UNSPSC 85716839: Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, anterior approach, anterior column, 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 0RG74J0

UNSPSC 85716839, a Commodity code nominally titled "Fusion of 2 to 7 thoracic vertebral joints with synthetic substitute, anterior approach, anterior column, percutaneous endoscopic approach," shows a clear mismatch between its clinical procedural taxonomy and the work actually being solicited under it by state and local government. The recent opportunities tagged to this code do not involve spinal fusion procedures or orthopedic implants. Instead, state and local bodies are using this code for occupational health surveillance, disability medical evaluations, pharmacy benefit management, specialty surgical networks for government employee benefit programs, temporary health professional staffing, and emergency medical services for youth in custody. The code as applied reflects a broader administrative and occupational health services category rather than a specific surgical procedure, though the procedural code name does not align with contemporary procurement practice under it.

Geographic activity is dispersed across multiple states: Arizona (City of Phoenix Retirement Office), California (City of Long Beach and County of Santa Clara), Washington (Washington State Department of Transportation), Florida (Collier County), and Texas (Harris County). Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) covering disability medical record summary and examination coordination for approximately 75 annual pension disability applications across a five-year, $750,000 maximum term; the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026), requiring board-certified occupational medicine physicians; the City of Long Beach's RFP for surgical procedure carve-out benefits through Centers of Excellence (HR26753, due October 7, 2026) covering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures for approximately 3,800 enrolled employees and retirees; and the County of Santa Clara Health System's non-exclusive multiple-award staffing pool (RFSQHHSFY270052, due October 7, 2026) for ancillary clinical categories including audiology, cardiology, diagnostic imaging, therapy services, and sterile processing. The issuing bodies span state transportation agencies, county health systems, city retirement offices, and local human resources departments.