UNSPSC 85691900: Flat bones, open approach-part A

This class includes one or more of 17 standard surgical interventions or procedures on component parts of the flat bones with open approach. These surgical interventions or procedures are listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 PCS under code 0P.

UNSPSC 85691900 Flat bones, open approach—part A, is a Class code showing a mismatch between its nominal scope and actual state and local procurement activity. The recent solicitations tagged under this code do not align with the orthopedic surgical procedure classification the code name suggests. Instead, the opportunities posted reflect health benefit administration, occupational medical surveillance, independent medical evaluation services, pharmacy benefit management, and temporary health professional staffing—none of which involve flat-bone surgical procedures or operative orthopedic care. The City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) seeks medical record summarization and coordination of disability examinations for public safety personnel, requiring physician evaluation of approximately 75 annual disability benefit applications under Arizona's Public Safety Personnel Retirement System; the City of Long Beach's RFP for a surgical benefit carve-out program (HR26753, due October 7, 2026) requests Centers of Excellence networks for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures on a voluntary basis for employees and retirees; and the Washington State Department of Transportation's RFP for occupational medical surveillance services (RFP20260825, due October 9, 2026) specifies baseline, periodic, and exit examinations for ferry workers at 14 Washington locations, supervised by a board-certified occupational medicine physician. The code exhibits little relevant recent activity for the orthopedic surgical work its title describes.

Geographic activity spans Arizona, California, and Washington, with scattered activity in Texas and Florida. Issuing bodies include state transportation departments, city retirement offices, county health systems, county commissioners' offices, and county juvenile probation departments. The code does not support a clear pattern of genuine flat-bone surgical procurement at the state and local level in the recent opportunities block; the code's assignment to these opportunities appears to reflect administrative tagging error rather than substantive scope alignment. Firms pursuing actual orthopedic surgical services or flat-bone procedures under this code should verify UNSPSC classification with issuing bodies before bid preparation.