D190.10Blood & Hematologic
History of coagulation defects
History of coagulation defects
What This Code Means
Receiving DQ code D190.10 means the DoDMERB physician reviewer determined that your medical history or exam findings related to history of coagulation defects 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 6.22.c — Blood and Blood Forming System
“History of coagulation defects.”
Section 6.22.b — Blood and Blood Forming System
“Hereditary hemoglobin disorders, if any of the following apply (Sickle cell trait with hemoglobin S fraction of less than 45 percent; alpha thalassemia trait and beta thalassemia trait in the absence of anemia are normal variants and are not considered hemoglobin disorders): (1) Sickle cell disease (e.g., hemoglobin SS, hemoglobin SC, and hemoglobin S/beta thal); (2) Associated with anemia (hemoglobin less than 13.5 g/dl for males or less than 12 g/dl for females); (3) Sickle cell trait with a hemoglobin S fraction of 45 percent or higher; or (4) History of exercise collapse in an individual with sickle cell trait.”
Section 6.22.d — Blood and Blood Forming System
“Any history of chronic, or recurrent thrombocytopenia.”
Section 6.22.e — Blood and Blood Forming System
“History of deep venous thrombosis or pulmonary embolism.”
Section 6.22.f — Blood and Blood Forming System
“History of chronic or recurrent agranulocytosis or leukopenia.”
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.