CLAIM RECON INTEL

DC 8103/8699-8103 | 38 C.F.R. § 4.124a | M21-1, Part IV.ii.3

OVERVIEW

Restless leg syndrome is a neurological condition causing an irresistible urge to move the legs, typically worsening at night. It is often rated by analogy under DC 8103 (convulsive tic) or DC 8699-8103. RLS frequently occurs secondary to peripheral neuropathy, spinal conditions, or medications (especially SSRIs). In veterans, RLS often disrupts sleep and is closely associated with PTSD medication side effects.

RATING CRITERIA (3 LEVELS)

KEY EVIDENCE TO GATHER

-Sleep study (polysomnography) documenting periodic limb movements

-Neurology evaluation confirming RLS diagnosis

-Medication records (ropinirole, pramipexole, gabapentin) showing treatment

-Service connection nexus: often secondary to peripheral neuropathy, spinal conditions, or SSRI medications

-Documentation of sleep disruption and daytime fatigue

SECONDARY CONDITIONS (2 MAPPED)

C&P EXAM TIPS (3)

1.RLS is most commonly claimed as secondary to another service-connected condition: peripheral neuropathy, spinal conditions, or PTSD medications (SSRIs).

2.A sleep study showing periodic limb movements of sleep (PLMS) provides the strongest objective evidence.

3.Document how RLS affects your sleep: how many hours of actual sleep do you get? How many times do you wake up?

DOLLAR IMPACT

RLS at 10% adds $175.03/mo. The primary value is establishing service connection to support secondary claims for sleep disorders and chronic fatigue.