UNSPSC 85705405: Revision of internal fixation device in left toe phalanx, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of internal fixation device in left toe phalanx, 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 0QWR44Z

UNSPSC 85705405 Revision of internal fixation device in left toe phalanx, percutaneous endoscopic approach is a Commodity code that shows minimal alignment between its nominal clinical procedure scope and the state and local procurement activity actually tagged under it. Recent solicitations posted under this code reflect medical surveillance, occupational health examinations, pharmacy benefit management, specialty surgical networks, independent medical evaluations for disability determinations, and temporary health professional staffing — none of which correspond to orthopedic device revision procedures. The issuing bodies include city retirement boards, county health systems, state departments of transportation, county juvenile probation departments, and municipal employee benefits offices. These jurisdictions are buying administrative and clinical support services tied to employee health plans, occupational safety compliance, and benefit administration rather than surgical implant procurement or device revision work.

Activity is geographically dispersed across Arizona (City of Phoenix), California (City of Long Beach, County of Santa Clara), Washington (Washington State Department of Transportation), Texas (Harris County), and Florida (Collier County). Representative recent opportunities include the City of Phoenix Retirement Office soliciting independent medical evaluation services for disability pension determinations (RFP RTMRFP26001, due October 16, 2026, $750,000 over five years); the Washington State Department of Transportation requesting occupational medical surveillance services across 14 ferry system locations (RFP RFP20260825, due October 9, 2026, two-year term with options to extend); and the County of Santa Clara Health System establishing a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories (RFQ RFSQHHSFY270052, due October 7, 2026, non-exclusive, five-year pool). The code classification appears to be a data-entry or taxonomy-mapping error; state and local governments do not currently procure orthopedic device revision procedures under this code.