Disturbances of skin sensation
ICD-10 R20 is a billable code used to indicate a diagnosis of disturbances of skin sensation.
Disturbances of skin sensation encompass a range of symptoms that indicate abnormal sensory perception in the skin, including numbness, tingling, burning sensations, or heightened sensitivity. These disturbances can arise from various underlying conditions, including neuropathies, dermatological disorders, or systemic diseases. Patients may report sensations that are not aligned with the actual stimuli, such as feeling pain from a light touch or experiencing a lack of sensation in certain areas. The clinical context is crucial, as these symptoms can indicate serious underlying conditions such as diabetes mellitus, multiple sclerosis, or peripheral vascular disease. A thorough history and physical examination are essential to determine the nature and extent of the sensory disturbance, and to guide further diagnostic testing, which may include nerve conduction studies, imaging, or laboratory tests to identify metabolic or autoimmune causes. Accurate documentation of the patient's symptoms, duration, and any associated factors is vital for appropriate coding and management.
Detailed patient history, including onset, duration, and associated symptoms; physical examination findings; and any relevant lab results.
Patients presenting with diabetes-related neuropathy, vitamin deficiencies, or autoimmune conditions.
Consideration of comorbid conditions that may contribute to sensory disturbances.
Acute presentation documentation, including vital signs, immediate assessment findings, and any interventions performed.
Acute onset of numbness or tingling following trauma or in the context of a stroke.
Rapid assessment and documentation are critical for timely diagnosis and treatment.
Used when evaluating patients with suspected neuropathies.
Document the rationale for the nerve conduction study and findings.
Commonly performed in neurology and pain management settings.
Document the specific nature of the sensory disturbance, including onset, duration, and any associated symptoms. Include relevant medical history and any diagnostic tests performed.
