UNSPSC 85474104: Destruction of abducens nerve, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to destruction of abducens nerve, percutaneous endoscopic 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 005L4ZZ

UNSPSC 85474104 Destruction of abducens nerve, percutaneous endoscopic approach (Commodity) shows a significant mismatch between its nominal scope and what state and local governments are actually procuring under this code. The recent solicitations tagged to this code do not involve nerve destruction procedures or percutaneous endoscopic surgery; instead, they cover occupational and disability medical evaluation services, pharmacy benefit management, temporary health professional staffing, Centers of Excellence surgical carve-out programs, and emergency medical services for detained youth. The code appears to have been misapplied to general medical service procurement rather than the specific neurosurgical procedure its name describes. State and local buyers issuing under this code include city retirement offices, county health systems, state transportation agencies, county probation departments, and county commissioners' procurement divisions.

Recent activity spans Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office posted an RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluation services to support disability pension determinations, with a maximum contract value of $750,000 over five years. The Washington State Department of Transportation posted an RFB (RFP20260825, due October 9, 2026) for occupational medical surveillance services across 14 ferry system locations, requiring board-certified occupational medicine physicians. The City of Long Beach solicited proposals for surgical Centers of Excellence and bundled payment programs (HR26753, due October 7, 2026) covering orthopedic, cardiac, oncology, and weight-loss procedures for approximately 3,800 employees and retirees. Santa Clara County Health System established a non-exclusive multiple-award vendor pool for temporary health professional staffing across ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). Collier County issued an RFP for pharmacy benefit management services (RFP 25-8414, due April 9, 2026, noting a past submission deadline) with historical annual spending of approximately $8.7 million. Given the disconnect between the code's neurosurgical description and the actual medical services solicitations, this code does not represent a coherent procurement stream for business development purposes.