Premature atrial or ventricular contractions sufficiently symptomatic to require treatment, or result in physical or psychological impairment
Premature atrial or ventricular contractions sufficiently symptomatic to require treatment, or result in physical or psychological impairment
What This Code Means
Receiving DQ code D101.22 means the DoDMERB physician reviewer determined that your medical history or exam findings related to premature atrial or ventricular contractions sufficiently symptomatic to require treatment, or result in physical or psychological impairment do not currently meet Department of Defense accession standards as defined in DoDI 6130.03.
This does not end your candidacy. Many conditions flagged under this code are waiverable. The next step is understanding the exact standard that applies to your situation and whether a waiver request is appropriate for your commissioning source.
Official Regulation Text
From DoDI 6130.03-V1, “Medical Standards for Military Service,” Change 6 (February 3, 2026)
“Premature atrial or ventricular contractions sufficiently symptomatic to require treatment, or result in physical or psychological impairment.”
“History of congenital anomalies of the heart and great vessels other than the following conditions. Excepted conditions require the applicant to be asymptomatic with an otherwise normal current echocardiogram within the last 12 months and no residual symptoms (e.g., pulmonary hypertension, myocardial dysfunction, or arrythmia). (1) Dextrocardia with situs inversus without any other anomalies. (2) Ligated or occluded patent ductus arteriosus. (3) Corrected atrial septal defect without residua. (4) Patent foramen ovale. (5) Corrected ventricular septal defect without residua.”
“History of supraventricular tachycardia if: (1) History of atrial fibrillation or flutter. (2) Any atrioventricular (AV) nodal reentrant tachycardia or AV reentrant tachycardia (e.g., Wolff-Parkinson-White syndrome) unless successfully treated with catheter ablation, no recurrence of symptoms after 3 months, and documentation of normal electrocardiograph.”
“History of ventricular arrhythmias including ventricular fibrillation, tachycardia, or multifocal premature ventricular contractions other than occasional asymptomatic unifocal premature ventricular contractions.”
“The following abnormal electrocardiograph patterns: (1) Long QT (QTc of more than 470 milliseconds in males or more than 480 milliseconds in females); (2) Brugada Type I pattern; or (3) Ventricular pre-excitation pattern that does not meet the qualification criteria in Paragraph 6.11.g.”
What You Can Do Next
- 1Don't panic — a DQ code is not a rejection. Many candidates receive disqualification codes and still earn appointments to Service Academies or ROTC scholarships. Focus on strengthening every other part of your application while addressing the medical issue.
- 2Understand the waiver process for your path. For Service Academy candidates, your admissions officer initiates the waiver request. For ROTC candidates, your detachment handles it. You cannot request a waiver directly from DoDMERB — it must come through your commissioning source.
- 3Be the strongest candidate possible. Waiver authorities consider the whole person — academics, athletics, leadership, and character. The more competitive your overall application, the more likely a waiver request will be initiated and approved.
- 4Gather the right medical documentation. Specialist evaluations, treatment records, and evidence that the condition is resolved or well-managed can make or break a waiver request. Knowing exactly what documentation to submit — and how to present it — matters.
- 5Get expert guidance early. LTC Kirkland (Ret.) has guided hundreds of Academy and ROTC candidates through the DoDMERB process, with medical review support from COL Cajigal (Ret.). A single consultation can clarify your waiver options and develop the right strategy for your specific situation.