UNSPSC 85694714: Replacement of left metacarpal with synthetic substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of left metacarpal with synthetic 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 0PRQ0JZ

UNSPSC 85694714 Replacement of left metacarpal with synthetic substitute, open approach is a Commodity code that shows minimal alignment between its nominal scope and recent state and local procurement activity. The code nominally describes a specific orthopedic surgical procedure — replacement of a metacarpal bone with a synthetic implant performed via open surgical approach — yet the recent opportunities posted under this code do not involve procurement of surgical implants, orthopedic devices, or procedure-specific medical supplies. Instead, issuing bodies have tagged opportunities for independent medical evaluation services, occupational health surveillance, pharmacy benefit management, surgical benefit carve-out programs, temporary health professional staffing pools, and specialty medical services for detained youth. None of these services involve the procurement or supply of the metacarpal replacement implant or related surgical hardware that the code nominally describes.

The geographic spread of recent activity includes Arizona (City of Phoenix), California (City of Long Beach, County of Santa Clara), Washington (Washington State Department of Transportation), Florida (Collier County), and Texas (Harris County), though the opportunities posted under this code do not reflect procurement of the specific surgical procedure or implant named in the code. The most recent opportunities include the City of Phoenix Retirement Office RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026), the Washington State Department of Transportation RFP for occupational medical surveillance (RFP20260825, due October 9, 2026), the City of Long Beach RFP for surgical benefit carve-out management (HR26753, due October 7, 2026), and the County of Santa Clara Health System RFQ for temporary health professional staffing (RFSQHHSFY270052, due October 7, 2026). The mismatch between code definition and actual solicitations suggests either a cataloging error or that the code is being used as a broad catch-all for health services procurement rather than for procurement of the specific orthopedic implant device it describes. State and local buyers pursuing opportunities under this code should verify the actual scope of each solicitation rather than assuming alignment with the metacarpal replacement procedure.