Profound Immune Suppression
**Note 1:** Physician statement of Profound Immune Suppression must be used to code this data item. Do not assume that a patient is immune suppressed just because the patient has one of the conditions listed below in the table. Per AJCC experts, the following terms can also be used to describe "profound immune suppression."
* Suppressed immune status
**Note 2:** Per AJCC experts, this data item is limited to the conditions in the table below occurring within two years of the diagnosis of Merkel cell carcinoma.
**Note 3:** Code 9 if conditions in the table below were not active within 2 years of (or resolved more than 2 years prior to) diagnosis, or if it is unknown when they existed.
**Note 4:** If more than one condition is documented, code 5. Document the specific conditions in the text field.