UNSPSC 85681319: Removal of internal fixation device from facial bone, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to removal of internal fixation device from facial bone, 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 0NPW04Z

UNSPSC 85681319, Removal of internal fixation device from facial bone, open approach, is a Commodity code that shows a material mismatch between its clinical-procedure nomenclature and the actual work state and local governments are soliciting under it. The recent opportunities tagged to this code do not involve surgical removal of internal fixation devices from facial bones. Instead, state and local buyers are using this code tag for occupational medical surveillance, independent medical evaluations, pharmacy benefit management, surgical benefit carve-out programs, temporary health professional staffing, and emergency medical services for detained youth. These solicitations reflect administrative healthcare procurement — the coordination of examinations, scheduling, provider networks, and benefits management — rather than direct surgical or procedural services. The issuing bodies include municipal retirement offices (City of Phoenix), city human resources departments (City of Long Beach), state transportation agencies (Washington State Department of Transportation), county probation departments (Harris County), county government (Collier County), and county health systems (Santa Clara Health System).

Recent opportunities span four states: Arizona (Phoenix Retirement Office independent medical evaluations, October 16, 2026 RFP response), California (Long Beach surgical benefit carve-out, October 7, 2026 RFP response; Santa Clara Health System temporary staffing, October 7, 2026 RFP response), Washington (WSDOT occupational medical surveillance across 14 ferry system locations, October 9, 2026 RFP response with pre-bid August 31, 2026), and Florida (Collier County pharmacy benefit management). The Phoenix Retirement Office is soliciting independent medical evaluation services including disability record preparation and psychiatric examination scheduling, with a five-year contract ceiling of $750,000 commencing February 3, 2027. The WSDOT is seeking occupational medical surveillance for ferry workers across four personnel categories with a two-year base term and options to extend five additional one-year periods, with evaluation weighting 40 percent cost and 60 percent non-cost factors. The code shows significant geographic and issuing-body fragmentation across municipal, county, and state health and human services procurement, though the opportunities are clinically and administratively unrelated to the code's stated surgical procedure scope.