UNSPSC 85761227: Creation of vagina in male perineum with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to creation of vagina in male perineum with synthetic substitute, 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 0W4M0J0

UNSPSC 85761227, Creation of vagina in male perineum with synthetic substitute, open approach, is a Commodity code that shows a fundamental mismatch between its nominal scope—a highly specific surgical procedure—and the actual work state and local governments are procuring under this code tag. Recent opportunities posted under this code do not reflect surgical procedures but instead cover occupational medical surveillance, disability medical evaluation services, pharmacy benefit management, temporary health professional staffing, hospital services for detained youth, and surgical procedure carve-out networks for municipal employee health plans. The code appears to be a data-entry or classification error in the solicitation systems, as none of the recent postings involve the creation of neovaginal anatomy or any comparable gender-affirming surgical procedure.

State and local issuing bodies posting opportunities tagged to this code include city retirement offices (Phoenix), municipal HR departments (Long Beach), state transportation agencies (Washington State Department of Transportation), county health systems (Santa Clara), county probation departments (Harris County), and county procurement offices managing health benefits consortiums (Collier County). The geographic spread spans Arizona, California, Washington, and Florida, with recent activity concentrated in the Western and Southern regions. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026), the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry terminals (RFP20260825, due October 9, 2026 with a pre-bid conference on August 31, 2026), and the County of Santa Clara Health System's RFQ for a qualified vendor pool of temporary health professional staffing across ancillary clinical specialties (RFSQHHSFY270052, due October 7, 2026). The code appears to be actively used but consistently for health services procurement unrelated to its stated surgical scope, signaling a systematic classification issue rather than genuine procurement activity in gender-affirming surgical procedures at the state and local level.