UNSPSC 85781703: Reattachment of left 4th toe, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to reattachment of left 4th toe, 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 0YMW0ZZ

UNSPSC 85781703 Reattachment of left 4th toe, open approach is a Commodity code that nominally describes a specific surgical procedure. However, recent state and local opportunities posted under this code show no alignment with surgical services; instead, they center on healthcare administration, pharmacy benefit management, virtual care platforms, peer support services, and medical directorship roles. The code appears to be misapplied across the four recent solicitations, which span inmate medical and pharmacy services contracting, county-level pharmacy benefit management administration, virtual primary and urgent care service delivery, peer support worker services, and fire department medical directorship. None of these opportunities involve surgical reattachment procedures or orthopedic interventions. The issuing bodies include county governments (Muscogee County in Georgia, Collier County in Florida, and Monroe County in Florida), a county health department (San Mateo County in California), and a municipal fire department (Santa Monica in California). This mix reflects healthcare administration and service procurement across local health systems rather than surgical supply or procedural coding.

The geographic spread covers Florida (Collier County and Monroe County), Georgia (Muscogee County), and California (San Mateo County and Santa Monica). Recent representative opportunities include Columbus Consolidated Government's RFP 26-0008 for inmate medical and pharmacy services at Muscogee County Prison, posted April 15, 2026 with proposals due May 15, 2026, covering medical intake, chronic care, pharmacy services, and dental care for approximately 576 inmates; Collier County's RFP 25-8414 for Pharmacy Benefit Management Services, posted April 9, 2026 for approximately 2,400 enrolled employees and 4,800 covered members with historical annual spending near $8.7 million; and Monroe County's RFP for Virtual Primary and Urgent Care Services, posted March 14, 2026 with proposals due April 16, 2026, serving approximately 2,300 county members. The code shows little relevant recent activity when measured against its stated surgical scope.