Autism spectrum disorders
Autism spectrum disorders
What This Code Means
Receiving DQ code D231.91 means the DoDMERB physician reviewer determined that your medical history or exam findings related to autism spectrum disorders 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)
“Autism spectrum disorders.”
“Attention Deficit Hyperactivity Disorder, if with: (1) A recommended or prescribed Individualized Education Program, 504 Plan, or work accommodations after the 14th birthday; (2) A history of comorbid mental disorders; (3) Prescribed medication in the previous 24 months; or (4) Documentation of adverse academic, occupational, or work performance.”
“History of learning disorders after the 14th birthday, including, but not limited to, dyslexia, if any of the following apply: (1) With a recommended or prescribed Individualized Education Program, 504 Plan, or work accommodations after the 14th birthday; (2) With a history of comorbid mental disorders; or (3) With documentation of adverse academic, occupational, or work performance.”
“History of disorders with psychotic features such as schizophrenic disorders, delusional disorders, or other unspecified psychoses or mood disorders with psychotic features.”
“History of bipolar and related disorders (formerly identified as mood disorders not otherwise specified) including, but not limited to, cyclothymic disorders and affective psychoses.”
Waiver Outlook for Mental Health Conditions
Key Factors for Waiver Approval
- Cessation of medication use for at least 12 months
- Strong academic performance without accommodations (no IEP or 504 Plan)
- Positive evaluations from teachers or coaches indicating no impairment
- No comorbid conditions such as anxiety or depression
Independent psychological and cognitive testing confirming normal executive functioning can be one of the strongest pieces of evidence in an ADHD waiver 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 Mental Health Conditions
Learn how DoDMERB evaluates mental health conditions, common waiver scenarios, documentation tips, and what to expect throughout the process.
Read the mental health guide