Disease Subtype(s) HCT Disease Inserts required Cellular Therapy Disease Inserts required
B-cell neoplasms
  • Splenic marginal zone B-cell lymphoma (124)
  • Extranodal marginal zone B-cell lymphoma of mucosal associated lymphoid tissue type (MALT) (122)
  • Nodal marginal zone B-cell lymphoma (± monocytoid B-cells) (123)
  • Follicular, predominantly small cleaved cell (Grade I follicle center lymphoma) (102)
  • Follicular, mixed, small cleaved and large cell (Grade II follicle center lymphoma) (103)
  • Follicular, predominantly large cell (Grade IIIA follicle center lymphoma) (162)
  • Follicular, predominantly large cell (Grade IIIB follicle center lymphoma) (163)
  • Follicular (grade unknown) (164)
  • Mantle cell lymphoma (115)
  • Intravascular large B-cell lymphoma (136)
  • Primary mediastinal (thymic) large B-cell lymphoma (125)
  • Primary effusion lymphoma (138)
  • Diffuse, large B-cell lymphoma — NOS (107)
  • Burkitt lymphoma (111)
  • B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and Burkitt lymphoma (140)
  • B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classical Hodgkin Lymphoma (149)
  • T-cell / histiocytic rich large B-cell lymphoma (120)
  • Primary diffuse large B-cell lymphoma of the CNS (118)
  • Other B-cell lymphoma (129)
T-cell / NK cell neoplasms
  • Extranodal NK / T-cell lymphoma, nasal type (137)
  • Enteropathy-type T-cell lymphoma (133)
  • Hepatosplenic T-cell lymphoma (145)
  • Subcutaneous panniculitis-like T-cell lymphoma (146)
  • Mycosis fungoides (141)
  • Sezary syndrome (142)
  • Primary cutaneous CD30+ T-cell lymphoproliferative disorders [Primary cutaneous anaplastic large-cell lymphoma (C-ALCL), lymphoid papulosis] (147)
  • Peripheral T-cell lymphoma (PTCL), NOS (130)
  • Angioimmunoblastic T-cell lymphoma (131)
  • Anaplastic large-cell lymphoma (ALCL), ALK positive (143)
  • Anaplastic large-cell lymphoma (ALCL), ALK negative (144)
  • T-cell large granular lymphocytic leukemia (126)
  • Aggressive NK-cell leukemia (27)
  • Adult T-cell lymphoma / leukemia (HTLV1 associated) (134)
  • Other T-cell / NK-cell lymphoma (139)
Forms 2018 & 2118 Forms 2018 & 2118
Last modified: 2017/06/27

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