History of hip arthroscopy or femoral acetabular impingement
History of hip arthroscopy or femoral acetabular impingement
What This Code Means
Receiving DQ code D226.31 means the DoDMERB physician reviewer determined that your medical history or exam findings related to history of hip arthroscopy or femoral acetabular impingement 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)
“History of hip arthroscopy within the last 12 months, or with current symptoms.”
“History of anterior knee pain (patellofemoral syndrome, chondromalacia patellae, or retropatellar pain syndrome) within the last 24 months if associated with: (1) Objective findings on examination (e.g., effusion, crepitus, or positive compression test); (2) Inability to perform functional activities (e.g., running, squatting, or climbing stairs); or (3) Treatment or medical evaluation within the last 12 months.”
“History of total or partial joint replacement of any joint.”
“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.”
“History of acromioclavicular separation: (1) Grade III or higher at any time; (2) Grade I or II if symptomatic within the last 6 months.”
Waiver Outlook for Musculoskeletal Conditions
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
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