UNSPSC 85621149: Extirpation of matter from bilateral adrenal glands, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to extirpation of matter from bilateral adrenal glands, 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 0GC40ZZ

UNSPSC 85621149 Extirpation of matter from bilateral adrenal glands, open approach is a Commodity code whose nominal scope does not align with the work actually appearing in recent state and local solicitations under this code. The six opportunities posted since mid-July 2026 span occupational medical surveillance, independent medical evaluations for pension disability determinations, surgical benefit carve-out administration, pharmacy benefit management, temporary health professional staffing pool qualification, and emergency medical services for detained youth—none of which involve surgical extirpation of adrenal tissue. The code appears to serve as a catch-all classifier for health services procurement when more specific medical-service codes are unavailable or when procurement systems default incorrectly. State and local health agencies, municipal pension offices, county commissioners, and public health systems are posting opportunities under this code, but the work being solicited bears no direct relationship to its defined commodity.

Recent opportunities span Arizona, California, Washington, Texas, and Florida. The City of Phoenix Retirement Office issued an RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluation services supporting disability pension determinations, budgeted at $750,000 over five years. The City of Long Beach released an RFP (HR26753, due October 7, 2026) for surgical and medical procedure carve-out benefits through Centers of Excellence for approximately 3,800 Anthem PPO members. The Washington State Department of Transportation issued an RFP (RFP20260825, due October 9, 2026) for occupational medical surveillance across 14 ferry terminals statewide. Harris County Juvenile Probation Department posted an RFI (071626BNM, due September 25, 2026) for hospital and specialty medical services for detained youth. Collier County Commissioners solicited pharmacy benefit management services (RFP 25-8414, deadline April 9, 2026 now past) serving 2,400 employees and 4,800 covered members with historical annual pharmacy spending of approximately $8.7 million. Santa Clara County Health System established a multiple-award temporary staffing pool (RFSQHHSFY270052, due October 7, 2026) covering 13 ancillary clinical categories excluding nursing and physician services. The code shows little relevant recent activity and represents a misalignment between UNSPSC taxonomy and actual procurement need.