Disease Subtype(s) HCT Disease Inserts Cellular Therapy Disease Inserts
  • Acquired severe aplastic anemia, not otherwise specified (301)
  • Acquired AA secondary to chemotherapy (313)
  • Acquired SAA secondary to hepatitis (302)
  • Acquired AA secondary to immunotherapy or immune effector cell therapy (314)
  • Acquired SAA secondary to toxin / other drug (303)
  • Acquired amegakaryocytosis (not congenital) (304)
  • Acquired pure red cell aplasia (not congenital) (306)
  • Other acquired cytopenic syndrome (309)
Forms 2028 & 2128 No disease insert required
Last modified: Jul 28, 2021