UNSPSC 85714121: Revision of external fixation device in left metacarpophalangeal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of external fixation device in left metacarpophalangeal joint, percutaneous endoscopic 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 0RWV45Z

UNSPSC 85714121 Revision of external fixation device in left metacarpophalangeal joint, percutaneous endoscopic approach is a Commodity code that, based on recent state and local opportunities, encompasses occupational health surveillance, independent medical evaluations, and specialty healthcare services for public sector workforces and beneficiaries rather than orthopedic device revision procedures. State and local issuers under this code include city retirement offices, county health systems, state transportation agencies, county probation departments, and county benefits administrators. The scope of work reflects contracted medical services for employee and retiree populations: occupational medical surveillance with physician-led examinations across multiple work sites, disability benefits medical record review and independent medical evaluations for pension determinations, surgical center-of-excellence networks for employee health plans, pharmacy benefit management, temporary health professional staffing for ancillary clinical roles, and emergency medical services for detained youth. Examining and evaluating physicians must hold state licensure (MD or DO) with relevant specialty credentials; contractors typically require three to five years of demonstrated experience in the service category and must maintain HIPAA compliance, commercial insurance, and often local or minority business enterprise certification eligibility.

Recent activity spans Arizona, California, Washington, Florida, and Texas. Representative opportunities include the City of Phoenix Retirement Office's RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluation services supporting 75 annual disability applications for public safety pension boards, maximum contract value $750,000 over five years; the Washington State Department of Transportation's RFP (RFP20260825, due October 9, 2026) for occupational medical surveillance services across 14 ferry system locations with physician board certification in occupational medicine required; the City of Long Beach's RFP (HR26753, due October 7, 2026) for surgical benefit carve-out management through Centers of Excellence for approximately 3,800 enrolled active employees and retirees; Collier County's RFP (258414, due April 9, 2026) for pharmacy benefit management covering 2,400 employees and 4,800 covered members with estimated annual pharmacy spend of $8.7 million; and the County of Santa Clara Health System's RFSQ (RFSQHHSFY270052, due October 7, 2026) establishing a qualified vendor pool for temporary health professional staffing across 13 ancillary clinical specialties. The code shows mismatch with its nominal device-revision scope, signaling that state and local procurement categorization under this code reflects medical services administration rather than implantable device procedures.