UNSPSC 85723457: Removal of external fixation device from right hip joint, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to removal of external fixation device from right hip 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 0SP905Z

UNSPSC 85723457 Removal of external fixation device from right hip joint, open approach is a Commodity code whose nominal scope describes a specific surgical procedure, but the recent state and local procurement activity tagged under it does not reflect orthopedic surgery or device removal. Instead, the opportunities posted under this code span independent medical evaluation services for disability pension determinations, occupational medical surveillance programs, pharmacy benefit management, surgical center-of-excellence carve-out networks, temporary health professional staffing, and emergency medical services for detained youth. The code appears to have been misapplied to health services procurement broadly rather than to the specific procedural intervention its name describes. State and local issuing bodies using this code include county boards of commissioners (Collier County), county health systems (Santa Clara County), state transportation departments (Washington State Department of Transportation on behalf of Washington State Ferries), city retirement offices (City of Phoenix), municipal governments (City of Long Beach), county juvenile justice authorities (Harris County Juvenile Probation Department), and other public health and benefit administration entities. No single jurisdiction dominates the recent activity.

The recent solicitations span Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office posted an RFP for independent medical evaluation services due October 16, 2026, with a five-year contract ceiling of $750,000. The City of Long Beach issued an RFP for surgical procedure carve-out benefits (knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures through Centers of Excellence) due October 7, 2026, with a two-year initial term and three optional one-year renewals. The Washington State Department of Transportation posted an RFQ for occupational medical surveillance services due October 9, 2026, with a two-year initial term and options to extend for up to five additional one-year terms. Collier County Board of County Commissioners issued an RFP for pharmacy benefit management services; that solicitation appears to reference an April 9, 2026 due date now in the past and may reflect a historical posting. The fundamental mismatch between the code's orthopedic surgical descriptor and the health services administration, staffing, and benefit management work actually being solicited suggests either systematic miscoding or use of this code as a catch-all for public-sector health procurement outside its intended scope.