UNSPSC 85703410: Extirpation of matter from right upper femur, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to extirpation of matter from right upper femur, 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 0QC60ZZ

UNSPSC 85703410 Extirpation of matter from right upper femur, open approach (Commodity) shows a significant mismatch between its nominal medical-procedural scope and the actual work state and local governments are purchasing under this code. Recent solicitations do not reflect surgical procedures on bone; instead, they span occupational health surveillance, disability medical evaluations, surgical benefit administration, pharmacy benefit management, temporary health professional staffing, and acute medical services for detained youth. The code appears to be applied to a broad family of health services and benefit administration work rather than to orthopedic surgical procedures. State and local issuing bodies soliciting under this code include city retirement offices, municipal health departments, county human resources divisions, county probation departments, state transportation agencies, and county health systems. The scope of work buyers are actually purchasing includes independent disability medical record review and examination scheduling for pension benefits; occupational medical examinations for transportation workers; surgical procedure carve-outs and Centers of Excellence networks for city employees; pharmacy benefit management; temporary staffing for ancillary clinical roles; and emergency and specialty medical care for youth in custody.

Recent activity appears across Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office issued RFP RTMRFP26001 for independent medical evaluation services with a response deadline of October 16, 2026 and a maximum contract value of $750,000 over five years. The Washington State Department of Transportation issued RFP 20260825 for occupational medical surveillance services at 14 ferry locations with proposals due October 9, 2026, including a pre-bid conference on August 31, 2026. The City of Long Beach issued RFP HR26753 for surgical benefit carve-out programs with a response deadline of October 7, 2026 and targeted go-live of April 1, 2027. Collier County issued RFP 25-8414 for pharmacy benefit management services covering approximately 2,400 employees and 4,800 covered members, with historical annual pharmacy spending around $8.7 million. The County of Santa Clara Health System posted a non-exclusive, multiple-award qualification solicitation (RFSQHHSFY270052) for temporary health professional staffing across 13 ancillary categories, with responses due October 7, 2026. Harris County Juvenile Probation Department issued an RFI for specialty and emergency medical services for detained youth with responses due September 25, 2026.