UNSPSC 85561646: Supplement right middle ear with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to supplement right middle ear with nonautologous tissue substitute, 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 09U50KZ

UNSPSC 85561646, Supplement right middle ear with nonautologous tissue substitute, open approach, is a Commodity code that does not align with the recent state and local contract opportunities associated with it. The code nominally describes a specific surgical procedure—augmentation of the middle ear using synthetic or non-living tissue material—but the recent solicitations posted under this code cover occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for pension disability determinations, surgical benefit carve-outs for government employee health plans, and emergency medical services for detained youth. None of these opportunities involve middle ear surgery, otologic procedures, or tissue substitutes. The mismatch between the code's stated scope and the actual procurements suggests either a data-tagging error or that the code is being used as a catch-all for health services procurement rather than for the specific procedure it nominally describes.

Issuing bodies include county governments (Collier County, Harris County, Santa Clara County), state health systems and transportation departments (Washington State Department of Transportation, City of Long Beach), and municipal retirement offices (City of Phoenix). The most recent activities span Washington, Arizona, California, Florida, and Texas, with no single jurisdiction showing dominant repeat activity. Recent representative opportunities include the Washington State Department of Transportation's RFP for occupational medical surveillance services (proposals due October 9, 2026), the City of Phoenix Retirement Office's RFP for independent medical evaluation services for pension disability determinations ($750,000 contract over five years, proposals due October 16, 2026), the City of Long Beach's RFP for surgical and medical procedure carve-out benefits for employee health plans (proposals due October 7, 2026), Collier County's RFP for pharmacy benefit management services (proposals due April 9, 2026, with approximately $8.7 million in annual historical spending), and Santa Clara County Health System's RFQ for temporary health professional staffing across ancillary clinical categories (proposals due October 7, 2026). Given the disconnect between the code name and the solicitations it currently indexes, this code presents limited decision value for vendors seeking targeted opportunities in the actual procedure it nominally describes.