Use 2019 I-10 Codes to Stop Human Trafficking

Use 2019 I-10 Codes to Stop Human Trafficking

Medical coders are at the front line of the fight to stop human trafficking with new ICD-10-CM codes effective October 1. And the American Hospital Association (AHA) is encouraging medical coders to identify signs in the documentation and use the new codes.

Trafficking Terms in Documentation

The AHA believes providers see victims of human trafficking without realizing it.  They encourage medical coders to begin using the codes and educate our peers. The AHA maintains, “Tracking confirmed and suspected cases in the health care system will allow hospitals and health systems to better track victim needs and identify solutions to improve the health of their communities. It also provides another source for data collection to inform public policy and prevention efforts, as well as support the systemic development of an infrastructure for services and resources.” A victim’s only chance for freedom might be a medical coder’s review of the documentation.

Victims of human trafficking are often identified by a numbers of signs, including an unusual combinations of injuries, failure to promptly seek care with hurt or sick, or unwillingness to interact with staff. The AHA encourages medical coders to watch for the following terms in medical documentation:

  • Human trafficking
  • Labor trafficking
  • Sex trafficking
  • Commercial sexual exploitation
  • Forced commercial sexual exploitation
  • Forced prostitution
  • Forced sexual exploitation
  • Forced labor exploitation
  • Exploitation of manual labor
  • Exploitation of sexual labor
  • Exploitation for manual labor
  • Exploitation for commercial sex
  • Domestic servitude
  • Labor exploitation for domestic work
  • Force labor exploitation for domestic work

Assigning Trafficking Codes

As part of its Hospitals Against Violence initiative, AHA asked the ICD-10-CM Coordination and Maintenance committee to create the codes for use beginning the 2019 coding year. AHA’s Central Office on ICD-10, which publishes Coding Clinic, proposed the change.These codes may be assigned in addition to other existing ICD-10-CM codes for abuse,  neglect,  and other maltreatment. In addition, new codes are also available for past history of labor or sexual exploitation, encounter for examination and observation of exploitation ruled out, and an external cause code to identify multiple, repeated, perpetrators of maltreatment and neglect. Most of these codes require additional characters.

T74.51 Adult forced sexual exploitation, confirmed
T74.52 Child sexual exploitation, confirmed
T74.61 Adult forced labor exploitation, confirmed
T74.62 Child forced labor exploitation, confirmed
T76.51 Adult forced sexual exploitation, suspected
T76.52 Child sexual exploitation, suspected
T76.61 Adult forced labor exploitation, suspected
T76.62 Child forced labor exploitation, suspected
Y07.6 Multiple perpetrators of maltreatment and neglect
Z04.81 Encounter for examination and observation of victim following forced sexual exploitation
Z04.82 Encounter for examination and observation of victim following forced labor exploitation
Z62.813 Personal history of forced labor or sexual exploitation in childhood
Z91.42 Personal history of forced labor or sexual exploitation
Brad Ericson

Brad Ericson

Director of Publishing at AAPC
Brad Ericson, MPC, CPC, COSC, has been director of publishing for more than 11 years. Before AAPC he was at Optum for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.
Brad Ericson

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Brad Ericson, MPC, CPC, COSC, has been director of publishing for more than 11 years. Before AAPC he was at Optum for 13 years and Aetna Health Plans prior to that. He has been writing and publishing about healthcare since 1979. He received his Bachelor's in Journalism from Idaho State University and his Master's of Professional Communication degree from Westminster College of Salt Lake City.

One Response to “Use 2019 I-10 Codes to Stop Human Trafficking”

  1. Julie says:

    ” A victim’s only chance for freedom might be a medical coder’s review of the documentation.” Agreed . Medical coder’s, auditors have an important role when reviewing documentation.

    Great article.

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