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Panama Tax Information

7% ITBMS

ITBMS is 7% (10% for alcohol/tobacco). No income tax on foreign income. RUC required.

Chiropractor Services to Invoice

  • Spinal adjustment
  • Initial examination
  • X-ray analysis
  • Therapeutic exercise
  • Soft tissue therapy
  • Nutritional counseling
  • Rehabilitation

Invoice Requirements in Panama

RUC number
DGI registration
Client RUC
Invoice number
ITBMS (7%)
Total in PAB/USD

Payment Terms

Payment at time of service or insurance billing. Packages paid upfront.

Contado15 días30 díasCrédito

Payment Methods in Panama

Bank TransferBanco GeneralBanistmoCredit CardCash USD

Chiropractor Invoice Tips

  • Include CPT codes
  • Note diagnosis codes
  • Reference treatment plan
  • Document session time
  • Track insurance details

Frequently Asked Questions

What tax rate applies to chiropractor invoices in Panama?

Panama has 7% ITBMS. ITBMS is 7% (10% for alcohol/tobacco). No income tax on foreign income. RUC required.

What payment methods are common for chiropractors in Panama?

Common payment methods in Panama include: Bank Transfer, Banco General, Banistmo, Credit Card, Cash USD. Payment at time of service or insurance billing. Packages paid upfront.

What should chiropractor invoices include in Panama?

Your invoice should include: RUC number, DGI registration, Client RUC, Invoice number. For chiropractor services specifically, also include: Spinal adjustment, Initial examination, X-ray analysis.

How to invoice insurance?

Use standard CMS-1500 forms or superbills with correct CPT/ICD codes.

Bill for missed appointments?

State policy clearly. Charge fee for no-shows without 24h notice.

What is Panama's ITBMS rate?

Panama applies 7% ITBMS on most goods and services. Higher rates for alcohol, tobacco, hotels. Exports exempt.