UNSPSC 85681238: Replacement of left mandible with autologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of left mandible with autologous tissue substitute, 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 0NRV07Z

UNSPSC 85681238 Replacement of left mandible with autologous tissue substitute, open approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local solicitations show little activity aligned with this narrow clinical definition. The opportunities posted under this code diverge substantially from orthognathic or reconstructive jaw surgery; instead, they span occupational medical surveillance, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, and surgical carve-out benefit programs for municipal employees and retirees. The issuing bodies include state departments (Washington State Department of Transportation), county governments (Harris County, Collier County, Santa Clara County), and cities (Phoenix, Long Beach). None of these opportunities actually procure mandible replacement procedures or related surgical supplies or implants.

Geographic activity is dispersed across Washington, Arizona, California, Texas, and Florida, with no dominant concentration. Representative recent solicitations include the Washington State Department of Transportation's request for occupational medical surveillance services for ferry workers across 14 Washington locations (RFP20260825, due October 9, 2026); the City of Phoenix's RFP for independent medical evaluation services supporting public safety pension disability determinations (RTMRFP26001, due October 16, 2026); the City of Long Beach's RFP for surgical and medical procedure carve-out benefits for municipal employees and retirees (HR26753, due October 7, 2026); and Santa Clara County Health System's non-exclusive multiple-award vendor qualification vehicle for temporary health professional staffing across ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). The code appears to carry a mislabeling or categorization error within state and local procurement systems; the clinical specificity of the UNSPSC definition does not match the administrative and occupational health services actually being bought under this tag.