UNSPSC 85473800: Upper cranial nerves-vision ocular movement, open approach-part A

This class includes one or more of 22 standard surgical interventions or procedures on component parts of the upper cranial nerves, controlling vision and ocular movement, 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 85473800 Upper cranial nerves-vision ocular movement, open approach-part A is a Class code that shows minimal alignment between its nominal medical taxonomy label and actual state and local procurement activity. The recent opportunities tagged under this code do not procure ophthalmic or neurological services; instead, they solicit comprehensive health care management, pharmacy benefit administration, virtual primary care platforms, mental health peer support services, and fire department medical direction. The issuing bodies include county governments (Muscogee County, Georgia; Collier County, Florida; Monroe County, Florida; San Mateo County, California) and municipal fire departments (Santa Monica), reflecting a mix of county health administration, county benefits procurement, and municipal emergency services contracting. The work being solicited encompasses inmate medical and pharmacy services, county employee pharmacy benefit management and virtual care platforms, mental health innovation pilots, and EMS medical oversight—none of which corresponds to the code's stated focus on cranial nerve and ocular movement procedures.

Geographic activity spans Florida (Collier County, Monroe County), Georgia (Muscogee County), California (San Mateo County), and California municipalities (Santa Monica), with no concentration in any single state. Representative recent opportunities include Columbus Consolidated Government's RFP No. 26-0008 for inmate medical and pharmacy services at Muscogee County Prison (due May 15, 2026, current monthly cost $95,537.71 under CorrectHealth Companies LLC), Collier County Board of County Commissioners' RFP 25-8414 for pharmacy benefit management services covering 2,400 employees and 4,800 covered members with historical annual pharmacy spending of approximately $8.7 million (due April 9, 2026), Monroe County's RFP 628 for virtual primary and urgent care services for 2,300 members (due April 16, 2026, effective October 1, 2026), and San Mateo County's RFP No. 2025-007 for mental health peer support services totaling $580,000 over three years. The code's taxonomy appears misaligned with actual procurement scope, and the activity does not reflect meaningful volume under its stated clinical classification.