Downloaded from https://www.everyspec.com 2–4. Blood and blood-forming tissue diseases a. Anemia. Current hereditary or acquired anemia, which has not been corrected with therapy before appointment or induction, is disqualifying. For the purposes of this regulation, anemia is defined as hemoglobin of less than 13.5 for males and less than 12 for females. The following ICD–9 codes are used for diagnosed anemia: hereditary hemolytic anemia (282), sickle cell disease (282.6), acquired hemolytic anemia (283), aplastic anemia (284), or unspecified anemias (285). b. Hemorrhagic disorders.
Current or history of coagulation defects (286) to include, but not limited to von W i l l e b r a n d ’ s D i s e a s e ( 2 8 6 . 4 ) , i d i o p a t h i c t h r o m b o c y t o p e n i a ( 2 8 7 ) , o r H e n o c h - S c h ц n l e i n P u r p u r a ( 2 8 7 . 0 ) , i s disqualifying. c. Leukopenia. Current or history of diagnosis of any form of chronic or recurrent agranulocytosis and/or leukopenia (288.0) is disqualifying. 2–5. Dental a. Current diseases of the jaws or associated tissues that prevent normal functioning are disqualifying. Those diseases include, but are not limited to temporomandibular disorders (524.6) and/or myofascial pain that have not been corrected. b.
Current severe malocclusion (524), which interferes with normal mastication or requires early and protracted treatment, or a relationship between the mandible and maxilla that prevents satisfactory future prosthodontic replace- ment is disqualifying. c. Current insufficient natural healthy teeth (521) or lack of a serviceable prosthesis that prevents adequate incision and mastication of a normal diet and/or includes complex (multiple fixtures) dental implant systems with associated complications are disqualifying.
Individuals undergoing endodontic care are acceptable for entry in the Delayed Entry Program only if a civilian or military provider provides documentation that active endodontic treatment will be completed prior to being sworn into active duty. d. Current orthodontic appliances for continued treatment (V53.4) are disqualifying. Retainer appliances are permis- sible, provided all active orthodontic treatment has been satisfactorily completed.
Individuals undergoing orthodontic care are acceptable for enlistment in the Delayed Entry Program only if a civilian or military orthodontist provides documentation that active orthodontic treatment will be completed prior to being sworn into active duty. 2–6. Ears a. External ear. Current atresia (744.02) or severe microtia (744.23), congenital or acquired stenosis (380.5), chronic otitis externa (380.2), or severe external ear deformity (744.3) that prevents or interferes with the proper wearing of hearing protection is disqualifying. b. Mastoids.
Current or history of mastoiditis (383.9), residual with fistula (383.81), chronic drainage or conditions requiring frequent cleaning of the mastoid bone are disqualifying. Marked external deformity that prevents or interferes with wearing a protective mask or helmet (383.3) is disqualifying. c. Mйniиre’s syndrome. Current or history of Mйniиre’s syndrome or other chronic diseases of the vestibular system (386) is disqualifying. d. Middle and inner ear. Current or history of chronic otitis media (382), cholesteatoma (385.3), or history of any inner (P20) or middle (P19) ear surgery (including cochlear implantation) is disqualifying.
Myringotomy or successful tympanoplasty is not disqualifying. e. Tympanic membrane. Current perforation of the tympanic membrane (384.2) or history of surgery to correct perforation during the preceding 120 days (P19) is disqualifying. 2–7. Hearing a. Audiometers, calibrated to standards of the International Standards Organization (ISO 8253:1 1989) (reference (c)) or the American National Standards Institute (ANSI 1996), will be used to test the hearing of all applicants. b. All audiometric tracings or audiometric readings recorded on reports of medical examination or other medical records will be clearly identified. c.
Current hearing threshold level in either ear greater than that described below is disqualifying: (1) Pure tone at 500, 1000, and 2000 cycles per second for each ear of not more than 30 decibels (dB) on the average, with no individual level greater than 35 dB at those frequencies. (2) Pure tone level not more than 45 dB at 3000 cycles per second or 55 dB at 4000 cycles per second for each ear. (3) There is no standard for 6000 cycles per second. d. Current or history of hearing aid use (V53.2) is disqualifying. 2–8. Endocrine and metabolic disorders a. Current or history of adrenal dysfunction (255) is disqualifying. b. Current or history of diabetes mellitus (250) is disqualifying.
5 AR 40–501 • 14 December 2007