
PRINCIPAL PURPOSE: To provide information regarding a Soldier’s status when injury, illness, disease or death occurs. It tracks and ensure Soldiers are receiving proper benefits and …
Army Publishing Directorate
We would like to show you a description here but the site won’t allow us.
The DA Form 2173 and medical transcripts must have a definitive diagnosis in the form of an ICD-10 code for a LOD to be completed. An example of an ICD 10 definitive diagnosis code is M23.92: Unspecified internal derangement of left knee.
DA FORM 2173, OCT 72 REPLACES DA FORM 2173, 1 JUN 66, WHICH IS OBSOLETE.
Fillable Form DA 2173 (2021) | Edit, Sign & Download in PDF
Form DA 2173 is used to document a service member's injury, illness, or disease, and to determine whether it was incurred in the line of duty (LOD). This form is essential for processing medical claims and benefits related to service-connected conditions.
- 评论数: 30
Line of Duty - TRICARE
Initial medical documentation is required to process a DA Form 2173. Injuries’ resulting from a motor vehicle accident, the accident report is required. Soldiers requiring LOD’s for Medical Boards, the medical documentation needs to be within thirty days of injury. Line of duty office is located on 1st floor of the Bed Tower Side.
AR-MMC FAQ's - U.S. Army Reserve
Any injury, disease, death, or medical condition that occurs under strange or doubtful circumstances or which may be due to misconduct or willful negligence and all motor vehicle accidents must be...
A: Line of Duty (LOD) determination is an administrative tool for determining a Soldier’s duty status at the time of injury, illness, disability, or death. Eligibility to determine entitlements and benefits authorized by the Army National Guard will be determined by LOD determination.
DA FORM 2173, OCT 1972 REPLACES DA FORM 2173, 1 JUN 66, WHICH IS OBSOLETE.
DA Form 2173 - Statement Of Medical Examination And Duty Status
2022年9月9日 · What is a DA Form 2173? A DA Form 2173 is a document used by the Department of the Army when a soldier is injured in the line of duty. These documents must be completed within 7 days of the incident and are valid for 60 or 90 days. Upon completion, the document must be submitted for review and approval by superiors.
- 某些结果已被删除