UNSPSC 85703457: Destruction of left femoral shaft, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to destruction of left femoral shaft, 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 0Q590ZZ

UNSPSC 85703457 Destruction of left femoral shaft, open approach is a Commodity code that does not reflect the actual work state and local governments are buying under this designation in recent solicitations. The code's clinical taxonomy name suggests a specific surgical procedure, yet the recent opportunities posted under this code span occupational medical surveillance, disability medical evaluations, pharmacy benefit management, surgical Centers of Excellence carve-outs, temporary health professional staffing qualification pools, and emergency inpatient care for detained youth — none of which involves orthopedic surgical procedures. This mismatch indicates either a data classification error in the state and local procurement systems using this code or a significant divergence between UNSPSC taxonomy intent and actual procurement practice. Issuing bodies include state transportation departments, county commissioners' offices, municipal retirement boards, county health systems, county probation departments, and municipalities. The geographic spread spans Washington, Arizona, California (Long Beach), Texas (Harris County), and Florida (Collier County).

Recent opportunities include the City of Phoenix Retirement Office's RFP RTMRFP26001 for independent medical evaluation services and disability medical record summaries (proposals due October 16, 2026, $750,000 over five years), the Washington State Department of Transportation's RFP 20260825 for occupational medical surveillance at Washington State Ferries across 14 locations (due October 9, 2026), and the County of Santa Clara Health System's RFSQHHSFY270052 for a qualified vendor pool for temporary health professional staffing in 13 ancillary clinical categories including audiology, imaging, operating room, and therapy services (due October 7, 2026). Given the complete disconnect between the code name and the work actually being solicited, this code is not reliably actionable for vendors in medical device, orthopedic surgery, or facility-based surgical services — the nominal scope — and should be flagged for procurement systems review.