History of disorders involving the immune mechanism, including immunodeficiencies
History of disorders involving the immune mechanism, including immunodeficiencies
What This Code Means
Receiving DQ code D271.00 means the DoDMERB physician reviewer determined that your medical history or exam findings related to history of disorders involving the immune mechanism, including immunodeficiencies 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 disorders involving the immune mechanism, including immunodeficiencies.”
“History of malignant hyperthermia.”
“History of acute allergic reaction to fish, crustaceans, shellfish, peanuts, or tree nuts including the presence of a food-specific immunoglobulin E antibody if accompanied by a correlating clinical history.”
“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. (2) History of latent tuberculosis infection, as defined by current Centers for Disease Control guidelines, unless there is documentation of completion of appropriate treatment.”
“Presence of human immunodeficiency virus (HIV) or laboratory evidence of infection or false-positive screening test(s) with ambiguous results by supplemental confirmation test(s) is not, in itself, disqualifying with respect to covered personnel (including Military Service Academy cadets and midshipmen, contracted SROTC cadets and midshipmen, and other participants in in-service commissioning programs seeking to commission while a Service member). Such covered personnel will be evaluated on a case-by-case basis.”
What You Can Do Next
- 1Don't panic — a DQ code is not a rejection. Many candidates receive disqualification codes and still earn appointments to Service Academies or ROTC scholarships. Focus on strengthening every other part of your application while addressing the medical issue.
- 2Understand the waiver process for your path. For Service Academy candidates, your admissions officer initiates the waiver request. For ROTC candidates, your detachment handles it. You cannot request a waiver directly from DoDMERB — it must come through your commissioning source.
- 3Be the strongest candidate possible. Waiver authorities consider the whole person — academics, athletics, leadership, and character. The more competitive your overall application, the more likely a waiver request will be initiated and approved.
- 4Gather the right medical documentation. Specialist evaluations, treatment records, and evidence that the condition is resolved or well-managed can make or break a waiver request. Knowing exactly what documentation to submit — and how to present it — matters.
- 5Get expert guidance early. LTC Kirkland (Ret.) has guided hundreds of Academy and ROTC candidates through the DoDMERB process, with medical review support from COL Cajigal (Ret.). A single consultation can clarify your waiver options and develop the right strategy for your specific situation.
Read Our Full Guide on Immune & Systemic Diseases Conditions
Learn how DoDMERB evaluates immune & systemic diseases conditions, common waiver scenarios, documentation tips, and what to expect throughout the process.
Read the immune & systemic diseases guide