This neoplasm is not reportable.

ICD-O-3 Morphology

Effective 2019 and later

Reportability

This neoplasm is not reportable

Primary Site(s)

No primary site specified
Primary site bone marrow (C421)
This hematopoietic disease is not reportable for the U.S.
Canada, refer to your specific province for reportability requirements.

Abstractor Notes

See 9741/3 for cases diagnosed prior to 2019.

Indolent systemic mastocytosis (ISM) is part of the Mastocytosis lineage table in the WHO 5th edition of Hematolymphoid Tumors. (See Appendix B in the Hematopoietic Manual, Table B3)

To be coded as 9741/3, the diagnosis must be: Aggressive systemic mastocytosis, Systemic mastocytosis with associated clonal hematological non-mast cell lineage disease (SM-AHNMD).

Systemic mastocytosis, NOS (no other information available) is coded to 9741/1 and is not reportable.

Alternate Names

Bone marrow mastocytosis (BMM)
Smoldering systemic mastocytosis (SSM) (see 9741/3 prior to 2019)

Definition

In indolent systemic mastocytosis (ISM), the mast cell burden is usually low and skin lesions are found in most patients. For cases that fulfill the criteria for indolent systemic mastocytosis and also present with one B finding, the diagnosis remains indolent systemic mastocytosis. However, if two or more B findings are detected, the diagnosis changes to smoldering systemic mastocytosis.

Bone marrow mastocytosis is a subtype of indolent systemic mastocytosis, the burden of neoplastic mast cells is usually low, and serum tryptase levels are often normal or nearly normal.

Definitive Diagnostic Methods

This data item does not apply

Immunophenotyping

This data item does not apply

Corresponding ICD-10 Codes (Cause of Death codes only)

D47.0 Histiocytic and mast cell tumors of uncertain and unknown behavior

Corresponding ICD-10-CM Codes (U.S. only)

D47.02 Systemic mastocytosis (effective October 01, 2015)

Sources

WHO Classification of Tumours Editorial Board. Haematolymphoid tumours. Lyon (France): International Agency for Research on Cancer; 2024. (WHO classification of tumours series, 5th ed.; vol. 11). https://publications.iarc.who.int/637.
Section: Mastocytosis
Pages: Part A: 64-70

International Classification of Diseases for Oncology, 3rd edition (including revisions). Geneva: World Health Organization, 2001, 2011, 2020.
Section: ICD-O-3.2 (2020) Morphological Codes
Pages: http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=100&Itemid=577
Glossary