UNSPSC 85716309: Fusion of thoracolumbar vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of thoracolumbar vertebral joint with synthetic substitute, anterior approach, anterior column, 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 0RGA3J0

UNSPSC 85716309 Fusion of thoracolumbar vertebral joint with synthetic substitute, anterior approach, anterior column, percutaneous approach (Commodity) shows a significant mismatch between its nominal scope — a specific surgical procedure code — and the actual state and local contract opportunities posted under it. The recent solicitations tagged to this code span independent medical evaluation services, pharmacy benefit management, occupational medical surveillance, specialty medical procedure carve-outs, health professional staffing, and emergency medical services for detained youth. None of these opportunities directly align with the orthopedic spinal fusion procedure the code nominally describes. State and local procurement offices have applied this code to a broad range of health plan administration, occupational health compliance, and medical staffing services that fall well outside the procedural definition embedded in the UNSPSC taxonomy.

The issuing bodies include a city retirement pension board (City of Phoenix), municipal employee health programs (City of Long Beach, Collier County), a state transportation agency (Washington State Department of Transportation), a county juvenile justice system (Harris County), and county health systems (Santa Clara County). Geographic activity spans Arizona, California, Florida, Washington, and Texas. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services due October 16, 2026 (contract maximum $750,000 over five years), the Washington State Department of Transportation's RFQ for occupational medical surveillance services due October 9, 2026, and the County of Santa Clara's RFQ for temporary health professional staffing across multiple ancillary clinical categories due October 7, 2026. The code as currently tagged appears to serve as a catch-all for health administration and medical services procurement rather than a pointer to actual surgical procedure delivery, signaling either systematic miscoding in state and local procurement systems or that this Commodity code's scope has drifted substantially from its intended use.