UNSPSC 85712257: Fusion of left shoulder joint with internal fixation device, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left shoulder joint with internal fixation device, 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 0RGK04Z

UNSPSC 85712257 Fusion of left shoulder joint with internal fixation device, open approach is a Commodity code nominally describing a surgical procedure, but the recent state and local opportunities posted under this code do not involve orthopedic implants or shoulder fusion devices. Instead, the code shows activity in occupational medical surveillance, disability benefit evaluation services, pharmacy benefit management, temporary health professional staffing, and health plan carve-out programs. The mismatch between the code's clinical descriptor and the actual procurement activity suggests this code is being applied inconsistently or erroneously by issuing bodies. State and local governments soliciting under this code include county health systems (Santa Clara County Health System), county and city pension or retirement offices (City of Phoenix Retirement Office), state transportation departments (Washington State Department of Transportation), counties (Harris County, Collier County), and cities (City of Long Beach). The work ranges from managing specialty medical networks and Centers of Excellence for surgical procedures, administering occupational health examinations across multiple worksites, preparing medical summaries for disability determinations, managing pharmacy benefits, and building vendor pools for temporary clinical staffing.

Recent activity spans Arizona (City of Phoenix independent medical evaluation services, RFP due October 16, 2026), California (City of Long Beach surgical carve-out program, RFP due October 7, 2026; Santa Clara County temporary health professional staffing, RFP due October 7, 2026), Washington (Washington State Department of Transportation occupational medical surveillance, RFP due October 9, 2026), Texas (Harris County Juvenile Probation Department specialty medical services, RFI due September 25, 2026), and Florida (Collier County pharmacy benefit management, RFP due April 9, 2026). The City of Phoenix Retirement Office solicitation (RTMRFP26001) seeks comprehensive disability medical record summary preparation and independent medical examination scheduling at a maximum contract value of $750,000 over five years; the Washington State Ferries solicitation (RFP20260825) requires occupational medical examinations by board-certified occupational physicians across 14 locations statewide. This code shows material recent activity but with substantial category-to-procurement misalignment that may affect bid strategy or code classification decisions.