UNSPSC 85713138: Revision of internal fixation device in left metacarpocarpal joint, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of internal fixation device in left metacarpocarpal joint, 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 0RWT04Z

UNSPSC 85713138 Revision of internal fixation device in left metacarpocarpal joint, open approach is a Commodity code that shows no alignment between its nominal medical-device scope and the recent state and local solicitations tagged under it. The tagged opportunities span independent medical evaluations for public safety disability determinations, surgical benefit administration for municipal employees, occupational health surveillance for state ferry workers, emergency and specialty medical services for detained youth, pharmacy benefit management, and temporary health professional staffing — none involving orthopedic device revision or metacarpocarpal joint procedures. The mismatch suggests either systematic miscoding in the originating procurement systems or opportunistic application of a device code to general healthcare administration.

The issuing bodies across the tagged opportunities represent diverse state and local structures: the City of Phoenix Retirement Office (pension system administration), the City of Long Beach (municipal employee benefits), the Washington State Department of Transportation (state agency operations), Harris County Juvenile Probation Department (county custody and detention), Collier County Board of County Commissioners (county employee benefits), and the County of Santa Clara Health System (county health system staffing). The geographic spread spans Arizona, California, Washington, Texas, and Florida, with no concentration pattern evident. Representative recent opportunities include the City of Phoenix's RFP for independent medical evaluation services (due October 16, 2026, maximum $750,000 over five years), the City of Long Beach's RFP for a surgical and medical procedure carve-out benefit program (due October 7, 2026, with go-live targeted April 1, 2027), and the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry locations statewide (due October 9, 2026, with a pre-bid conference scheduled for August 31, 2026). This code does not reflect a coherent procurement category in current state and local activity and warrants code-mapping review at the source systems.