20 C.F.R. § 10.311

What are the special rules for the services of chiropractors?

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(a) The services of chiropractors that may be reimbursed are limited by the FECA to treatment to correct a spinal subluxation. The costs of physical and related laboratory tests performed by or required by a chiropractor to diagnose such a subluxation are also payable.

(b) In accordance with 5 U.S.C. 8101(3), a diagnosis of spinal “subluxation as demonstrated by X-ray to exist” must appear in the chiropractor's report before OWCP can consider payment of a chiropractor's bill.

(c) A chiropractor may interpret his or her x-rays to the same extent as any other physician. To be given any weight, the medical report must state that x-rays support the finding of spinal subluxation. OWCP will not necessarily require submittal of the x-ray, or a report of the x-ray, but the report must be available for submittal on request.

(d) A chiropractor may also provide services in the nature of physical therapy under the direction of, and as prescribed by, a qualified physician.

Notes of Decisions

Cited in 2 cases, 1996–1996 · leading case: James L. Hanauer v. Robert B. Reich, Sec'y of Labor, 82 F.3d 1304 (4th Cir. 1996).

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James L. Hanauer v. Robert B. Reich, Sec'y of Labor, 82 F.3d 1304 (4th Cir. 1996). · cites it 10× “The "prospective discretion" of 20 CFR 10.311 is no discretion, and abuse of discretion could have no clearer name.”

Hanauer v. Reich, Sec (4th Cir. 1996). · cites it 9× “The Secretary summarily denied the request, relying on 20 C.F.R, § 10.311, which provides that lump-sum 2 payment of wage-loss benefits will no longer be made.”

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