Military Medical Standards for Enlistment & Appointment

Nose, sinuses, and larynx

The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.

The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:


(1) Current allergic rhinitis (477.0), due to pollen (477.8) or due to other allergen or cause unspecified (477.9), if not controlled by oral medication or topical corticosteroid medication, is disqualifying. History of allergic rhinitis immunotherapy within the previous year is disqualifying.

(2) Current chronic non-allergic rhinitis (472.0), if not controlled by oral medication or topical corticosteroid medication, is disqualifying.

Current chronic conditions of larynx including vocal cord paralysis (478.3), chronic hoarseness, chronic laryngitis, larynx ulceration, polyps, granulation tissue, or other symptomatic disease of larynx, vocal cord dysfunction not elsewhere classified (478.7) are disqualifying.

Current anosmia or parosmia (781.1) is disqualifying.

History of recurrent epistaxis (784.7), with greater than one episode per week of bright red blood from the nose occurring over a 3-month period, is disqualifying.

Current nasal polyps (471) or history of nasal polyps, unless greater than 12 months has elapsed since nasal polypectomy, is disqualifying.

Current perforation of nasal septum (478.1) is disqualifying. g. Current chronic sinusitis (473), or current acute sinusitis (461.9), is disqualifying. Such conditions exist when evidenced by chronic purulent nasal discharge, hyperplastic changes of the nasal tissue, symptoms requiring frequent medical attention, or x-ray findings.

Current or history of tracheostomy (V44.0) or tracheal fistula (530.84) is disqualifying.

Current or history of deformities, or conditions or anomalies (750.9) of the upper alimentary tract, of the mouth, tongue, palate throat, pharynx, larynx, and nose that interfere with chewing, swallowing, speech, or breathing are disqualifying.

Current chronic pharyngitis (462) and chronic nasopharyngitis (472.2), are disqualifying.

Derived from Department of Defense (DOD) Directive 6130.3, "Physical Standards for Appointment, Enlistment, and Induction," and DOD Instruction 6130.4, "Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces."