UNSPSC 85781809: Detachment at left 4th toe, low, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to detachment at left 4th toe, low, 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 0Y6W0Z3

UNSPSC 85781809 Detachment at left 4th toe, low, open approach is a Commodity code that nominally describes a surgical procedure, yet the recent state and local contract opportunities tagged under it show no activity aligned with that clinical scope. Instead, the opportunities reflect health care administration and management services — inmate medical and pharmacy services for correctional facilities, pharmacy benefit management for county employee health plans, virtual primary and urgent care services, peer support services for mental health workers, and fire department medical direction. This mismatch between the code's surgical designation and the actual procurement activity suggests either a data-tagging error in the source records or that the code is being misapplied to health services contracts. State and local issuing bodies posting under this code include county corrections departments, county human resources and health benefits divisions, county boards of commissioners, county behavioral health services, and municipal fire departments.

The geographic spread of recent opportunities spans Florida (Collier County and Monroe County), Georgia (Columbus Consolidated Government and Muscogee County), California (San Mateo County), and California again (Santa Monica). Representative recent solicitations include the Columbus Consolidated Government's RFP No. 26-0008 for inmate medical and pharmacy services at Muscogee County Prison (RFP posted April 15, 2026, due May 15, 2026, with the existing CorrectHealth Companies LLC contract at $95,537.71 monthly expiring September 30, 2026); Collier County Board of County Commissioners' RFP 25-8414 for pharmacy benefit management services (RFP posted April 9, 2026, due April 9, 2026, with historical pharmacy spending approximately $8.7 million annually); Monroe County Board of County Commissioners' RFP for virtual primary and urgent care services (RFP posted March 14, 2026, due April 16, 2026, for approximately 2,300 county members); and San Mateo County Health's RFP No. 2025-007 for peer support services for peer workers under the Mental Health Services Act Innovation pilot ($580,000 total funding over three years, proposals due July 2, 2025). The code shows little relevant recent activity consistent with its nominal surgical scope.