D226.10Musculoskeletal

History of joint replacement or resurfacing of any site

History of joint replacement or resurfacing of any site

What This Code Means

Receiving DQ code D226.10 means the DoDMERB physician reviewer determined that your medical history or exam findings related to history of joint replacement or resurfacing of any site 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.hMiscellaneous Conditions of the Extremities
History of total or partial joint replacement of any joint.
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.dMiscellaneous Conditions of the Extremities
History of osteoarthritis or traumatic arthritis of any major joint if: (1) Symptomatic within the last 12 months; (2) Requiring prescription medication; or (3) Resulting in functional limitation.
Section 6.19.oMiscellaneous Conditions of the Extremities
History of osteochondral defect (osteochondritis dissecans) of any joint: (1) Within the last 12 months; or (2) With current symptoms or functional limitation.
Section 6.19.pMiscellaneous Conditions of the Extremities
History of chondromalacia of any joint, other than the patella, if symptomatic within the last 12 months.

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