UNSPSC 85801753: Removal of cast on left upper arm

This classification denotes the group of activities that yields a placement intervention or procedure to removal of cast on left upper arm. This placement 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 2W5BX2Z

UNSPSC 85801753 Removal of cast on left upper arm is a Commodity code that shows little relevant recent activity under its nominal scope. The code itself describes a clinical procedure—the removal of an orthopedic cast from a patient's upper arm—yet the recent state and local opportunities tagged with this code do not align. Instead, the tagged solicitations span clinical laboratory services, occupational health testing, drug screening, medical surveillance, inmate healthcare, pharmacy benefit management, and wastewater pathogen testing. None of these activities involves cast removal as a medical service line. The mismatch suggests either a cataloging error in how these opportunities were tagged or that the code is being applied in a way that diverges from its dictionary definition. State and local purchasing offices appear not to be actively procuring cast removal as a standalone service under this code, and the broader service categories represented in the opportunity set fall outside orthopedic or emergency medicine care delivery.

The issuing bodies in the opportunity set span state health and human services agencies (Illinois Department of Public Health, Texas Health and Human Services Commission, Kentucky Department of Veterans Affairs, Michigan Department of Health and Human Services, Colorado Department of Human Services), county and city health departments and correction systems (Harris County Public Health Services, City of Austin, Hillsborough County Fire Rescue, Columbus Consolidated Government), school districts (Austin Independent School District, Northside Independent School District, Schertz-Cibolo-Universal City Independent School District), a transit authority (Metropolitan Transit Authority of Harris County), and specialized providers such as the District of Columbia Office of the Chief Medical Examiner and the Texas Animal Health Commission. The dominant pattern is procurement of clinical laboratory testing—blood work, drug screening, lead and hantavirus analysis, respiratory panels, and diagnostic testing—and occupational health services including employment physicals, medical surveillance, and fitness-for-duty evaluations. Kentucky's Department of Veterans Affairs emerges as a repeat buyer, appearing in multiple recent RFPs for laboratory services at five long-term care veterans facilities. Geographic spread includes Texas (heavy concentration), Kentucky, Illinois, Michigan, Colorado, Georgia, Florida, Oregon, and Nevada. Representative recent opportunities include the Illinois Department of Human Services IFB for laboratory services at 14 mental health facilities (due August 4, 2026, with 7% BEP set-aside), the Texas Health and Human Services Commission IFB for lead sample analysis services requiring EPA-NLLAP accreditation (due July 31, 2026, with 26% HUB goal), and the Commonwealth of Kentucky's ongoing series of RFPs for laboratory services at multiple veterans centers (due dates in April through July 2026). The code does not map to what state and local government is actually buying under this catalog entry.