UNSPSC 85721142: Revision of synthetic substitute in right metatarsal-tarsal joint, external approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of synthetic substitute in right metatarsal-tarsal 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 0SWKXJZ

UNSPSC 85721142 Revision of synthetic substitute in right metatarsal-tarsal joint, external approach is a Commodity code that shows minimal alignment between its nominal scope—an orthopedic surgical procedure code—and the state and local opportunities recently tagged under it. The recent solicitations cover occupational medical surveillance, disability medical evaluation services, pharmacy benefit management, surgical benefit carve-outs, temporary health professional staffing, and emergency medical services for detained youth. None of these involve actual metatarsal-tarsal joint surgery or orthopedic implant procurement. The code appears to have been misapplied to broader healthcare administration and staffing services that do not match the specific surgical procedure the code describes.

State and local issuing bodies posting under this code span counties (Collier County, Santa Clara County, Harris County), cities (Phoenix, Long Beach), state departments (Washington State Department of Transportation), and health systems (Santa Clara Health System). Recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RFP 26001, due October 16, 2026), the Washington State Department of Transportation's RFP for occupational medical surveillance at Washington State Ferries across 14 locations (RFP 20260825, due October 9, 2026), and the County of Santa Clara Health System's qualification-based RFQ for temporary health professional staffing across 13 ancillary clinical categories (RFQ FY27-0052, due October 7, 2026). Geographic activity appears concentrated in California, Washington, Arizona, Florida, and Texas. Given the systematic mismatch between the code's procedural definition and the administrative healthcare services actually being solicited, pursuit of opportunities under this code should be informed by verification that the work is genuinely orthopedic or surgical in nature rather than relying on the code classification alone.