UNSPSC 85721117: Revision of nonautologous tissue substitute in left metatarsal-phalangeal joint, external approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of nonautologous tissue substitute in left metatarsal-phalangeal joint, external 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 0SWNXKZ

UNSPSC 85721117 Revision of nonautologous tissue substitute in left metatarsal-phalangeal joint, external approach is a Commodity code that sits at the intersection of orthopedic surgical procedure coding and health benefit administration. However, the recent state and local contract opportunities tagged under this code do not align with surgical tissue revision work. Instead, the opportunities reveal purchasing activity focused on occupational medical surveillance, disability benefits medical evaluation, surgical carve-out benefit programs, pharmacy benefit management, and temporary health professional staffing—none of which involves tissue substitute procedures. The code shows little relevant recent activity for the orthopedic surgical intervention its name describes.

Across the six recent opportunities posted between July and September 2026, the issuing bodies span state departments, counties, and municipal health systems: Washington State Department of Transportation (ferries occupational health), the City of Phoenix Retirement Office (disability pension medical evaluation), Harris County Juvenile Probation Department (youth detention medical services), the City of Long Beach (employee health benefits), Collier County (pharmacy benefit management), and Santa Clara County Health System (temporary clinical staffing). The geographic spread includes Washington, Arizona, California, Florida, and Texas. Representative recent solicitations include the Washington State Department of Transportation's RFP 20260825 for occupational medical surveillance services across 14 ferry locations with a pre-bid conference on August 31, 2026 and proposals due October 9, 2026; and the City of Phoenix Retirement Office's RTMRFP26001 for independent medical evaluation services supporting disability pension determinations, with proposals due October 16, 2026 and a $750,000 maximum contract value over five years. The mismatch between the code's orthopedic surgical scope and the actual purchasing activity suggests this code may be incorrectly applied to health services administration contracts in state and local procurement systems.