D174.11Genitourinary
Asymmetry in size or function of kidneys
"Asymmetry in size or function of kidneys, including but not limited to duplex kidney"
What This Code Means
Receiving DQ code D174.11 means the DoDMERB physician reviewer determined that your medical history or exam findings related to asymmetry in size or function of kidneys 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 6.15.j — Urinary System
“Asymmetry in size or function of kidneys, including, but not limited to, duplex kidney.”
Section 6.15.t — Urinary System
“Urolithiasis if any of the following apply: (1) Current stone of 3 mm or greater. (2) Current multiple stones of any size. (3) History of symptomatic urolithiasis within the previous 12 months. (4) History of nephrocalcinosis, bilateral renal calculi, or recurrent urolithiasis at any time. (5) History of urolithiasis requiring a procedure.”
Section 6.15.i — Urinary System
“Absence of one kidney, congenital or acquired.”
Section 6.15.l — Urinary System
“Chronic or recurrent pyelonephritis or any other unspecified infections of the kidney.”
Section 6.15.m — Urinary System
“History of polycystic kidney.”
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.