UNSPSC 85692804: Revision of internal fixation device in thoracic vertebra, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of internal fixation device in thoracic vertebra, 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 0PW444Z

UNSPSC 85692804 Revision of internal fixation device in thoracic vertebra, percutaneous endoscopic approach is a Commodity code that does not align with recent state and local procurement activity under this classification. The code nominally describes a specific surgical procedure involving spinal hardware revision, but the six recent state and local opportunities posted under this code span occupational health surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for disability determinations, surgical benefit carve-out programs, and emergency medical services for detained youth — none of which involve orthopedic devices or spinal procedures. This reflects a significant taxonomy mismatch between the code's technical name and what state and local governments are actually buying under it.

The geographic spread of activity includes Washington (Washington State Department of Transportation occupational surveillance), Arizona (City of Phoenix disability medical evaluations), California (City of Long Beach surgical carve-out and County of Santa Clara health staffing), Florida (Collier County pharmacy benefit management), and Texas (Harris County Juvenile Probation Department emergency medical services). Issuing bodies range from state transportation and health departments to county human resources and procurement divisions, city employee benefit programs, and county juvenile justice authorities. Representative recent opportunities include the Washington State Department of Transportation's request for occupational medical surveillance services across 14 ferry terminals with proposals due October 9, 2026 (RFP, with pre-bid conference August 31, 2026); the City of Phoenix Retirement Office's request for independent medical evaluation and disability record summary services for approximately 75 annual applications at $750,000 over five years with proposals due October 16, 2026 (RFP); and the County of Santa Clara Health System's non-exclusive multiple-award vehicle for temporary ancillary health professional staffing across 13 clinical categories with proposals due October 7, 2026. Vendors pursuing opportunities under this code should verify actual scope alignment with the issuing body's statement of work before responding, as the code itself appears to be misapplied across a diverse portfolio of health services contracting.