UNSPSC 85695405: Revision of internal fixation device in left carpal, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of internal fixation device in left carpal, 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 0PWN04Z

UNSPSC 85695405 Revision of internal fixation device in left carpal, open approach is a Commodity code whose nominal scope—orthopedic surgical implant and revision procedures—does not align with the recent state and local solicitation activity tagged under it. The recent opportunities posted under this code cover occupational medical surveillance services, independent medical evaluation for disability retirement determinations, pharmacy benefit management administration, surgical procedure carve-out networks, temporary health professional staffing pools, and emergency medical services for youth in custody. None of these solicitations involve orthopedic implants, carpal revision surgery, or related medical devices. The mismatch suggests either systematic code mistagging in the underlying procurement records or that the code has been repurposed in practice to cover a broader spectrum of health services contracting that falls outside its intended commodity definition.

State and local issuing bodies posting under this code include city retirement offices (City of Phoenix Retirement Office), municipal health systems (County of Santa Clara Health System, City of Long Beach), state transportation departments (Washington State Department of Transportation), county juvenile justice authorities (Harris County Juvenile Probation Department), and county human resources and benefits offices (Collier County Board of County Commissioners). Recent solicitations span Arizona, California, Washington, Texas, and Florida. Representative recent activity includes the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026, maximum contract value $750,000 over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026), and the County of Santa Clara Health System's non-exclusive multiple-award RFSQ for temporary health professional staffing in ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). Given the consistent divergence between the code's orthopedic device scope and the health services administration and staffing work actually being solicited, firms pursuing activity under this code should verify the intended commodity before investing in pursuit strategy.