UNSPSC 85642135: Transfer right upper arm subcutaneous tissue and fascia with skin, subcutaneous tissue and fascia, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to transfer right upper arm subcutaneous tissue and fascia with skin, subcutaneous tissue and fascia, percutaneous 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 0JXD3ZC

UNSPSC 85642135, Transfer right upper arm subcutaneous tissue and fascia with skin, subcutaneous tissue and fascia, percutaneous approach, is a Commodity code that shows a significant mismatch between its clinical-procedure nomenclature and the actual work state and local governments are buying under it. The recent opportunities posted against this code do not involve orthopedic surgical procedures or tissue transfer; instead, they span occupational and disability medical surveillance, pharmacy benefit management, independent medical evaluations for pension determinations, surgical care networks, and temporary health professional staffing. The code appears to have been misapplied or repurposed in state and local procurement systems to capture broader healthcare services and medical administration work that falls outside its literal clinical scope. State and local issuing bodies using this code include county health systems (Santa Clara County Health System), county human resources and benefits offices (Collier County Board of County Commissioners, City of Long Beach), state transportation departments (Washington State Department of Transportation), city retirement offices (City of Phoenix), county juvenile justice agencies (Harris County Juvenile Probation Department), and county probation departments.

Recent opportunities are geographically distributed across Arizona, California, Florida, and Washington. Representative current solicitations include the Washington State Department of Transportation's request for occupational medical surveillance services across 14 ferry system locations, with proposals due October 9, 2026 and requiring a pre-bid conference; the City of Phoenix Retirement Office's RFP for independent medical evaluation services for disability pension determinations, due October 16, 2026, at a maximum contract value of $750,000 over five years; the City of Long Beach's RFP for surgical and medical procedure carve-out benefits through Centers of Excellence for its Anthem PPO plan, due October 7, 2026; and the County of Santa Clara Health System's solicitation to establish a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories, due October 7, 2026. The code shows no relevant recent activity aligned with its stated clinical definition.