UNSPSC 85472278: Transfer hypoglossal nerve to vagus nerve, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to transfer hypoglossal nerve to vagus nerve, open 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 00XS0ZQ

UNSPSC 85472278 Transfer hypoglossal nerve to vagus nerve, open approach is a Commodity code whose stated scope describes a highly specific surgical procedure, yet recent state and local contract opportunities posted under this code show no alignment with that procedure. The six most recent opportunities tagged to this code solicit disability medical evaluation services, surgical benefit carve-out programs for municipal employees, occupational medical surveillance, youth detention healthcare, pharmacy benefit management, and temporary health professional staffing — none of which involve nerve transfer surgery or operative neurosurgery. The mismatch between the code's nominal scope and the actual work being bought suggests either systematic miscoding in state and local procurement systems or that this code is being used as a catch-all for medical services unrelated to its defined procedure. Issuing bodies include county human resources and procurement divisions (Collier County, Santa Clara County), municipal retirement offices (City of Phoenix), state transportation departments (Washington State Department of Transportation), county juvenile justice systems (Harris County), and regional health systems (City of Long Beach, Santa Clara Health System).

Recent activity spans Arizona, California, Washington State, Florida, and Texas. The most concrete opportunity is the City of Phoenix Retirement Office's RFP (RTMRFP26001) for independent medical evaluation services with a $750,000 five-year contract cap and an October 16, 2026 response deadline; the Washington State Department of Transportation's RFP (RFP20260825) for occupational medical surveillance with a pre-bid conference on August 31, 2026 and an October 9, 2026 response deadline; and the Collier County Board of County Commissioners' RFP (258414) for pharmacy benefit management covering approximately $8.7 million in annual historical pharmacy spending. Given the systematic mismatch between the code definition and posted opportunities, this code shows little relevant recent activity for firms focused on surgical or procedural services.