UNSPSC 85563311: Replacement of nose with nonautologous tissue substitute, external approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of nose with nonautologous tissue substitute, external 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 09RKXKZ

UNSPSC 85563311 Replacement of nose with nonautologous tissue substitute, external approach is a Commodity code that carries a medical-procedure classification bearing little operational relevance to actual state and local procurement activity; the code does not reflect the scope of work being solicited under it in current opportunities. State and local buyers under this code are procuring occupational medical surveillance, disability medical evaluation services, surgical benefit management through Centers of Excellence networks, pharmacy benefit administration, temporary health professional staffing, and emergency or specialty medical services for detained youth—none of which involve nasal reconstruction or tissue grafting procedures. The issuing bodies include state transportation departments, county health systems, county commissioners' offices, county juvenile probation departments, and municipal retirement boards across multiple states. The mismatch between the code's nominal scope and the work actually being bought suggests either systematic miscoding in the source system or a broader use of this code as a catchall for medical services outside its intended definition.

The most recent activity comes from Washington, Arizona, California, and Florida. The Washington State Department of Transportation is requesting occupational medical surveillance services for ferry system workers across 14 locations, with a pre-bid conference held August 31, 2026 and proposals due October 9, 2026 (apparent successful bidder announced October 20, 2026). The City of Phoenix Retirement Office is soliciting disability medical record summary and independent medical evaluation services for public safety pension disability determinations, with an RFP due October 16, 2026 for a five-year, $750,000 contract. The County of Santa Clara Health System is establishing a qualified vendor pool for temporary ancillary health professional staffing across multiple clinical specialties (audiology, cardiology, diagnostics, therapy, and others), with proposals due October 7, 2026 under a five-year non-exclusive, multiple-award vehicle with no guaranteed volume. The City of Long Beach is seeking a surgical benefit carve-out program managing Centers of Excellence for orthopedic, spine, cardiac, and oncology procedures, with proposals due October 7, 2026 and anticipated contract execution in April 2027. Given the code's evident misdirection from the work actually being purchased, pursuit should be informed by confirmation that the buying organizations themselves are using this code or whether opportunities have been miscoded in the source system.