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Restless Legs Syndrome F081

Last amended 
26 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP
20 of 2014
Balance of Probabilities SOP
21 of 2014
Changes from Previous Instruments:

SOP Bulletin 173

ICD Coding:
  • ICD-9-CM Codes: 333.99
  • ICD-10-AM Codes: G25.8
Requirements to confirm diagnosis

This is a neurological disorder which manifests with restless legs.  This is not the same as periodic limb movement disorder which has separate RMA SOPs. Both conditions cause limb movement, but the periodic limb movement disorder occurs during sleep with the restless legs syndrome occurring when awake. ICD codes are: ICD-9 333.99; ICD-10 G25.8.

Is specific diagnostic evidence required to apply the SOP? – Yes. 

There are specific diagnostic criteria that need to be fulfilled. This diagnosis is normally provided by a neurologist.

Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
  • Willis-Ekbom disease
  • Wittmaack-Ekbom syndrome
Conditions not covered by SOP
  • Periodic limb movement disorder.
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.