2023 ICD-10-CM Diagnosis Code R20

Disturbances of skin sensation

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • R20 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM R20 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R20 - other international versions of ICD-10 R20 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R20. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dissociative anesthesia and sensory loss (
    ICD-10-CM Diagnosis Code F44.6

    Conversion disorder with sensory symptom or deficit

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Conversion disorder with anesthesia or sensory loss
    • Conversion disorder with special sensory symptoms
    • Dissociative anesthesia and sensory loss
    • Psychogenic deafness
    F44.6
    )
  • psychogenic disturbances (
    ICD-10-CM Diagnosis Code F45.8

    Other somatoform disorders

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Psychogenic dysmenorrhea
    • Psychogenic dysphagia, including 'globus hystericus'
    • Psychogenic pruritus
    • Psychogenic torticollis
    • Somatoform autonomic dysfunction
    • Teeth grinding
    Type 1 Excludes
    • sleep related teeth grinding (G47.63)
    F45.8
    )
The following code(s) above R20 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R20:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R20-R23
    2023 ICD-10-CM Range R20-R23

    Symptoms and signs involving the skin and subcutaneous tissue

    Type 2 Excludes
    Symptoms and signs involving the skin and subcutaneous tissue
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to R20:
  • Type 2 Excludes: R44
    ICD-10-CM Diagnosis Code R44

    Other symptoms and signs involving general sensations and perceptions

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • alcoholic hallucinations (F10.151, F10.251, F10.951)
    • hallucinations in drug psychosis (F11-F19 with fifth to sixth characters 51)
    • hallucinations in mood disorders with psychotic symptoms (F30.2, F31.5, F32.3, F33.3)
    • hallucinations in schizophrenia, schizotypal and delusional disorders (F20-F29)
    Type 2 Excludes
    • disturbances of skin sensation (R20.-)
ICD-10-CM Codes Adjacent To R20
R19.33 Right lower quadrant abdominal rigidity
R19.34 Left lower quadrant abdominal rigidity
R19.35 Periumbilic abdominal rigidity
R19.36 Epigastric abdominal rigidity
R19.37 Generalized abdominal rigidity
R19.4 Change in bowel habit
R19.5 Other fecal abnormalities
R19.6 Halitosis
R19.7 Diarrhea, unspecified
R19.8 Other specified symptoms and signs involving the digestive system and abdomen
R20 Disturbances of skin sensation
R20.0 Anesthesia of skin
R20.1 Hypoesthesia of skin
R20.2 Paresthesia of skin
R20.3 Hyperesthesia
R20.8 Other disturbances of skin sensation
R20.9 Unspecified disturbances of skin sensation
R21 Rash and other nonspecific skin eruption
R22 Localized swelling, mass and lump of skin and subcutaneous tissue
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.