ICD-10 R20
Non-Billable HeaderDisturbances of skin sensation
About ICD-10-CM R20
ICD-10-CM code R20 represents Disturbances of skin sensation. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R20). The 2026 edition of ICD-10-CM R20 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R20. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- dissociative anesthesia and sensory loss (F44.6)
- psychogenic disturbances (F45.8)
Medicare LCD Coverage for R20
Local Coverage Determinations (LCDs) from CMS MACs that list R20 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R20.
3 Cigna
CPT Codes Commonly Billed with R20
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R20
Other codes in section R20-R23 (Symptoms and signs involving the skin and subcutaneous tissue).
ICD-10 R20, Billing FAQ
Is ICD-10 code R20 billable? +
No, R20 is a non-billable header code. Use a more specific child code from block R20 when submitting claims.
What codes are Type 1 Excludes for R20? +
Type 1 Excludes (never code together with R20): dissociative anesthesia and sensory loss (F44.6); psychogenic disturbances (F45.8)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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