UNSPSC 85711435: Fusion of left sternoclavicular joint with internal fixation device, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left sternoclavicular joint with internal fixation device, percutaneous 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 0RGF34Z

UNSPSC 85711435 Fusion of left sternoclavicular joint with internal fixation device, percutaneous approach (Commodity) shows a significant mismatch between its nominal scope—orthopedic surgical procedures—and the actual work state and local governments are soliciting under this code. Recent opportunities posted under this code do not involve sternoclavicular joint fusion or any orthopedic implant procedures. Instead, state and local buyers have used this code to tag health services procurement including independent medical evaluation services, pharmacy benefit management, occupational medical surveillance, emergency and specialty medical care delivery for detained youth, and temporary health professional staffing across ancillary clinical specialties. The issuing bodies span county human resources departments (Collier County, Santa Clara County), municipal pension boards (City of Phoenix), state transportation agencies (Washington State Department of Transportation), county juvenile detention systems (Harris County), and municipal health systems (City of Long Beach). The code appears to be functioning as a catch-all for health services procurement rather than as a procedure-specific orthopedic device or service code.

Geographic spread spans Arizona, California, Florida, Texas, and Washington, with no single state dominating recent activity. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) budgeted at $750,000 over five years to support disability benefit determinations for public safety personnel; the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026); the City of Long Beach's RFP for a surgical and medical procedure carve-out benefit program serving approximately 3,800 Anthem PPO enrollees (HR26753, due October 7, 2026); and the County of Santa Clara Health System's non-exclusive multiple-award solicitation for temporary health professional staffing in ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). The code's actual procurement activity bears no relationship to its titled procedure, suggesting either taxonomy classification error by issuing bodies or systemic miscoding of health services procurement at the state and local level.