UNSPSC 85471000: Brain stem hindbrain-structures controlling reflexes movement vital functions, open approach

This class includes one or more of 22 standard surgical interventions or procedures on component parts of the brain stem or hindbrain, open approach. These surgical interventions or procedures are listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 PCS under code 00.

UNSPSC 85471000 Brain stem hindbrain-structures controlling reflexes movement vital functions, open approach is a Class code showing significant mismatch between its anatomical nomenclature and actual state and local procurement activity. The recent opportunities tagged under this code do not involve medical devices, surgical supplies, or anatomical structures; instead, they reflect healthcare services procurement across multiple operational domains. State and local governments are soliciting comprehensive inmate medical and pharmacy services, pharmacy benefit management administration for employee health plans, virtual primary and urgent care platforms, peer support services for behavioral health workers, and emergency medical services medical direction. The issuing bodies include county boards of commissioners (Collier County, Monroe County), consolidated city-county governments (Columbus Consolidated Government), county health departments (San Mateo County), and municipal fire departments (Santa Monica). This suggests the code is being applied inconsistently to healthcare delivery contracts rather than to the medical products or anatomical components the code name indicates, signaling potential classification error in state and local systems.

Recent opportunities span Florida (Collier County and Monroe County), Georgia (Muscogee County via Columbus Consolidated Government), California (San Mateo County and Santa Monica), and show primary activity among county-level healthcare purchasers managing employee and constituent wellness programs. The Columbus Consolidated Government issued RFP No. 26-0008 on April 15, 2026, for inmate medical and pharmacy services covering approximately 576 inmates, due May 15, 2026, with a current monthly cost of $95,537.71 and a two-year initial term with three optional one-year renewals. Collier County issued RFP 25-8414 on April 9, 2026, for pharmacy benefit management services covering 2,400 employees and 4,800 covered members with historical annual pharmacy spending of approximately $8.7 million. Monroe County issued an RFP on March 12, 2026, for virtual primary care and 24/7 urgent care services covering 2,300 county members, with sealed proposals due April 16, 2026, and contract effective October 1, 2026. These opportunities emphasize performance guarantees, integration with existing health platforms, and transparent pricing structures, though no specific dollar ceiling or set-aside designations appear across the sample. The code's recent activity suggests it is capturing broad healthcare service contracts rather than the specific anatomical or device-level work its nomenclature implies, limiting its utility as a purchasing classification in this domain.