D132.99Endocrine & Metabolic

Miscellaneous disqualification of endocrine system $

Miscellaneous disqualification of endocrine system $

What This Code Means

Receiving DQ code D132.99 means the DoDMERB physician reviewer determined that your medical history or exam findings related to miscellaneous disqualification of endocrine system $ 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)

Section 6.24.aEndocrine and Metabolic Conditions
Current adrenal dysfunction or any history of adrenal dysfunction requiring treatment or hormone replacement or the presence of adrenal adenoma.
Section 6.24.bEndocrine and Metabolic Conditions
Diabetic disorders, including: (1) History of diabetes mellitus. (2) History of unresolved pre-diabetes mellitus (as defined by the American Diabetes Association) within the last 24 months. (3) History of gestational diabetes mellitus. (4) Current persistent glycosuria, when associated with impaired glucose metabolism or renal tubular defects.
Section 6.24.cEndocrine and Metabolic Conditions
History of pituitary dysfunction except for resolved growth hormone deficiency.
Section 6.24.dEndocrine and Metabolic Conditions
History of pituitary tumor unless proven non-functional, less than 1 cm and stable in size for the last 12 months.
Section 6.24.eEndocrine and Metabolic Conditions
History of diabetes insipidus.
Section 6.24.fEndocrine and Metabolic Conditions
History of primary hyperparathyroidism unless surgically corrected.
Section 6.24.gEndocrine and Metabolic Conditions
History of hypoparathyroidism or history of hypocalcemia that requires calcitriol.
Section 6.24.hEndocrine and Metabolic Conditions
Current goiter.
Section 6.24.iEndocrine and Metabolic Conditions
Thyroid nodule unless a solitary thyroid nodule less than 10 mm or less than 3 cm with benign histology or cytology, and that does not require ongoing surveillance.
Section 6.24.jEndocrine and Metabolic Conditions
History of complex thyroid cyst or simple thyroid cyst greater than 2 cm or symptomatic simple thyroid cyst regardless of size.
Section 6.24.kEndocrine and Metabolic Conditions
Current hypothyroidism unless asymptomatic and demonstrated euthyroid by normal thyroid stimulating hormone testing within the last 12 months.
Section 6.24.lEndocrine and Metabolic Conditions
History of hyperthyroidism unless treated successfully with surgery or radioactive iodine.
Section 6.24.mEndocrine and Metabolic Conditions
Current nutritional deficiency diseases, including, but not limited to, beriberi, pellagra, and scurvy.
Section 6.24.nEndocrine and Metabolic Conditions
Dyslipidemia with low-density lipoprotein greater than 200 milligrams per deciliter (mg/dL) or triglycerides greater than 400 mg/dL. Dyslipidemia requiring more than one medication or low-density lipoprotein greater than 190 mg/dL on therapy. All those on medical management must have demonstrated no medication side effects (e.g., myositis, myalgias, or transaminitis) for a period of 6 months.
Section 6.24.oEndocrine and Metabolic Conditions
Metabolic syndrome, as defined in accordance with the 2005 National Heart, Lung, and Blood Institute and American Heart Association Scientific Statement as any three of the following: (1) Medically controlled hypertension or elevated blood pressure of greater than 130 mmHg systolic or greater than 85 mmHg diastolic. (2) Waist circumference greater than 35 inches for women and greater than 40 inches for men. (3) Medically controlled dyslipidemia or triglycerides greater than 150 mg/dL. (4) Medically controlled dyslipidemia or high-density lipoprotein less than 40 mg/dL in men or less than 50 mg/dL in women. (5) Fasting glucose greater than 100 mg/dL.
Section 6.24.pEndocrine and Metabolic Conditions
Metabolic bone disease including but not limited to: (1) Osteopenia, osteoporosis, or low bone mass with history of fragility fracture. (2) Paget's disease. (3) Osteomalacia. (4) Osteogenesis imperfecta.
Section 6.24.qEndocrine and Metabolic Conditions
History of hypogonadism that is congenital, treated with hormonal supplementation, or of unexplained etiology.
Section 6.24.rEndocrine and Metabolic Conditions
History of islet-cell tumors, nesidioblastosis, or hypoglycemia.
Section 6.24.sEndocrine and Metabolic Conditions
History of gout.
Section 6.24.tEndocrine and Metabolic Conditions
History of cross-sex hormone therapy.

What You Can Do Next

  1. 1
    Don'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.
  2. 2
    Understand 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.
  3. 3
    Be 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.
  4. 4
    Gather 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.
  5. 5
    Get 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.