UNSPSC 85713541: Fusion of left carpal joint with internal fixation device, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left carpal joint with internal 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 0RGR04Z

UNSPSC 85713541 Fusion of left carpal joint with internal fixation device, open approach is a Commodity code that nominally describes a surgical procedure, but the recent state and local contract opportunities tagged under this code do not align with orthopedic surgical intervention. Instead, the opportunities posted under this code reflect medical services and benefits administration — disability benefit medical evaluations, occupational health surveillance, surgical care coordination through Centers of Excellence networks, pharmacy benefit management, and temporary health professional staffing. The mismatch suggests either a classification error in the source data or that this code has been misapplied to procurement activities that fall outside its procedural scope. The issuing bodies include city retirement offices (Phoenix), municipal health benefits administrators (Long Beach), state transportation agencies (Washington State Department of Transportation), county health systems (Santa Clara County Health System), county juvenile justice authorities (Harris County Juvenile Probation Department), and county benefits consortium administrators (Collier County Board of County Commissioners). These represent a mix of city, county, and state buyers rather than health systems or surgical facilities purchasing implants or procedural services.

Recent opportunities show geographic spread across Arizona (City of Phoenix), California (Long Beach and Santa Clara County), Florida (Collier County), Texas (Harris County), and Washington State (Washington State Department of Transportation). The Washington State Ferries RFP for occupational medical surveillance (RFP20260825, due October 9, 2026) requires licensed physicians board-certified in occupational medicine to conduct baseline, periodic, follow-up, and exit examinations across 14 ferry locations statewide. The City of Phoenix Retirement Office RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) seeks disability medical record summary and examination coordination for approximately 75 annual public safety pension benefit applications at a maximum contract value of $750,000 over five years. Neither opportunity involves carpal joint fusion or orthopedic implants. The code shows little relevant recent activity aligned with its stated procedural scope.