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Home/Diagnosis/ICD-10 Coding for Restless Legs Syndrome

ICD-10 Coding for Restless Legs Syndrome

G25.81

Complete ICD-10-CM coding and documentation guide for icd-10 coding for restless legs syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
RLS
Willis-Ekbom Disease
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Key Information: ICD-10 Coding for Restless Legs Syndrome

Essential facts and insights about ICD-10 Coding for Restless Legs Syndrome

Use ICD-10 code G25.81 for restless legs syndrome, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Restless legs syndrome

Billable Code
G25.81
Billable

Diagnostic Criteria

clinical:
  • • All four NIH criteria for RLS are met.
coding:
  • • No secondary cause identified.
documentation:
  • • Explicit documentation of symptoms and relief patterns.

Applicable To

  • • Idiopathic RLS
  • • Secondary RLS

Important Notes

  • • Ensure all four NIH criteria are documented to support the use of G25.81.
Ancillary Codes

Additional codes that may be used with this diagnosis

E61.1

Iron deficiency

Use when RLS is secondary to iron deficiency.

N18.9

Chronic kidney disease, unspecified

Use when RLS is secondary to CKD.

O99.89

Other specified diseases and conditions complicating pregnancy

Use when RLS is secondary to pregnancy.

Frequently Asked Questions

What is the ICD-10 code for restless leg syndrome?

The ICD-10 code for restless leg syndrome is G25.81. It is used for both idiopathic and secondary forms of the condition.

How do you document restless leg syndrome?

Document all four NIH criteria: urge to move legs, worsening at rest, relief with movement, and worse in the evening. Include any secondary causes.

What are the new billing codes for RLS treatment devices?

The new CMS codes for RLS treatment devices are E0743 for the TOMAC device and A4544 for TOMAC supplies, effective October 2024.

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