On June 11, the National Center for Health Statistics (NCHS) at the Centers for Disease Control and Prevention (CDC) added new data collection fields on human trafficking for federal fiscal year 2019, among the 279 new codes, 143 revised codes, and 51 deactivated codes. These 2019 ICD-10-CM codes are to be used for discharges and patient encounters occurring from October 1, 2018 through September 30, 2019.
Health care providers and hospitals who are seeing an increase in human trafficking cases now have ICD-10-CM codes to adequately differentiate victims of human trafficking from other abuse victims. The Office on Trafficking in Persons and the HHS Office on Women’s Health consulted with the CDC and health care provider stakeholders (e.g. American Hospital Association, HEAL Trafficking, International Center for Missing and Exploited Children) on strengthening data collection on human trafficking within health care settings.
The CDC added new T codes to report for cases of suspected and confirmed forced labor and sexual exploitation and Z codes for the examination and observation of human trafficking victimization. The 2019 Addenda to the ICD-10-CM List of Diseases and Injuries included:
Under Adult and child abuse, neglect and other maltreatment, confirmed
- T74.5 – Forced sexual exploitation, confirmed
- T74.51 – Adult forced sexual exploitation, confirmed
- T74.52 – Child sexual exploitation, confirmed
- T74.6 – Forced labor exploitation, confirmed
- T74.61 – Adult forced labor exploitation, confirmed
- T74.62 – Child forced labor exploitation, confirmed
Under Adult and child abuse, neglect and other maltreatment, suspected
- T76.5 – Forced sexual exploitation, suspected
- T76.51 – Adult forced sexual exploitation, suspected
- T76.52 – Child sexual exploitation, suspected
- T76.6 – Forced labor exploitation, suspected
- T76.61 – Adult forced labor exploitation, suspected
- T76.62 – Child forced labor exploitation, suspected
Under Encounter for examination and observation for other reasons
- 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
Under Problems related to upbringing: Personal history of abuse in childhood
- Z62.813 – Personal history of forced labor or sexual exploitation in childhood
Under Personal risk factors, not elsewhere classified: Personal history of psychological trauma, not elsewhere classified
- Z91.42 – Personal history of forced labor or sexual exploitation
CDC NCHS is responsible for the use of the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) in the United States. ICD-10 is copyrighted by the World Health Organization (WHO), which owns and publishes the classification. WHO has authorized the development of an adaptation of ICD-10 for use in the United States for U.S. government purposes. ICD-10-CM was developed following a thorough evaluation by a Technical Advisory Panel and extensive additional consultation with physician groups, clinical coders, and others to assure clinical accuracy and utility. The specific improvements reflected in ICD-10 include the additional of information relevant to ambulatory and managed care encounters, expanded injury codes, the creation of combination diagnosis/symptom codes to reduce the number of codes needed to fully describe a condition, and greater specificity in code assignment.
- CDC announcement of ICD-10-CM
- CDC FTP website to download ICD-10-CM files
- Centers for Medicare and Medicaid Services’ website for the Procedure Coding System (ICD-10-PCS), which replaces ICD-9-CM, Volume 3.
- HHS SOAR to Health and Wellness training on human trafficking for health care providers
- HHS Look Beneath the Surface pocket card for health care providers
- HHS Look Beneath the Surface poster for health care providers
- HHS Look Beneath the Surface brochure for health care providers
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