The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.
The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:
(See also section on Miscellaneous Conditions of the Extremities )
a. Limitation of motion. An individual will be considered unacceptable if the joint ranges of motion are less than the measurements listed below.
(1) Shoulder (726.1):
(a) Forward elevation to 90 degrees.
(b) Abduction to 90 degrees.
(2) Elbow (726.3):
(a) Flexion to 100 degrees.
(b) Extension to 15 degrees.
(3) Wrist (726.4): a total range of 60 degrees (extension plus flexion) or radial and ulnar deviation combined arc 30 degrees.
(4) Hand (726.4):
(a) Pronation to 45 degrees.
(b) Supination to 45 degrees.
(5) Fingers and thumb (726.4): inability to clench fist, pick up a pin, grasp an object, or touch tips of at least three fingers with thumb.
b. Hand and fingers.
(1) Absence of the distal phalanx of either thumb (885).
(2) Absence of distal and middle phalanx of an index, middle, or ring finger of either hand, irrespective of the absence or loss of little finger (886).
(3) Absence of more than the distal phalanx of any two of the following fingers: index, middle finger, or ring finger of either hand (886).
(4) Absence of hand or any portion thereof (887) except for fingers as noted above.
(5) Polydactyly (755).
(6) Scars and deformities of the fingers or hand (905.2) that are symptomatic or that impair normal function to such a degree as to interfere with the satisfactory performance of military duty.
(7) Intrinsic paralysis or weakness, including nerve palsy (354) sufficient to produce physical findings in the hand such as muscle atrophy or weakness.
(8) Wrist, forearm, elbow, arm, or shoulder. Recovery from disease or injury with residual weakness or symptoms such as to preclude satisfactory performance of duty (905.2), or grip strength of less than 75 percent of predicted normal when injured hand is compared with the normal hand (non-dominant is 80 percent of dominant grip).
Derived from Department of Defense (DOD) Directive 6130.3, Physical Standards for Appointment, Enlistment, and Induction, and DOD Instruction 6130.4, Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces.
