UNSPSC 85771858: Alteration of left upper extremity with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to alteration of left upper extremity with nonautologous tissue 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 0X070KZ

UNSPSC 85771858 Alteration of left upper extremity with nonautologous tissue substitute, open approach is a Commodity code that shows a fundamental mismatch between its nominal clinical scope and state and local procurement activity. The code name describes a specific orthopedic surgical procedure, yet recent opportunities tagged under this code involve occupational medical surveillance, independent medical evaluations for disability pension determinations, surgical benefit administration, pharmacy benefit management, and temporary health professional staffing — none of which are surgical alterations using tissue substitutes. The issuing bodies span state departments (Washington State Department of Transportation), county governments (Harris County Juvenile Probation Department, Collier County Board of County Commissioners, Santa Clara County Health System), and cities (Phoenix Retirement Office, City of Long Beach), indicating the code is being used as a catch-all for healthcare administrative and occupational health services rather than as a procurement category for orthopedic surgery. The opportunities cover medical record review and disability evaluation coordination, Center of Excellence bundled-payment networks for surgical procedures, occupational health examinations across ferry worker categories, emergency and specialty care for detained youth, pharmacy administration, and temporary clinical staffing placement — a sprawling range unrelated to the code's stated surgical procedure name.

Activity clusters in Arizona (Phoenix Fire and Police Pension Boards independent medical evaluation RFP with responses due October 16, 2026), Washington State (Department of Transportation occupational surveillance RFP with responses due October 9, 2026 and pre-bid on August 31, 2026), California (Long Beach surgical benefit carve-out RFP with responses due October 7, 2026; Santa Clara County Health System temporary staffing pool RFP with responses due October 7, 2026), Texas (Harris County Juvenile Probation Department specialty services RFI with responses due September 25, 2026), and Florida (Collier County pharmacy benefit management RFP with responses due April 9, 2026). The code shows no coherent procurement pattern tied to its nominal scope. Given the inconsistency, this code warrants verification directly with issuing procurement offices before pursuit — the UNSPSC tagging does not reflect the actual work being solicited.