Disease Subtype(s) HCT Disease Inserts required Cellular Therapy Disease Inserts required
  • Atypical chronic myeloid leukemia (aCML), BCR-ABL1 (1440)
  • Chronic myelomonocytic leukemia (CMMoL) (54)
  • Myelodysplastic syndrome / myeloproliferative neoplasm, unclassifiable (69)
  • MDS / MPN with ring sideroblasts and thrombocytosis (MDS / MPN-RS-T) (1452)
  • Myelodysplastic syndrome (MDS), unclassifiable (50)
  • Myelodysplastic syndrome with isolated del(5q) (66)
  • Myelodysplastic syndrome with multilineage dysplasia (MDS-MLD) (64)
  • Myelodysplastic syndrome with single lineage dysplasia (MDS-SLD) (51)
  • Refractory cytopenia of childhood (68)
Myelodysplastic syndrome with excess blasts (MDS-EB)
  • MDS with excess blasts-1 (MDS-EB-1) (61)
  • MDS with excess blasts-2 (MDS-EB-2) (62)
Myelodysplastic syndrome with ring sideroblasts (MDS-RS)
  • MDS-RS with single lineage dysplasia (MDS-RS-SLD) (1453)
  • MDS-RS with multilineage dysplasia (MDS-RS-MLD) (1454)
Forms 2014 & 2114 No disease inserts 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
Last modified: Jul 28, 2021