UNSPSC 85721429: Reposition left tarsal joint with internal fixation device, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to reposition left tarsal 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 0SSJ04Z

UNSPSC 85721429 Reposition left tarsal joint with internal fixation device, open approach (Commodity) does not reflect the actual scope of recent state and local procurement activity tagged under this code. The five recent opportunities posted between February and April 2026 span inmate medical and pharmacy services, pharmacy benefit management for county employees, virtual primary care and urgent care services, peer support for behavioral health workers, and fire department medical director services — none of which involve orthopedic surgical procedures or tarsal joint repair. The code's nominal scope describes a specific surgical intervention, but state and local buyers are tagging healthcare administration, clinical management, and behavioral health support contracts under this taxonomy entry, indicating a substantial mismatch between the code definition and its actual procurement use.

The issuing bodies span county health systems (Collier County Board of County Commissioners, Monroe County Board of County Commissioners), county corrections (Muscogee County Prison via Columbus Consolidated Government), county behavioral health departments (San Mateo County Health), and municipal fire departments (Santa Monica Fire Department), representing a mix of health administration, corrections healthcare, and emergency services procurement. Recent activity concentrates in Florida (Collier County, Monroe County) and Georgia (Muscogee County), with additional activity in California (San Mateo County). Representative opportunities include Collier County's RFP 25-8414 for Pharmacy Benefit Management Services covering 2,400 employees and 4,800 covered members with an estimated annual spend of $8.7 million (due April 9, 2026), Muscogee County Prison's RFP No. 26-0008 for comprehensive inmate medical and pharmacy services at a current monthly cost of $95,537.71 (due May 15, 2026), and Monroe County's RFP for Virtual Primary and Urgent Care Services serving approximately 2,300 county members with an effective date of October 1, 2026. The code shows active procurement activity, but the systematic misalignment between the surgical-procedure definition and the healthcare-administration work being bought suggests vendors should verify code assignment during opportunity evaluation rather than assume direct relevance.