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C86.4 has a new inclusion term: Blastic plasmacytoid dedritic cell neoplasm (BPDCN). C96.2 is revised to Malignant mast cell neoplasm , and is no longer applicable to Aggressive systemic mastocytosis or Mast cell sarcoma. An Excludes1 note under C96.2 is revised to indolent mastocytosis (D47.02). New codes in this subcategory include: C96.20 Malignant mast cell neoplasm, unspecified C96.21 Aggressive systemic mastocytosis C96.22 Mast cell sarcoma C96.29 Other malignant mast cell neoplasm Code D47.0 is revised to Mast cell neoplasms of uncertain behavior , removing the reference to histiocytic tumors, and deleting the inclusion of indolent systemic mastocytosis, mast cell tumor not otherwise specified (NOS), and mastocytoma NOS

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In Northeast Texas which includes Tyler, Longview and a lot of places one in four people smoke, according to a 2016 study