UNSPSC 85713142: Revision of synthetic substitute in right metacarpocarpal joint, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of synthetic substitute in right 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 0RWS0JZ

UNSPSC 85713142, Revision of synthetic substitute in right metacarpocarpal joint, open approach, is a Commodity code that state and local procurement offices have tagged to a range of medical evaluation, surveillance, and employee health benefit management services—a disconnect between the code's nominal orthopedic surgical scope and the actual work being solicited. The recent opportunities do not reflect joint replacement or surgical revision work; instead, they cover occupational medical surveillance, disability benefit medical record summarization, Centers of Excellence surgical carve-out networks, pharmacy benefit management, temporary clinical staffing placement, and youth detention emergency medical services. State and local issuers—county health systems, county commissioners, city retirement offices, state transportation departments, county probation departments, and municipal health plans—are using this code as a catch-all for medical services and benefit administration, suggesting either miscoding at the source or a taxonomy mismatch that obscures the code's true procurement reality. None of the recent opportunities align with orthopedic joint replacement surgery.

The geographic spread includes Arizona (Phoenix), California (Long Beach and Santa Clara County), Washington (statewide ferries), Florida (Collier County), and Texas (Harris County), with recent activity concentrated in California and Southwest markets. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RFP RTMRFP26001, due October 16, 2026, $750,000 over five years), the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry terminal locations (RFP RFP20260825, due October 9, 2026), the City of Long Beach's RFP for surgical benefit Centers of Excellence carve-out services (RFP HR26753, due October 7, 2026, with go-live targeted April 1, 2027), and Collier County's RFP for Pharmacy Benefit Management Services (RFP 25-8414, $8.7 million historical annual spend). The code shows no substantive recent activity aligned to its stated orthopedic surgical revision scope and should be treated as inactive for the stated commodity.