UNSPSC 85721819: Revision of spacer in left metatarsal-phalangeal joint, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of spacer in left metatarsal-phalangeal joint, percutaneous 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 0SWN38Z

UNSPSC 85721819 Revision of spacer in left metatarsal-phalangeal joint, percutaneous approach (Commodity) shows minimal alignment between its clinical procedure code name and the recent state and local activity tagged under it. The most recent opportunities solicited under this code include independent medical evaluation services for disability benefit determinations, occupational medical surveillance for ferry workers, specialty medical care for detained youth, surgical benefit management for municipal employees, pharmacy benefit management, and temporary health professional staffing — none of which involve orthopedic procedures or joint revision work. The issuing bodies span city retirement offices, state transportation departments, county health systems and probation departments, and municipal benefits administrators across Arizona, Washington, California, and Florida.

The geographic spread reflects activity in Arizona (City of Phoenix Retirement Office), Washington (Washington State Department of Transportation), California (County of Santa Clara Health System, City of Long Beach), Texas (Harris County Juvenile Probation Department), and Florida (Collier County Board of County Commissioners). Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) supporting disability determinations for approximately 75 annual public safety pension applications at a maximum contract value of $750,000 over five years; the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry locations (RFP20260825, due October 9, 2026) with cost-based scoring and a pre-bid conference scheduled for August 31, 2026; and the County of Santa Clara Health System's RFQ for temporary ancillary health professional staffing across multiple clinical categories (RFSQHHSFY270052, due October 7, 2026) on a non-exclusive, multiple-award basis with no guaranteed work volume. The code's nominal scope — an orthopedic joint procedure — does not match the work actually being purchased under it in recent state and local solicitations.