UNSPSC 85563443: Alteration of nose with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to alteration of nose with synthetic 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 090K0JZ

UNSPSC 85563443 Alteration of nose with synthetic substitute, open approach is a Commodity code that shows a significant mismatch between its clinical procedure designation and the actual state and local procurement activity tagged under it. The recent solicitations posted under this code do not involve rhinoplasty or nasal surgical procedures; instead, they span occupational medical surveillance, independent medical evaluations for pension disability determinations, pharmacy benefit management, surgical procedure carve-out networks for health plan members, temporary health professional staffing, and emergency medical services for detained youth. The issuing bodies include county governments (Santa Clara County Health System, Collier County Board of County Commissioners, Harris County Juvenile Probation Department), state departments (Washington State Department of Transportation), cities (City of Phoenix, City of Long Beach), and special-purpose districts. This suggests either a systematic tagging misalignment in the source procurement systems or that the code is being used administratively for medical service procurement broadly rather than for the specific surgical procedure its name describes.

Recent activity spans six states and jurisdictions with no standout geographic cluster. The Washington State Department of Transportation is soliciting occupational medical surveillance services (RFP20260825, due October 9, 2026) for ferry system employees across 14 locations requiring board-certified occupational medicine physicians; the City of Phoenix Retirement Office is requesting independent medical evaluation services for disability pension determinations (RTMRFP26001, due October 16, 2026) at a maximum contract value of $750,000 over five years; and the City of Long Beach is seeking surgical procedure carve-out benefit management for a PPO health plan covering approximately 3,800 employees and retirees (RFP HR26753, due October 7, 2026). Collier County is procuring pharmacy benefit management services with historical annual spend near $8.7 million (RFP 25-8414). The code shows recent activity but carries no decision relevance for firms seeking to pursue clinical surgical services under an aligned code designation.