UNSPSC 85721653: Fusion of left metatarsal-phalangeal joint, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left metatarsal-phalangeal joint, 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 0SGN0ZZ

UNSPSC 85721653 Fusion of left metatarsal-phalangeal joint, open approach is a Commodity code nominally describing a specific surgical procedure; however, recent state and local opportunities posted under this code show no alignment with orthopedic surgery and instead reflect procurement of health administration, occupational medicine, and pharmacy benefit services. The code exhibits a tagging mismatch between its nominal scope and actual buying activity. State and local issuers posting under this code include county human resources departments (Collier County), municipal retirement boards (City of Phoenix), county health systems (Santa Clara County Health System), state transportation agencies (Washington State Department of Transportation), county juvenile detention authorities (Harris County Juvenile Probation Department), and municipal benefits departments (City of Long Beach). The services being solicited range from independent medical evaluation and disability determination support for public safety pension systems to occupational health surveillance for ferry workers, pharmacy benefit management administration, temporary health professional staffing, and surgical procedure carve-out networks for municipal employee benefits.

Recent opportunities span Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office issued RFP RTMRFP26001 on September 16, 2026, soliciting independent medical evaluation services including disability medical record summary preparation and scheduling of independent medical and psychiatric examinations for approximately 75 annual disability benefit applications, with proposals due October 16, 2026 and a contract maximum of $750,000 over five years. The Washington State Department of Transportation posted RFP 20260825 on August 25, 2026, requesting occupational medical surveillance services for Washington State Ferries personnel across 14 locations statewide, with proposals due October 9, 2026 and a pre-bid conference held August 31, 2026. Collier County issued RFP 25-8414 for pharmacy benefit management services covering approximately 2,400 employees with historical spending near $8.7 million annually and a contract term of three years effective January 1, 2026 through December 31, 2028. The County of Santa Clara Health System posted a non-exclusive multiple-award RFQ on July 7, 2026 for temporary health professional staffing across 13 ancillary clinical categories with responses due October 7, 2026. Given the fundamental mismatch between the code's nominal surgical procedure scope and the actual health services administration and occupational medicine work being procured, pursuit decisions should prioritize verification of code accuracy with issuing bodies before resource allocation.