Miscellaneous condition of the pulmonary system $
Miscellaneous condition of the pulmonary system - $ $$
What This Code Means
Receiving DQ code D242.90 means the DoDMERB physician reviewer determined that your medical history or exam findings related to miscellaneous condition of the pulmonary system $ 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 pulmonary hypertension or right ventricular systolic pressure greater than 30 mm of mercury (mmHg) or pulmonary artery systolic pressure greater than or equal to 36 mmHg on the most recent echocardiogram.”
“Interstitial lung disease including pulmonary fibrosis.”
“History of pulmonary or systemic embolus.”
“Tuberculosis: (1) History of active pulmonary or extra-pulmonary tuberculosis in the last 24 months or history of active pulmonary or extra-pulmonary tuberculosis without reliable documentation of adequate treatment, or (2) History of latent tuberculosis infection, as defined by current Centers for Disease Control and Prevention guidelines, unless documentation of completion of appropriate treatment.”
“Any abnormal findings on imaging or other examination of body structure, such as the lungs, diaphragm, or other thoracic or abdominal organs, unless the findings have been evaluated and further surveillance or treatment is not required.”
Waiver Outlook for Respiratory Conditions
Key Factors for Waiver Approval
- Absence of exercise-induced symptoms during high school sports or strenuous activities
- Clear documentation of no symptoms or medication after age 13
- Methacholine challenge or spirometry confirming no asthma response
- Successful exercise test demonstrating normal cardiopulmonary function
If you have the option of using a private physician for remedial testing, it gives you more control over the process and timeline. You can scan and email results directly to DoDMERB, and seek a different provider if the first results are unfavorable.
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 Respiratory Conditions
Learn how DoDMERB evaluates respiratory conditions, common waiver scenarios, documentation tips, and what to expect throughout the process.
Read the respiratory guide