UNSPSC 85713634: Revision of synthetic substitute in left metacarpocarpal joint, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of synthetic substitute in left metacarpocarpal joint, percutaneous 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 0RWT3JZ

UNSPSC 85713634 Revision of synthetic substitute in left metacarpocarpal joint, percutaneous approach is a Commodity code that shows a significant mismatch between its clinical taxonomy label and the actual work state and local governments are procuring under this designation. The recent opportunities tagged to this code do not involve orthopedic procedures or joint replacements; instead, they reflect a broad range of health services contracting — occupational medical surveillance, independent disability evaluations, pharmacy benefit management, temporary health professional staffing, and surgical care coordination through centers of excellence. The issuing bodies include state departments of transportation, county health systems, county boards of commissioners, city retirement offices, and city procurement bureaus. The scope of work being solicited spans occupational health compliance examinations, medical record summarization for pension disability determinations, pharmacy network administration with specialty drug management, temporary ancillary clinical staffing across diagnostic imaging, respiratory care, surgical processing and therapy services, and surgical procedure carve-out programs with bundled payment models.

Geographic activity is concentrated in the Pacific Northwest and California, with recent solicitations from the Washington State Department of Transportation (occupational medical surveillance across 14 ferry locations), the County of Santa Clara Health System (temporary health professional staffing), and the City of Long Beach (surgical care coordination). Additional recent activity includes the City of Phoenix Retirement Office (independent medical evaluations for public safety pension disability determinations, RFP due October 16, 2026 with a $750,000 five-year maximum contract value), Harris County Juvenile Probation Department (emergency and specialty medical services for detained youth, RFI due September 25, 2026), and Collier County Board of County Commissioners (pharmacy benefit management covering approximately 2,400 employees and 4,800 covered members, with historical annual pharmacy spending around $8.7 million). The code's nominal scope — a specific hand-surgery procedure — bears no relationship to the current procurement patterns; state and local buyers are using this Commodity designation for general health services contracts rather than for the orthopedic procedure the code name describes.