F45.8 vs R20
F45.8 (Other somatoform disorders) compared with R20 (Disturbances of skin sensation), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. R20 carries an Excludes1 note covering F45.8: “psychogenic disturbances (F45.8)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F45.8Other somatoform disorders | R20Disturbances of skin sensation | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Other somatoform disorders is a billable ICD-10-CM diagnosis code (F45.8). | Disturbances of skin sensation is a non-billable ICD-10-CM category code (R20). |
| Includes | Psychogenic dysmenorrhea Psychogenic dysphagia, including 'globus hystericus' Psychogenic pruritus Psychogenic torticollis | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources