OCA Service Codes and Fee Schedule

We are pleased to share the OCA’s 2026 Recommended Service Codes and Fee Schedule (“The Fee Schedule”) for chiropractors, patients, and payers. Our Fee Schedule provides guidance regarding fair and reasonable billing for chiropractic services. It is comprehensive, covering general and specialist chiropractic services, the most common billing methods and types, along with specific examples of various billing scenarios.
As in previous years, the recommended fees have been adjusted to reflect the cost of rendering care and current socio-economic circumstances. This year the Fee Schedule includes adjustments for the inflation index since 2026.
The Fee Schedule reflects services commonly provided by chiropractors, but not all services. The omission of a specific service from The Fee Schedule does not imply that any such service cannot or should not be rendered by a chiropractor or that such service is not within the scope of practice of a chiropractor. (For services not included in The Fee Schedule, the use of the recommended hourly rate is suggested as a guideline).

Download the OCA’s 2026 Recommended Service Codes and Fee Schedule