UNSPSC 85713950: Fusion of left metacarpophalangeal joint with internal fixation device, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left metacarpophalangeal joint with internal fixation device, 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 0RGV34Z

UNSPSC 85713950 Fusion of left metacarpophalangeal joint with internal fixation device, percutaneous approach is a Commodity code that in recent state and local procurement activity bears no relation to the abstract procedure name — the code appears to have been applied as a catch-all or data-entry error to solicitations for occupational health surveillance, disability medical evaluations, pharmacy benefit management, surgical center-of-excellence programs, temporary health-professional staffing, and pediatric detention-facility medical services. None of these opportunities involve orthopedic joint-fusion procedures or internal fixation devices. The solicitations instead reflect state and local governments' actual purchasing across diverse medical services: occupational medical examinations and surveillance for transportation workers, independent medical evaluations for public-safety pension disability determinations, specialty surgical benefit carve-outs for municipal employees, pharmacy administration and claims processing, temporary clinical and ancillary staffing, and emergency and specialty care for youth in detention. Issuing bodies include state departments of transportation, county health systems and probation departments, county benefits administration, city retirement offices, and city benefits programs — a broad mix of health-authority and municipal procurement.

Geographic activity spans California (Santa Clara County, Long Beach), Washington (state department), Arizona (Phoenix), Florida (Collier County), and Texas (Harris County), with representative recent opportunities including the Washington State Department of Transportation's occupational medical surveillance RFP due October 9, 2026, covering examinations at 14 ferry terminals statewide; the City of Phoenix Retirement Office's independent medical evaluation RFP due October 16, 2026, for approximately 75 annual disability-benefit evaluations on a five-year, $750,000 contract commencing February 2027; and the County of Santa Clara Health System's non-exclusive multiple-award qualification pool for temporary health-professional staffing due October 7, 2026, across thirteen ancillary clinical categories with no guaranteed volume. The code's assignment to these opportunities suggests a systematic mismatch between the UNSPSC taxonomy and actual state and local procurement practice, signaling that pursuit decisions should prioritize the issuing bodies' current operational needs rather than the code's nominal scope.