UNSPSC 85704227: Replacement of left upper femur with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of left upper femur with autologous tissue substitute, 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 0QR747Z

UNSPSC 85704227 Replacement of left upper femur with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code, yet recent state and local contract opportunities posted under this code show no alignment with orthopedic surgical procedures or medical device procurement. Instead, the code tags a mix of occupational health surveillance, disability medical evaluation, pension-board independent medical examinations, pharmacy benefit management, surgical benefit carve-outs, temporary health professional staffing, and juvenile detention healthcare services — none of which involve femoral replacement or tissue-substitute prosthetics. The mismatch suggests either a systematic miscoding issue within the jurisdictions posting these opportunities or that the code is being used as a catch-all for health and medical services procurement more broadly. No recent opportunities explicitly solicit orthopedic surgical implants, prosthetic devices, or the clinical services directly tied to femoral replacement.

The opportunities that do appear under this code span Arizona (City of Phoenix Retirement Office), California (City of Long Beach, Collier County, County of Santa Clara Health System), Washington State (Washington State Department of Transportation), and Texas (Harris County Juvenile Probation Department), with posting dates ranging from July through September 2026. Representative solicitations include the Phoenix Fire and Police Pension Boards' RFP for independent medical evaluation services (due October 16, 2026, $750,000 over five years), the City of Long Beach's RFP for surgical benefit Centers of Excellence networks (due October 7, 2026), and the Washington State Ferries' RFP for occupational medical surveillance (due October 9, 2026, two-year term with optional extensions). Given the consistent mismatch between the code's nominal clinical scope and the actual procurement activity tagged to it, pursing this code as an entry point to state and local medical device or surgical-implant opportunities is not recommended without clarification from individual issuing bodies on their coding practices.