UNSPSC 85722656: Fusion of left metatarsal-phalangeal joint with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left metatarsal-phalangeal joint with autologous tissue substitute, percutaneous endoscopic 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 0SGN47Z

UNSPSC 85722656 Fusion of left metatarsal-phalangeal joint with autologous tissue substitute, percutaneous endoscopic approach, Commodity code, does not align with the recent state and local procurement activity tagged under it. The code nominally describes a surgical procedure on a specific joint using a particular technique and tissue type — a medical service with narrow clinical application — yet the six recent opportunities posted under this code span occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for pension disability determinations, surgical benefit carve-out programs for employee health plans, and emergency and specialty healthcare for detained youth. None of these opportunities involve fusion procedures, metatarsal-phalangeal joints, or autologous tissue grafting. The mismatch suggests a classification error in the state and local procurement systems that assigned these opportunities to the code.

The opportunities themselves reflect a mix of state and local issuing bodies — the Washington State Department of Transportation (ferries division), the City of Phoenix Retirement Office, the City of Long Beach, Harris County Juvenile Probation Department, Collier County Board of County Commissioners, and the County of Santa Clara Health System — and geographic spread across Washington, Arizona, California, Texas, and Florida. Representative recent solicitations include the Washington State Ferries occupational medical surveillance RFP with proposals due October 9, 2026, and the City of Phoenix independent medical evaluation services RFP with proposals due October 16, 2026. Neither opportunity bears meaningful relationship to the fusion procedure nominally assigned to the code.