UNSPSC 85721443: Replacement of right metatarsal-phalangeal joint with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of right metatarsal-phalangeal joint with synthetic substitute, 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 0SRM0JZ

UNSPSC 85721443 Replacement of right metatarsal-phalangeal joint with synthetic substitute, open approach is a Commodity code nominally identifying orthopedic surgical procedures. State and local procurement activity under this code shows little alignment with the code's stated scope. Recent solicitations tagged to this code are purchasing occupational medical surveillance, independent medical evaluations for disability pension determinations, pharmacy benefit management, temporary health professional staffing, surgical care carve-out programs for municipal employees, and emergency medical services for detained youth—none of which involve orthopedic joint replacement implants or surgical procedures. The issuing bodies span state transportation departments, county health systems, city retirement offices, and county health agencies across multiple jurisdictions.

Activity is geographically dispersed across California (Collier County and Santa Clara County), Arizona (Phoenix), Washington (state department), and Texas (Harris County), with no dominant jurisdiction. Representative recent solicitations include the Washington State Department of Transportation's occupational medical surveillance RFP due October 9, 2026 for medical examinations across 14 ferry system locations; the City of Phoenix Retirement Office's RFP due October 16, 2026 for independent medical evaluation services supporting disability pension determinations; and Santa Clara County Health System's multiple-award qualification solicitation due October 7, 2026 for temporary health professional staffing across 13 clinical specialties. The code appears to be misapplied to administrative and operational health services procurement rather than surgical device or procedure supply—a systematic tagging mismatch that limits relevance for vendors in the orthopedic implant or surgical procedure space.