UNSPSC 85781704: Reattachment of right 4th toe, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to reattachment of right 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 0YMV0ZZ

UNSPSC 85781704 Reattachment of right 4th toe, open approach is a Commodity code that, based on recent state and local opportunities, shows significant mismatch between its nominal clinical scope and actual procurement activity. The recent opportunities posted under this code encompass independent medical evaluation services, pharmacy benefit management, occupational medical surveillance, temporary health professional staffing, surgical benefit carve-outs, and emergency medical services for youth in custody — none of which involve surgical reattachment procedures. The issuing bodies include city retirement offices, county human resources and health departments, state transportation agencies, and county health systems, reflecting a mix of municipal, county, and state purchasers across administrative and operational health functions.

Activity appears concentrated in Arizona, California, Florida, and Washington. Representative recent solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026), which focuses on disability medical record summaries and physician examinations for public safety pension determinations; the Washington State Department of Transportation's RFP for occupational medical surveillance services covering four employee categories across 14 ferry system locations (RFP20260825, due October 9, 2026 with pre-bid August 31, 2026); the City of Long Beach's RFP for surgical and medical procedure carve-out benefits through Centers of Excellence (HR26753, due October 7, 2026); and Collier County's RFP for pharmacy benefit management services with historical spending of approximately $8.7 million annually (258414, due April 9, 2026). The code shows no active solicitations for surgical reattachment or related orthopedic procedures; the UNSPSC categorization does not align with the health services and benefit administration work actually being purchased.