UNSPSC 85861208: Chiropractic manipulation of upper extremities, indirect visceral

This classification denotes the group of activities that yields a chiropractic intervention or procedure to chiropractic manipulation of upper extremities, indirect visceral. 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 9WB7XCZ

UNSPSC 85861208 Chiropractic manipulation of upper extremities, indirect visceral (Commodity) does not reflect the work state and local governments are actually buying under this code. The recent solicitations show no chiropractic manipulation activity; instead, they capture rehabilitation and therapeutic services for students and populations with disabilities, including orientation and mobility specialist services, speech-language pathology, occupational and physical therapy, music therapy, art therapy, peer support, and mental health counseling. The code shows a mismatch between its nominal scope and recent state and local procurement practice, with little to no relevant activity aligned to the code's stated definition.

State and local buyers posting under this code include school districts (Clayton County Public Schools Georgia, Eanes ISD Texas, Dougherty County School System Georgia, Tacoma Public Schools Washington, High Desert Education Service District Oregon, Crook County School District Oregon, Ocean Springs School District Mississippi, Central Consolidated School District New Mexico), state agencies (Texas Health and Human Services Commission, Michigan Department of Education, Washington State Department of Children Youth & Families, Bibb County School District Georgia), health authorities (Boulder County Public Health Colorado, Washington Health Care Authority), counties and municipalities (Ventura County California, Walworth County Wisconsin, Fulton County Georgia, Pinal County Arizona), and special-purpose districts (transit authorities, detention centers). Texas HHSC appears as a repeat buyer, posting multiple solicitations for orientation and mobility specialists, art therapy, music therapy, and peer support services across state supported living centers and psychiatric facilities. Recent representative opportunities include the Texas Health and Human Services Commission's solicitation (HHS0017698) for a Certified Orientation Mobility Specialist at Brenham State Supported Living Center, due July 28, 2026, as an IFB with a three-year initial term and historical spend of $13,000 annually; Michigan Department of Education's RFP for occupational therapy services at Michigan School for the Deaf, due July 28, 2026, specifying 600 estimated annual hours; and Eanes ISD's RFP 26-31-04-201 for comprehensive special education contracted services including speech-language pathology, occupational therapy, physical therapy, and behavioral services, due April 20, 2026, with estimated annual spending of approximately $3,000,000. Activity concentrates in Texas, Georgia, Michigan, Washington, Oregon, Wisconsin, Colorado, Mississippi, and Arizona, with Texas dominating recent posting volume across state-operated living centers and psychiatric facilities.