2026 ICD-10-CM Diagnosis Code R20.2Paresthesia of skin

ICD-10-CM CodesR00–R99R20-R23R20

ICD-10-CM R20.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R20.2 is a billable ICD-10-CM diagnosis code for paresthesia of skin. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Skin/Subcutaneous signs and symptoms.

Code Identity

ICD-10-CM Code
R20.2
Billable Status
Yes — Valid for Submission
Code Describes
Paresthesia of skin
Short Description
Paresthesia of skin
Same as the full description in the CMS dataset.
Parent Code
Disturbances of skin sensation

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR20-R23Symptoms and signs involving the skin and subcutaneous tissue
CategoryR20Disturbances of skin sensation
This CodeR20.2Paresthesia of skin

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Autoimmune movement disorder
  • Circumoral paresthesia
  • Facial diplegia with paresthesia
  • Facial paresthesia
  • Formication
  • Formication of skin
  • Guillain-Barré syndrome
  • Has prickling sensation
  • Injection site paresthesia
  • Numbness and tingling sensation of skin
  • Oral paresthesia
  • Paresthesia
  • Paresthesia of bilateral hands
  • Paresthesia of finger
  • Paresthesia of foot
  • Paresthesia of hand
  • Paresthesia of left lower limb
  • Paresthesia of left upper limb
  • Paresthesia of lower extremity
  • Paresthesia of mucous membrane
  • Paresthesia of right lower limb
  • Paresthesia of right upper limb
  • Paresthesia of saddle area
  • Paresthesia of upper limb
  • Pins and needles
  • Psychogenic formication
  • Psychogenic sensory disturbance of skin
  • Psychogenic skin disease
  • Stinging of skin
  • Tactile hallucinations
  • Tingling of skin
  • Transient paresthesia

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Formication
  • Pins and needles
  • Tingling skin

Type 1 Excludes

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

  • - Paresthesia - See Also: Disturbance, sensation, skin; - R20.2

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disturbance(s)
      • sensation (cold) (heat) (localization) (tactile discrimination) (texture) (vibratory) NEC
        • skin
          • paresthesia
    • Formication
    • Hemiparesthesia
    • Paresthesia
    • Pins and needles
    • Prickling sensation(skin)
    • Sensation
      • prickling (skin)
    • Sensation
      • tingling (skin)
    • Tingling sensation(skin)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM014
Skin/Subcutaneous signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Paresthesia

    subjective cutaneous sensations (e.g., cold, warmth, tingling, pressure, etc.) that are experienced spontaneously in the absence of stimulation.

Patient EducationClinical

Neurologic Diseases

The brain, spinal cord, and nerves make up the nervous system. Together they control all the workings of the body. When something goes wrong with a part of your nervous system, you can have trouble moving, speaking, swallowing, breathing, or learning. You can also have problems with your memory, senses, or mood.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R20.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
782.0 Skin sensation disturb
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R20.2Overview

Is R20.2 (Disturbances of skin sensation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report paresthesia of skin on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can R20.2 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the paresthesia of skin is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R20.2?

Under the General Equivalence Mappings, paresthesia of skin converts to ICD-9-CM 782.0 (skin sensation disturb). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.