Military Medical Standards for Enlistment & Appointment

Systemic Diseases

Military Recruit Receiving Vaccinations
Getty Images/Bob Krist

The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes is 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 disorders involving the immune mechanism including immunodeficiencies (279) is disqualifying.

The presence of Human Immunodeficiency Virus (HIV) or serologic evidence of infection (042) is disqualifying. Positive Enzyme-Linked Immunoabsorbent Assay test(s) for HIV with ambiguous or inconclusive results on Western Blot testing is disqualifying.

Current or history of lupus erythematosus (710.0) or mixed connective tissue disease variant (710.9 ) is disqualifying.

Current or history of progressive systemic sclerosis (710.1), including CRST Variant, is disqualifying. A single plaque of localized Scleroderma (morphea) that has been stable for at least 2 years is not disqualifying.

Current or history of Reiter’s disease (099.3) is disqualifying.

Current or history of rheumatoid arthritis (714.0) is disqualifying.

Current or history of Sjögren’s syndrome (710.2) is disqualifying.

Current or history of vasculitis, including, but not limited to polyarteritis nodosa and allied conditions (446.0), arteritis (447.6), Behçet’s (136.1), and Wegner’s granulomatosis (446.4), is disqualifying.

Tuberculosis

(1) Current active tuberculosis or substantiated history of active tuberculosis in any form or location, regardless of past treatment, in the previous 2 years, is disqualifying.

(2) Current residual physical or mental defects from past tuberculosis that will prevent the satisfactory performance of duty are disqualifying.

(3) Individuals with a past history of active tuberculosis greater than 2 years before appointment, enlistment, or induction are qualified if they have received a complete course of standard chemotherapy for tuberculosis. Individuals with a tuberculin reaction in accordance with the guidelines of the American Thoracic Society and U.S. Public Health Service (ATS/USPHS), and without evidence of residual disease in pulmonary or non-pulmonary sites are eligible for enlistment induction, and appointment, provided they have received chemoprophylaxis in accordance with the guidelines of the ATS/USPHS.

(4) Current or history of untreated latent tuberculosis (positive Purified Protein Derivative with negative chest x-ray) (795.5) is disqualifying. i. Current untreated syphilis is disqualifying (097). j. History of anaphylaxis (995.0), including, but not limited to idiopathic and exercise-induced; anaphylaxis to venom, including stinging insects (989.5); foods or food additives (995.60–69); or to natural rubber latex (989.82), is disqualifying.

A current residual of tropical fevers, including, but not limited to fevers, such as malaria (084) and various parasitic or protozoan infestations that prevent the satisfactory performance of military duty, is disqualifying.

Current sleep disturbances (780.5), including, but not limited to sleep apneas, is disqualifying.

History of malignant hyperthermia (995.86) is disqualifying.

History of industrial solvent or other chemical intoxication (982) with sequelae is disqualifying.

History of motion sickness (994.6) resulting in recurrent incapacitating symptoms or of such a severity to require pre-medication in the previous 3 years is disqualifying.

History of rheumatic fever (390) is disqualifying.

Current or history of muscular dystrophies (359) or myopathies is disqualifying.

Current or history of amyloidosis (277.3) is disqualifying.

Current or history of eosinophilic granuloma (277.8) is disqualifying. Healed eosinophilic granuloma, when occurring as a single localized bony lesion and not associated with soft tissue or other involvement, will not be a cause for disqualification. All other forms of the Histiocytosis (202.3) are disqualifying.

Current or history of polymyositis (710.4) / dermatomyositis complex (710.3 ) with skin involvement is disqualifying.

History of rhabdomyolysis (728.88) is disqualifying.

Current or history of sarcoidosis (135) is disqualifying.

Current systemic fungus infections (117) are disqualifying.

More About Military Health Care and Requirements 

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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