UNSPSC 85653127: Excision of left lower leg muscle, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to excision of left lower leg muscle, percutaneous endoscopic 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 0KBT4ZZ

UNSPSC 85653127, Excision of left lower leg muscle, percutaneous endoscopic approach, is a Commodity code that does not reflect the actual scope of work state and local governments are purchasing under this designation. The recent opportunities tagged to this code are overwhelmingly administrative and occupational health services — independent medical evaluations for disability retirement determinations, occupational medical surveillance for ferries employees, pharmacy benefit management, temporary health professional staffing, specialty surgical carve-out programs, and emergency medical services for detained youth — none of which align with the surgical procedure implied by the code name. State and local purchasing offices appear to be using this code inconsistently or incorrectly to classify employment-related medical administration and health benefit contracting rather than orthopedic surgical procedures.

The issuing bodies span diverse jurisdictions: municipal retirement offices (City of Phoenix), city human resources and benefits functions (City of Long Beach, Collier County), state transportation departments (Washington State Department of Transportation), county probation and health systems (Harris County Juvenile Probation Department, County of Santa Clara), and county commissioners' offices (Collier County Board of County Commissioners). Geographic activity includes Arizona, California, Florida, and Washington, with solicitation types ranging from RFPs to RFQs and RFIs. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026, $750,000 over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (due October 9, 2026), and the County of Santa Clara Health System's RFQ for a qualified vendor pool for temporary health professional staffing across ancillary clinical categories (due October 7, 2026). The code shows activity but limited relevance to its stated surgical scope, signaling either systematic miscoding or a mismatch between the taxonomy and how these jurisdictions are categorizing their actual health services procurements.