UNSPSC 85641751: Revision of nonautologous tissue substitute in upper extremity subcutaneous tissue and fascia, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of nonautologous tissue substitute in upper extremity subcutaneous tissue and fascia, 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 0JWV0KZ

UNSPSC 85641751 Revision of nonautologous tissue substitute in upper extremity subcutaneous tissue and fascia, open approach is a Commodity code that shows minimal alignment with actual state and local procurement activity. The code's clinical-procedure nomenclature—derived from medical billing taxonomy—does not match the scope of work being solicited by public agencies under this designation. Recent state and local opportunities tagged to this code encompass occupational medical surveillance, independent medical evaluations for pension and disability determinations, pharmacy benefit management, surgical Center of Excellence carve-out networks, temporary health professional staffing, and youth detention healthcare services. None of these services involve tissue substitution, orthopedic procedures, or the upper extremity surgical interventions the code nominally describes. The issuing bodies include city retirement offices, county health systems and procurement divisions, state transportation agencies, and county juvenile probation departments—a mix spanning municipal and regional authorities across health administration and benefits management functions rather than surgical or orthopedic service delivery.

The geographic spread of recent activity appears concentrated in the Southwest (Arizona, California) and Pacific Northwest (Washington), with activity also in Texas and Florida, though the mismatch between code definition and actual procurement scope limits the utility of geographic pattern analysis. Representative recent opportunities include the City of Phoenix Retirement Office's RFP RTMRFP26001 for independent medical evaluation services (response due October 16, 2026), the Washington State Department of Transportation's RFP 20260825 for occupational medical surveillance services across 14 ferry system locations (response due October 9, 2026 with pre-bid conference August 31, 2026), the City of Long Beach's HR26753 for surgical Center of Excellence carve-out benefit management (response due October 7, 2026), and Collier County's RFP 25-8414 for pharmacy benefit management services (response due April 9, 2026). This code exhibits little relevant recent activity; the presence of these opportunities under a tissue-substitution commodity designation suggests either classification error at the source or use of the code as a catch-all placeholder for health services procurement.