forms 2010 & 2110 No disease insert required
Last modified: 2017/06/27

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