UNSPSC 85724317: Revision of spacer in coccygeal joint, external approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of spacer in coccygeal joint, external 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 0SW6X8Z

UNSPSC 85724317 Revision of spacer in coccygeal joint, external approach (Commodity) shows a significant mismatch between its code name and actual state and local procurement activity. The code's nominal scope references a specific orthopedic surgical procedure, but recent solicitations tagged under this code encompass a broad range of occupational health, medical evaluation, pharmacy benefit management, and temporary clinical staffing services with no connection to coccygeal joint procedures. State and local issuing bodies currently soliciting under this code include county health systems, municipal retirement offices, state transportation departments, county juvenile justice systems, and county human resources divisions—a diverse mix of jurisdictions managing employee health benefits, occupational compliance, and managed care contracting. The types of work being procured include independent medical evaluation services for disability benefit determination, occupational medical surveillance for transportation workers, specialty medical carve-out programs for municipal PPO plans, pharmacy benefit management administration, temporary health professional staffing for ancillary clinical roles, and emergency/specialty medical services for detained youth.

Recent activity is concentrated in California, Arizona, Washington, Florida, and Texas. The City of Phoenix Retirement Office issued an RFP (RTMRFP26001) due October 16, 2026 for independent medical evaluation services ($750,000 maximum over five years); the City of Long Beach issued an RFP (HR26753) due October 7, 2026 for surgical benefit carve-out services under its Anthem PPO plan; Washington State Department of Transportation on behalf of Washington State Ferries issued an RFP (RFP20260825) due October 9, 2026 for occupational medical surveillance across 14 ferry system locations; the County of Santa Clara Health System issued an RFQ (RFSQHHSFY270052) due October 7, 2026 to establish a qualified vendor pool for temporary health professional staffing across multiple ancillary categories; and Collier County Board of County Commissioners issued an RFP (25-8414) for pharmacy benefit management services with historical spending of approximately $8.7 million annually. The code exhibits material recent activity but with poor taxonomic alignment—procurement professionals should verify code accuracy with the issuing bodies before pursuit, as the solicitations do not reflect the procedure-specific scope that the UNSPSC number nominally describes.