D226.00Musculoskeletal

Orthopedic injury occurring in the preceding 6 months $

Current or history of contusion of bone or joint - $ $$; an injury of more than a minor nature that shall interfere or prevent performance of military duty, or shall require frequent or prolonged treatment, without fracture, nerve injury, open wound, crush, or dislocation, that occurred in the preceding 6 months and recovery has not been sufficiently completed or rehabilitation resolved

What This Code Means

Receiving DQ code D226.00 means the DoDMERB physician reviewer determined that your medical history or exam findings related to orthopedic injury occurring in the preceding 6 months $ 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 6.19.uMiscellaneous Conditions of the Extremities
History of bone stress reaction or stress injury (not meeting criteria for stress fracture) requiring treatment or activity modification within the last 6 months.
Section 6.19.eMiscellaneous Conditions of the Extremities
History of fracture of any bone: (1) Current non-union or malunion of any fracture. (2) History of fracture within the last 6 months unless completely healed with full restoration of function. (3) History of stress fracture within the last 6 months. (4) History of fracture with retained hardware that interferes with wearing military equipment, or that would be expected to require removal.
Section 6.19.bMiscellaneous Conditions of the Extremities
History of dislocation or instability of any major joint (shoulder, hip, elbow, knee, or ankle), including, but not limited to, recurrent dislocations, subluxations, or multidirectional instability: (1) Within the last 12 months; or (2) Requiring surgical stabilization within the last 12 months or with persistent instability.
Section 6.19.lMiscellaneous Conditions of the Extremities
History of abnormal bone density (T-score below -1.0 on dual-energy x-ray absorptiometry) or history of fragility fracture.
Section 6.19.fMiscellaneous Conditions of the Extremities
Current presence of orthopedic implants, plates, screws, pins, or other hardware: (1) If symptomatic; (2) If the hardware interferes with wearing military equipment or performing military duties; or (3) If planned removal is anticipated.

Waiver Outlook for Musculoskeletal Conditions

High Likelihoodif surgery (e.g., ACL reconstruction) is successful and the applicant demonstrates full recovery and range of motion

Key Factors for Waiver Approval

  • Documentation of full rehabilitation, strength, and agility
  • No recurrent dislocations or chronic pain
  • Full range of motion confirmed by orthopedic evaluation
  • Active participation in competitive sports post-recovery
Documentation Tip

For scoliosis cases, the key threshold is the Cobb angle measurement. Having your own imaging and specialist evaluation ready — rather than relying solely on DoDMERB's assessment — can strengthen your case.

This condition is covered in depth in The Ultimate DoDMERB Handbook by LTC Kirkland & Capt Dach — including real success scenarios, remedial exam strategies, and the complete waiver playbook. Get the handbook →

Read Our Full Guide on Musculoskeletal Conditions

Learn how DoDMERB evaluates musculoskeletal conditions, common waiver scenarios, documentation tips, and what to expect throughout the process.

Read the musculoskeletal guide