UNSPSC 85721665: Fusion of left metatarsal-tarsal joint, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left metatarsal-tarsal 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 0SGL0ZZ

UNSPSC 85721665 Fusion of left metatarsal-tarsal joint, open approach is a Commodity code carrying a surgical procedure classification that does not align with state and local government procurement activity. The code's nominal scope—a specific orthopedic surgical procedure—does not match the services actually being solicited under this code in recent state and local opportunities. Instead, the opportunities tagged to this code encompass occupational health surveillance, disability medical evaluation, pharmacy benefit management, temporary clinical staffing, and surgical carve-out benefit administration—none of which constitute the procedure named in the code. This mismatch suggests either a systematic tagging error or a misalignment between the code's clinical definition and how state and local procurement systems are using it.

The recent opportunities show activity across multiple issuing bodies including city retirement offices, county health systems, state departments of transportation, county probation departments, and municipal employee benefits offices. Geographic spread includes Arizona, California, Florida, and Washington state. Representative solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026, $750,000 over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance services for ferry workers (RFP20260825, due October 9, 2026), the City of Long Beach's RFP for surgical benefit carve-out programs (HR26753, due October 7, 2026), and Santa Clara County Health System's RFQ for temporary ancillary clinical staffing (RFSQHHSFY270052, due October 7, 2026). The code shows little relevant recent activity aligned to its stated procedure definition.