UNSPSC 85714130: Revision of internal fixation device in right metacarpophalangeal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of internal fixation device in right 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 0RWU44Z

UNSPSC 85714130 (Revision of internal fixation device in right metacarpophalangeal joint, percutaneous endoscopic approach), a Commodity code, shows a pronounced mismatch between its nominal scope—a highly specific orthopedic surgical procedure—and the work state and local governments are actually buying under this classification. Recent opportunities tagged to this code involve independent medical evaluation services, occupational medical surveillance, pharmacy benefit management, surgical benefit carve-out programs, and temporary health professional staffing—none of which involve metacarpophalangeal joint device revision. The code appears to be capturing broad-spectrum health services procurement by public agencies rather than a discrete medical device or procedure line. Issuing bodies include large municipal retirement systems, county governments, state transportation departments, county health systems, and juvenile probation departments. The scope of work being solicited spans medical record review and disability benefit evaluation, occupational health examinations, pharmacy administration, specialty surgery networks, and temporary clinical staffing across multiple ancillary disciplines.

Geographic activity centers on Arizona, California, Florida, and Washington, with the most recent solicitations originating from the City of Phoenix Retirement Office, the City of Long Beach, the Washington State Department of Transportation, Harris County (Texas), Collier County (Florida), and the County of Santa Clara (California). Representative recent opportunities include the Phoenix Fire Pension Board and Police Pension Board's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) at $750,000 over five years; the City of Long Beach's RFP for surgical benefit carve-out services through Centers of Excellence (HR26753, due October 7, 2026, with contract execution targeted for April 1, 2027); and the Washington State Department of Transportation's RFP for occupational medical surveillance covering 14 ferry terminal and vessel locations statewide (RFP20260825, due October 9, 2026, with a pre-bid conference on August 31, 2026). The code shows consistent activity but no clear concentration around a single jurisdiction or service type, suggesting that the UNSPSC taxonomy here serves as a catch-all for health-related services rather than distinguishing a specific procurement category.