UNSPSC 85691946: Reposition left rib with internal fixation device, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to reposition left rib with internal fixation device, 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 0PS204Z

UNSPSC 85691946 Reposition left rib with internal fixation device, open approach is a Commodity code that shows minimal alignment between its nominal scope and the state and local contract opportunities currently tagged under it. The recent solicitations posted under this code do not involve orthopedic surgical procedures or internal fixation devices; instead, they reflect healthcare administration, management, and delivery services including inmate medical and pharmacy management, pharmacy benefit administration, virtual primary and urgent care services, peer support workforce development, and fire department medical direction. State and local governments are not procuring surgical implants or orthopedic procedures under this code in the current opportunity set. The issuing bodies include county consolidated governments, county boards of commissioners, county health departments, and municipal fire departments across multiple states.

Recent opportunities span Florida (Collier County Board of County Commissioners, Monroe County Board of County Commissioners), Georgia (Columbus Consolidated Government), California (San Mateo County Health), and California (City of Santa Monica Fire Department). The Collier County RFP for Pharmacy Benefit Management Services (due April 9, 2026) covers approximately 2,400 enrolled employees and 4,800 covered members with historical pharmacy spending of $8.7 million annually; the Muscogee County Prison inmate medical and pharmacy services RFP (due May 15, 2026) covers 576 offenders with current monthly costs of $95,537.71; and the Monroe County virtual primary and urgent care services RFP (due April 16, 2026) covers approximately 2,300 county members. The San Mateo County Mental Health Services Act peer support pilot (due July 2, 2025) carries $580,000 in total funding. This code's current activity does not reflect procurement of the orthopedic procedures or surgical devices its name describes, suggesting either miscoding in the state and local opportunity database or a fundamental mismatch between the UNSPSC taxonomy and how these jurisdictions classify healthcare contracting.