UNSPSC 85861120: Chiropractic manipulation of sacrum, mechanically assisted

This classification denotes the group of activities that yields a chiropractic intervention or procedure to chiropractic manipulation of sacrum, mechanically assisted. This chiropractic intervention or procedure is listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 as code 9WB4XKZ

UNSPSC 85861120 Chiropractic manipulation of sacrum, mechanically assisted is a Commodity code, but the recent state and local opportunities posted under this code show no actual demand for chiropractic services. Instead, the opportunities tagged to this code reflect a far broader therapeutic and rehabilitation service landscape: orientation and mobility instruction for visually impaired and blind individuals, occupational and physical therapy, speech-language pathology, mental health counseling, peer support, and specialized clinical services in education and behavioral health settings. The disconnect between the code name and the work being solicited suggests either a data-entry or taxonomy-mapping issue in state procurement systems. State and local governments are actively buying therapeutic rehabilitation services across education, behavioral health, and state-operated care facilities through Texas Health and Human Services, Michigan Department of Education, Washington State Department of Children Youth & Families, Georgia counties, Florida school districts, Colorado counties, and Wisconsin health departments, issuing RFPs, RFQs, and IFBs for licensed therapists, counselors, and specialists with appropriate state credentials and certification. The issuing bodies span state agencies, county systems, school districts (both individual and regional education service districts), and specialized care facilities, with repeat activity from Texas HHSC, multiple Georgia and Florida school districts, and Washington state departments.

Geographic concentration is heaviest in Texas (multiple HHSC solicitations for vision rehabilitation and psychiatric services), Georgia (school districts and county behavioral health), Florida (Hillsborough County schools), and Washington (state health care and child welfare agencies), with additional activity in Oregon, Colorado, Wisconsin, Michigan, Mississippi, Arizona, New Mexico, and California. Representative recent opportunities include the Texas Health and Human Services Commission soliciting Certified Orientation and Mobility Specialists at Brenham State Supported Living Center (RFQ HHS0017698, due 28 July 2026) for $13,000 historical annual value; Michigan Department of Education requesting Occupational Therapy services for the Michigan School for the Deaf (RFP 260000002364, due 28 July 2026) at approximately 600 billable hours annually; Clayton County Public Schools in Georgia issuing RFP 007-26 for multiple speech-language pathologists, occupational therapists, and physical therapists across 67 schools (due 14 April 2026) with maximum hourly rates specified ($74 SLP-CCC, $71 OT/PT); and Hillsborough County Public Schools in Florida seeking speech-language pathology staffing for approximately 100 SLP and 2 SLPA vacancies (due 23 March 2026) with an estimated annual budget of $11.6 million. Insurance requirements are consistent across solicitations: commercial general liability ($1 million per occurrence / $2 million aggregate typical), professional liability ($1 million), workers' compensation, and often umbrella coverage ($1 million). Most contracts run 1–3 years with renewal options; pricing is firm-fixed or hourly, with CPI adjustments permitted in some cases upon renewal.