UNSPSC 85773177: Alteration of left wrist region with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to alteration of left wrist region 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 0X0H0JZ

UNSPSC 85773177 Alteration of left wrist region with synthetic substitute, open approach is a Commodity code that nominally describes a specific surgical procedure, but the recent state and local opportunities tagged under it bear no material relationship to orthopedic surgery. Instead, the opportunities reflect procurement of occupational medical surveillance, disability benefit medical evaluation services, surgical benefit carve-out programs for government health plans, pharmacy benefit management, youth detention healthcare services, and temporary health professional staffing. The mismatch between the code's clinical nomenclature and the actual work being solicited suggests either systematic misclassification in state and local procurement systems or use of the code as a catch-all for health services that do not fit cleanly into the UNSPSC taxonomy. The actual scope of work spans independent medical evaluation and disability record review, occupational health examinations, Center of Excellence surgical coordination, PBM administration including claims processing and formulary management, emergency and specialty inpatient care for detained youth, and temporary staffing for ancillary clinical roles. Issuing bodies include city retirement offices (Phoenix), city health and benefits departments (Long Beach), state transportation agencies (Washington State Department of Transportation), county probation departments (Harris County), county boards of commissioners (Collier County), and county health systems (Santa Clara).

The geographic spread includes Arizona (Phoenix), California (Long Beach, Santa Clara), Washington State (statewide ferry operations), Florida (Collier County), and Texas (Harris County). Representative recent opportunities include the City of Phoenix Retirement Office's independent medical evaluation services RFP due October 16, 2026 for $750,000 over five years to support disability pension determinations; the Washington State Department of Transportation's occupational medical surveillance RFP due October 9, 2026 with a pre-bid conference on August 31, 2026, requiring board-certified occupational physicians to conduct examinations across 14 ferry locations; the City of Long Beach's surgical benefit carve-out RFP due October 7, 2026 for a Centers of Excellence network covering orthopedic, spine, knee, hip, and oncology procedures; and the County of Santa Clara Health System's non-exclusive multiple-award temporary staffing RFP due October 7, 2026 establishing a qualified vendor pool for ancillary clinical categories including audiology, radiology, respiratory care, and surgical support. Activity continues through early 2027, with most awards and contract execution occurring in the January-April 2027 window.