UNSPSC 85782028: Supplement right 1st toe with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to supplement right 1st toe with nonautologous tissue substitute, percutaneous endoscopic 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 0YUP4KZ

UNSPSC 85782028 Supplement right 1st toe with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code that does not reflect the actual scope of state and local procurement activity currently posted under this classification. Recent solicitations tagged to this code show little or no alignment with orthopedic surgical procedures. Instead, state and local bodies are using this code to procure occupational medical surveillance, independent medical evaluations for disability determinations, pharmacy benefit management services, temporary health professional staffing, surgical benefit carve-out programs, and emergency medical services for youth in custody — activities that span occupational health, benefits administration, clinical staffing placement, and public health services. The issuing bodies include county health systems, state transportation departments, retirement boards, county commissioners' procurement offices, and juvenile justice authorities. This mismatch signals either a data-entry error in the state and local systems or a misclassification of work that should fall under different codes related to medical services contracting and benefits administration.

The most recent solicitations appear across Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office posted an RFP (RTMRFP26001, response due October 16, 2026) seeking independent medical evaluation services for disability benefit determinations, with a maximum contract value of $750,000 over five years. The Washington State Department of Transportation posted an RFQ (RFP20260825, response due October 9, 2026) for occupational medical surveillance services across 14 ferry system locations. The City of Long Beach posted an RFP (HR26753, response due October 7, 2026) for surgical procedure carve-out benefits through Centers of Excellence. Collier County Board of County Commissioners solicited Pharmacy Benefit Management Services (RFP 25-8414) on behalf of its health care consortium, with historical annual spending of approximately $8.7 million. The County of Santa Clara Health System established a qualified-vendor pool (RFSQHHSFY270052, response due October 7, 2026) for temporary health professional staffing across ancillary clinical categories. Given the material disconnect between the code's nominal scope and the work actually being solicited, this code warrants review for reclassification or consolidation with codes more accurately capturing medical services and benefits procurement.