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Military Medical Standards for Enlistment & Appointment

General and miscellaneous conditions and defects

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Updated June 10, 2009
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:

Current or history of parasitic diseases, if symptomatic or carrier state, including, but not limited to filariasis (125), trypanosomiasis (086), schistosomiasis (120), hookworm (uncinariasis) (126.9), and unspecified infectious and parasitic disease (136.9), are disqualifying.

Current or history of other disorders, including, but not limited to cystic fibrosis (277.0), or porphyria (277.1), that prevent satisfactory performance of duty or require frequent or prolonged treatment are disqualifying.

Current or history of cold-related disorders, including, but not limited to frostbite, chilblain, immersion foot (991), or cold urticaria (708.2), are disqualifying.

Current residual effects of cold-related disorders, including, but not limited to paresthesias, easily traumatized skin, cyanotic amputation of any digit, ankylosis, trench foot, or deep-seated ache, are disqualifying. d. History of angioedema, including hereditary angioedema (277.6), is disqualifying. e. History of receiving organ or tissue transplantation (V42) is disqualifying.

History of pulmonary (415) or systemic embolization (444) is disqualifying.

History of untreated acute or chronic metallic poisoning, including, but not limited to lead, arsenic, silver (985), beryllium, or manganese (985), is disqualifying.

Current complications or residual symptoms of such poisoning are disqualifying.

History of heat pyrexia (992.0), heatstroke (992.0), or sunstroke (992.0) is disqualifying.

History of three or more episodes of heat exhaustion (992.3) is disqualifying.

Current or history of a predisposition to heat injuries, including disorders of sweat mechanism, combined with a previous serious episode is disqualifying.

Current or history of any unresolved sequelae of heat injury, including, but not limited to nervous, cardiac, hepatic or renal systems, is disqualifying.

Current or history of any condition that in the opinion of the medical officer will significantly interfere with the successful performance of military duty or training is disqualifying (should use specific ICD code whenever possible, or 796.9). j. Any current acute pathological condition, including, but not limited to acute communicable diseases, until recovery has occurred without sequelae, is disqualifying.

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."

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