UNSPSC 85714138: Revision of internal fixation device in left metacarpocarpal 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 left metacarpocarpal 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 0RWT44Z

UNSPSC 85714138 Revision of internal fixation device in left metacarpocarpal joint, percutaneous endoscopic approach is a Commodity code that shows minimal alignment between its nominal scope and the medical services state and local governments are actually procuring under it. The recent solicitations tagged with this code cover occupational medical surveillance, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, Centers of Excellence surgical coordination, and youth detention emergency care — none of which involve orthopedic fixation devices or hand surgery procedures. The code appears to be a coding mismatch rather than a signal of active procurement demand for the specific surgical procedure the code nominally describes.

The issuing bodies in the recent opportunities include county and municipal health systems (Santa Clara County Health System, Harris County Juvenile Probation Department, City of Long Beach), state transportation agencies (Washington State Department of Transportation), municipal pension and retirement offices (City of Phoenix Retirement Office), and county procurement divisions (Collier County Board of County Commissioners). Geographic activity spans California, Arizona, Washington, Florida, and Texas, with recent RFPs and RFQs posted between July and September 2026 and response dates clustering in September and October 2026. Representative opportunities include Santa Clara County Health System's October 7, 2026 RFQ for temporary health professional staffing across multiple ancillary clinical categories (audiology, radiology, therapy services, sterile processing, and others); Washington State Department of Transportation's October 9, 2026 RFQ for occupational medical surveillance services across 14 Washington ferry terminals; and City of Phoenix Retirement Office's October 16, 2026 RFP for independent medical evaluation services supporting disability benefit determinations. The code does not appear to track procurement of the orthopedic fixation devices or hand surgery services its nominal description suggests.