UNSPSC 85471125: Excision of medulla oblongata, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to excision of medulla oblongata, percutaneous approach. This surgical 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 00BD3ZZ

UNSPSC 85471125 Excision of medulla oblongata, percutaneous approach is a Commodity code that describes a surgical procedure; however, the recent state and local opportunities posted under this code do not reflect procedure-specific surgical work but instead reflect broader occupational health, independent medical evaluation, and healthcare benefit management services. The code shows substantial mismatch between its nominal scope and what state and local governments are actually soliciting under it. Recent opportunities include independent medical evaluation services for disability pension determinations, occupational health surveillance for transportation workers, specialty and emergency medical care for detained youth, pharmacy benefit management, surgical benefit carve-out programs, and temporary health professional staffing. The issuing bodies span city pension boards, state transportation departments, county juvenile probation authorities, county health systems, and municipal employers seeking to manage healthcare benefits and occupational compliance.

The geographic spread includes Arizona (Phoenix Retirement Office), Washington State (Department of Transportation), Texas (Harris County), Florida (Collier County), and California (Long Beach and Santa Clara County). Representative recent opportunities include the City of Phoenix Retirement Office RFP (RTMRFP26001) for independent medical evaluation services with a maximum contract value of $750,000 over five years and response due October 16, 2026; the Washington State Department of Transportation RFP (RFP20260825) for occupational medical surveillance services at 14 ferry system locations statewide with a two-year initial term and optional five-year extensions, pre-bid conference on August 31, 2026, and responses due October 9, 2026; and the County of Santa Clara Health System non-exclusive multiple-award qualification vehicle (RFSQHHSFY270052) for temporary health professional staffing across 13 ancillary clinical categories with responses due October 7, 2026. The code's current activity reflects healthcare administration and occupational health compliance rather than procedural surgery, indicating either miscoding in the sourcing system or substantial scope drift in how this Commodity designation is being applied in practice.