Disease Subtype(s) HCT Disease Inserts required Cellular Therapy Disease Inserts required
  • Chronic lymphocytic leukemia (CLL), NOS (34)
  • Chronic lymphocytic leukemia (CLL), B-cell / small lymphocytic lymphoma (SLL) (71)
Form 2013 & 2113 Form 2013 & 2113
  • Hairy cell leukemia (35)
  • Hairy cell leukemia variant (75)
  • Monoclonal B-cell lymphocytosis (76)
No disease insert required No disease insert required
  • Prolymphocytic leukemia (PLL), NOS (37)
  • PLL, B-cell (73)
  • PLL, T-cell (74)
Form 2013 & 2113 Form 2013 & 2113
  • Other leukemia, NOS (30)
  • Other leukemia (39)
Form 2010 & 2110 No disease insert required
Last modified: Jul 28, 2021