UNSPSC 85694668: Reposition left metacarpal with external fixation device, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to reposition left metacarpal with external fixation device, 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 0PSQ05Z

UNSPSC 85694668 Reposition left metacarpal with external fixation device, open approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local solicitations under this code show no alignment with orthopedic surgery. Instead, issuing bodies are using the code to tag opportunities for occupational medical surveillance, independent medical evaluation services, pharmacy benefit management, temporary health professional staffing, and surgical benefit carve-out programs — none of which involve metacarpal repositioning or orthopedic surgery. The mismatch between the code's procedural name and the actual scope of work being solicited suggests either a systematic miscoding issue or a data error in how opportunities are being tagged to this Commodity code. The work actually being procured spans disability medical evaluation, occupational health examinations, healthcare staffing, and benefits management services across municipal and county issuing bodies.

Recent opportunities show activity concentrated in Arizona, California, and Washington, with individual solicitations from the City of Phoenix Retirement Office, City of Long Beach, Washington State Department of Transportation, Harris County Juvenile Probation Department, Collier County (Florida), and Santa Clara County Health System. Representative solicitations include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (due October 16, 2026, $750,000 five-year contract including disability record summary and medical examination scheduling), the Washington State Department of Transportation's RFP for occupational medical surveillance services covering four Washington ferry system personnel categories across 14 locations (due October 9, 2026, cost-based evaluation with contract extension options through five years), and Santa Clara County Health System's non-exclusive multiple-award solicitation for temporary health professional staffing across thirteen ancillary clinical categories (due October 7, 2026, five-year qualified-list vehicle with no guaranteed work). The code shows no relevant recent activity for the surgical procedure it nominally names.