UNSPSC 85704114: Reposition right fibula with internal fixation device, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to reposition right fibula with internal fixation device, 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 0QSJ44Z

UNSPSC 85704114, Reposition right fibula with internal fixation device, percutaneous endoscopic approach, is a Commodity code that shows a substantial mismatch between its nominal scope—a specific surgical procedure code—and actual state and local procurement activity under the designation. The recent opportunities tagged to this code encompass medical evaluation services, pharmacy benefit management, occupational health surveillance, surgical benefit administration, and temporary health professional staffing—none of which involve orthopedic surgery or fibula repositioning. This mismatch suggests either a classification error in the issuing systems or that the code is being used as a catch-all for health services procurement without attention to procedure-specific coding. The work actually being purchased includes independent medical evaluation administration for pension benefit determinations, pharmacy program management covering eligibility and claims, occupational medical surveillance across multiple worksites, specialty surgery networks through Centers of Excellence models, and temporary staffing for ancillary clinical roles including surgical and operating room support.

Issuing bodies include city and county government (City of Phoenix Retirement Office, City of Long Beach, Collier County, Harris County Juvenile Probation Department) and regional or state entities (Washington State Department of Transportation ferries system, County of Santa Clara Health System). Geographic activity spans Arizona, California, Florida, Washington, and Texas. Representative recent opportunities include the City of Phoenix Retirement Office RFP for independent medical evaluation services with a $750,000 maximum over five years and an October 16, 2026 response date; the City of Long Beach RFP for surgical procedure carve-out benefits due October 7, 2026; and the Washington State Department of Transportation RFP for occupational medical surveillance across 14 ferry locations with proposals due October 9, 2026. Collier County's pharmacy benefit management RFP reflects annual historical spending of approximately $8.7 million, with the contract term running January 1, 2026 through December 31, 2028 plus optional renewals; and the County of Santa Clara is establishing a non-exclusive qualified vendor pool for temporary health professional staffing (Audiology through Therapy Services, but explicitly excluding nursing and physician roles) with an October 7, 2026 response deadline.