UNSPSC 85771809: Revision of synthetic substitute in right upper extremity, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of synthetic substitute in right upper extremity, 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 0XW60JZ

UNSPSC 85771809 Revision of synthetic substitute in right upper extremity, open approach is a Commodity code that nominally describes a surgical procedure, yet recent state and local procurement activity under this code shows no alignment with orthopedic implant procurement or surgical services. Instead, the opportunities tagged to this code span occupational and disability medical evaluation services, pharmacy benefit management, temporary health professional staffing, surgical procedure care coordination, and youth detention medical services. The mismatch between the code's title and the actual work being solicited suggests either systematic miscoding in state and local procurement systems or that this code is being applied to a broader category of medical administration and health benefit services than its name indicates. State and local issuing bodies using this code include municipal retirement offices, city human resources and benefits departments, county health systems, county probation departments, state transportation agencies, and county commissioners' offices—a fragmented mix spanning benefits administration, occupational health compliance, and detention facility services.

Recent activity appears in Arizona, California, Washington, and Florida. The City of Phoenix Retirement Office posted an RFP (RTMRFP26001) due October 16, 2026 for independent medical evaluation services supporting disability pension determinations, budgeted at $750,000 over five years; the City of Long Beach posted an RFP (HR26753) due October 7, 2026 for surgical procedure carve-out benefit management serving 3,800 enrolled employees and retirees; the Washington State Department of Transportation posted an RFP (RFP20260825) due October 9, 2026 for occupational medical surveillance across 14 ferry system locations; Harris County Juvenile Probation Department issued an RFI (071626BNM) due September 25, 2026 for emergency and specialty medical services for detained youth; and Collier County posted an RFP (RFP 25-8414) for pharmacy benefit management covering approximately 2,400 employees with historical annual spending around $8.7 million. The code shows recent posting activity but no clear commodity-level coherence in what is actually being procured.