Disturbances of skin sensation (R20)

• ICD-10 Index

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)

    • Symptoms and signs involving the skin and subcutaneous tissue (R20-R23)

      • Disturbances of skin sensation (R20)

        • R20 - Disturbances of skin sensation NON-BILLABLE CODE
        • R20.0 - Anesthesia of skin BILLABLE CODE
        • R20.1 - Hypoesthesia of skin BILLABLE CODE
        • R20.2 - Paresthesia of skin BILLABLE CODE
        • R20.3 - Hyperesthesia BILLABLE CODE
        • R20.8 - Other disturbances of skin sensation BILLABLE CODE
        • R20.9 - Unspecified disturbances of skin sensation BILLABLE CODE

Clinical Information for Disturbances of skin sensation (R20)

Hyperacusis - An abnormally disproportionate increase in the sensation of loudness in response to auditory stimuli of normal volume. COCHLEAR DISEASES; VESTIBULOCOCHLEAR NERVE DISEASES; FACIAL NERVE DISEASES; STAPES SURGERY; and other disorders may be associated with this condition.

Hyperesthesia - Increased sensitivity to cutaneous stimulation due to a diminished threshold or an increased response to stimuli.

Synesthesia - The experience of involuntary sensory cross activation where the presentation of a particular stimulus elicits a secondary sensory-perceptual experience. It most commonly occurs in the association of color with linguistic stimuli such as letters, numbers, words, or music, but can also occur between other senses. Although synesthesia can be acquired or transient due to trauma or drug use, there is also a strong genetic component, with a prevalence of about 1 in 2,000 individuals and a female to male ratio of 6:1.

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

Hyperalgesia - An increased sensation of pain or discomfort produced by minimally noxious stimuli due to damage to soft tissue containing NOCICEPTORS or injury to a peripheral nerve.

Nociceptors - Peripheral AFFERENT NEURONS which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. Their cell bodies reside in the DORSAL ROOT GANGLIA. Their peripheral terminals (NERVE ENDINGS) innervate target tissues and transduce noxious stimuli via axons to the CENTRAL NERVOUS SYSTEM.

Instructional Notations

Type 1 Excludes Type 1 Excludes
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.

• dissociative anesthesia and sensory loss F44.6
• psychogenic disturbances F45.8