Yes, but narrowly. OWCP pays chiropractors only to correct a spinal subluxation, and the x-ray has to show it.
The x-ray rule
By law, chiropractic care is covered only to correct a spinal subluxation. The chiropractor's report must include a diagnosis of spinal subluxation "as demonstrated by X-ray to exist" before OWCP will consider paying the bill.
- The chiropractor can read their own x-rays, like any other physician.
- The report must say the x-rays support the finding. OWCP may not ask for the films, but they must be available if requested.
- Exams and lab tests needed to diagnose the subluxation are payable too.
Physical therapy by a chiropractor
A chiropractor can also give physical therapy type care, but only under the direction of a qualified physician who prescribes it.
What this means for you
For a back or neck injury, many people start with a medical doctor, such as an occupational medicine, orthopedic or physical medicine doctor, and add chiropractic or physical therapy as part of the plan. If you see a chiropractor, ask up front whether they take x-rays and are familiar with OWCP's subluxation rule.
Find offices that billed OWCP in the last 12 months near you.
Common questions
Will OWCP pay a chiropractor for a shoulder or knee injury?
Only to correct a spinal subluxation shown by x-ray. Care for other conditions, such as a shoulder or knee, generally needs a medical doctor or a physical therapist under a physician's direction.
Sources
Last reviewed October 4, 2026. This guide explains the rules in plain English and is not legal advice.
