UNSPSC 85781868: Alteration of left ankle region with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to alteration of left ankle region 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 0Y0L0KZ

UNSPSC 85781868 Alteration of left ankle region with nonautologous tissue substitute, open approach is a Commodity code that does not reflect the actual work being solicited under it in recent state and local procurement activity. The code nominally describes a surgical procedure, but recent opportunities posted under this code encompass occupational medical surveillance, independent medical evaluation services for disability retirement determinations, pharmacy benefit management, surgical benefit carve-out programs, and temporary health professional staffing—none of which align with orthopedic ankle surgery or tissue-substitute procedures. This represents a significant classification mismatch between the UNSPSC taxonomy and the operational scope of work state and local agencies are actively procuring.

The geographic and issuing-body spread across recent opportunities spans Arizona (City of Phoenix), California (City of Long Beach and County of Santa Clara), Washington (Washington State Department of Transportation), Texas (Harris County), and Florida (Collier County), representing a mix of city procurement offices, county human resources divisions, state transportation departments, health systems, and juvenile justice agencies. Representative recent solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026) supporting disability determinations for approximately 75 annual public safety pension applications with a five-year term valued at $750,000; the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry system locations (due October 9, 2026) with a two-year term and optional five-year extensions; and the County of Santa Clara Health System's RFQ to establish a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical categories (due October 7, 2026) with a five-year pool duration and no guaranteed work. The code shows no relevant recent activity for actual orthopedic surgical procedures or tissue-substitute implants.