UNSPSC 85724535: Revision of synthetic substitute in lumbosacral joint, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of synthetic substitute in lumbosacral 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 0SW30JZ

UNSPSC 85724535 Revision of synthetic substitute in lumbosacral joint, open approach is a Commodity code that carries a misalignment between its nominal scope—orthopedic surgical procedure codes—and actual state and local procurement activity. The recent opportunities tagged under this code do not reflect surgical implant procurement or surgical services for spinal procedures; instead, they represent diverse health services contracting including occupational medical surveillance, independent medical evaluations for disability determinations, pharmacy benefit management, surgery carve-out benefit programs, specialty medical provider networks, and temporary health professional staffing. The issuing bodies are primarily local health systems, county human resources and procurement offices, state transportation departments, and county juvenile justice agencies. This code does not appear to reflect a coherent procurement family in state and local practice.

The geographic spread of recent activity spans Washington State (Washington State Department of Transportation ferries medical surveillance), Arizona (City of Phoenix retirement boards disability evaluations), California (City of Long Beach surgical benefits, County of Santa Clara temporary staffing), Florida (Collier County pharmacy benefit management), and Texas (Harris County Juvenile Probation Department specialty medical services), suggesting scattered rather than concentrated activity. Representative recent opportunities include the Washington State Department of Transportation RFP for occupational medical surveillance services for ferry system employees across 14 locations, with proposals due October 9, 2026 (RFP20260825); the City of Phoenix Retirement Office RFP for independent medical evaluation services supporting public safety pension disability determinations, with proposals due October 16, 2026 and a $750,000 five-year contract maximum (RTMRFP26001); and the County of Santa Clara Health System qualification vehicle for temporary health professional staffing across ancillary clinical categories, with proposals due October 7, 2026 (RFSQHHSFY270052). The code shows no clear signal of active surgical implant or spinal reconstruction procurement in state and local markets.