2026 ICD-10-CM Diagnosis Code R20.2Paresthesia of skin
ICD-10-CM Codes›R00–R99›R20-R23›R20
- Billable — Valid for Submission
- Not Chronic
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
Code Classification
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
- acroparesthesia I73.8
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Disturbance (s) - See Also: Disease;
- Formication - R20.2
- Hemiparesthesia - R20.2
- Paresthesia - See Also: Disturbance, sensation, skin; - R20.2
- Pins and needles - R20.2
- Prickling sensation (skin) - R20.2
- prickling (skin) - R20.2
- tingling (skin) - R20.2
- Tingling 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.
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.
Code HistoryHistory
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.
