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v1.0.0
ICD-10 Guide
ICD-10 CodesR20.3

R20.3

Hyperesthesia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R20.3 is a billable code used to indicate a diagnosis of hyperesthesia.

Key Diagnostic Point:

Hyperesthesia is a condition characterized by an increased sensitivity to sensory stimuli, which can manifest as heightened pain, touch, or temperature sensations. Patients may report discomfort or pain from stimuli that are typically non-painful, such as light touch or mild temperature changes. This condition can occur in various parts of the body and may be localized or generalized. Hyperesthesia can arise from a variety of underlying causes, including nerve damage, inflammation, or central nervous system disorders. It is often associated with conditions such as neuropathy, fibromyalgia, or multiple sclerosis. The clinical presentation may vary widely, and patients may describe their symptoms differently, making it essential for healthcare providers to conduct thorough assessments. Diagnosis typically involves a detailed patient history, physical examination, and may include neurological assessments or imaging studies to identify any underlying pathology. Understanding the patient's experience and the context of their symptoms is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptom description
  • Need for comprehensive patient history and examination
  • Potential overlap with other neurological conditions
  • Documentation of underlying causes or associated conditions

Audit Risk Factors

  • Inadequate documentation of symptom severity and duration
  • Failure to link hyperesthesia to an underlying condition
  • Misclassification of hyperesthesia as a more specific neurological disorder
  • Lack of clarity in patient history regarding sensory changes

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset, duration, and triggers of symptoms; neurological examination findings.

Common Clinical Scenarios

Patients presenting with unexplained pain or sensory changes, often requiring a differential diagnosis.

Billing Considerations

Consideration of comorbid conditions that may contribute to hyperesthesia, such as diabetes or autoimmune disorders.

Emergency Medicine

Documentation Requirements

Acute assessment of symptoms, including vital signs and immediate neurological evaluation.

Common Clinical Scenarios

Patients presenting with acute sensory disturbances following trauma or infection.

Billing Considerations

Rapid identification of potential life-threatening conditions that may present with hyperesthesia.

Coding Guidelines

Inclusion Criteria

Use R20.3 When
  • Follow official ICD
  • CM guidelines for coding symptoms and signs, ensuring that hyperesthesia is documented with sufficient clinical context to support the diagnosis

Exclusion Criteria

Do NOT use R20.3 When
No specific exclusions found.

Related CPT Codes

959.01CPT Code

Nerve conduction study

Clinical Scenario

When evaluating for underlying neuropathy in a patient with hyperesthesia.

Documentation Requirements

Document the rationale for the nerve conduction study and findings.

Specialty Considerations

Neurology may require more detailed documentation regarding the patient's neurological status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sensory disturbances, improving the ability to capture the nuances of conditions like hyperesthesia.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sensory disturbances, improving the ability to capture the nuances of conditions like hyperesthesia.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sensory disturbances, improving the ability to capture the nuances of conditions like hyperesthesia.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is hyperesthesia?

Hyperesthesia is an increased sensitivity to sensory stimuli, leading to discomfort or pain from stimuli that are typically non-painful.

How is hyperesthesia diagnosed?

Diagnosis involves a thorough patient history, physical examination, and may include neurological assessments or imaging studies.