UNSPSC 85642038: Division of upper extremity subcutaneous tissue and fascia, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to division of 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 0J8V0ZZ

UNSPSC 85642038 Division of upper extremity subcutaneous tissue and fascia, open approach is a Commodity code that captures surgical and clinical healthcare services state and local governments procure on behalf of correctional facilities, county health plans, and municipal emergency services. The recent opportunities solicited under this code do not reflect the code's nominal surgical scope; instead, state and local issuing bodies are using it to tag broader healthcare contracting activity including inmate medical and pharmacy services, pharmacy benefit management, virtual primary and urgent care delivery, peer support services for behavioral health workers, and emergency medical direction. Correctional systems, county human resources departments managing employee health benefits, county emergency services divisions, and county behavioral health agencies issue opportunities under the code. The Columbus Consolidated Government's Muscogee County Prison procurement exemplifies one stream: a comprehensive inmate medical and pharmacy services contract covering sick call, chronic disease management, emergency services, and medication dispensing for a 576-inmate facility. Collier County's procurement of pharmacy benefit management services for 2,400 county employees and 4,800 covered dependents represents another. Monroe County's virtual primary care and 24/7 urgent care platform procurement and San Mateo County's peer support services for behavioral health workers reflect additional issuing-body diversity.

The code shows recent activity concentrated in Florida (Collier County, Monroe County) and Georgia (Columbus Consolidated Government / Muscogee County Prison), with additional solicitations from California (San Mateo County) and California municipalities (Santa Monica Fire Department). The Muscogee County Prison inmate medical services RFP, issued by Columbus Consolidated Government's Finance Department Purchasing Division, closed May 15, 2026, with evaluation weighted toward qualifications and experience (40%), service plan (40%), and client work history (15%); the current monthly cost is $95,537.71 under an incumbent (CorrectHealth Companies LLC). Collier County Board of County Commissioners Procurement Services Division issued RFP 25-8414 for pharmacy benefit management services with a closing date of April 9, 2026, covering approximately $8.7 million in historical annual pharmacy spending. Monroe County Board of County Commissioners issued an RFP for virtual primary and urgent care services with proposals due April 16, 2026, effective October 1, 2026. The mismatch between the code's nominal surgical definition and the actual healthcare administration, management, and service-delivery work being solicited signals that this code is being applied inconsistently to state and local healthcare procurements and may not reflect a distinct surgical-services market under UNSPSC taxonomy at state and local level.