UNSPSC 85714159: Revision of spacer in right carpal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of spacer in right carpal 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 0RWQ48Z

UNSPSC 85714159 Revision of spacer in right carpal joint, percutaneous endoscopic approach is a Commodity code with minimal alignment to recent state and local procurement activity. The code's nominal scope—a specific orthopedic surgical procedure on the wrist—does not match the medical and health-services contracts actually posted under this designation. Recent solicitations tagged with this code span occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, disability medical evaluations, surgical benefit carve-out programs, and emergency services for detained youth. These represent operational health services, staffing, and benefit administration rather than a defined surgical procedure line item. The issuing bodies include county health systems, county boards of commissioners, state transportation departments, municipal retirement offices, and municipal human resources departments—a diverse mix of public-sector health purchasers without repeat-buyer concentration within this specific code.

The geographic spread of recent activity covers Arizona (City of Phoenix Retirement Office), California (City of Long Beach, County of Santa Clara), Washington (Washington State Department of Transportation), and Texas (Harris County), with no jurisdiction appearing more than once in the six recent opportunities. The Washington State Ferries occupational medical surveillance RFP (due October 9, 2026) is a two-year contract term with options to extend five years and emphasizes occupational medicine physician supervision across 14 ferry system locations; the City of Phoenix Retirement Office disability medical evaluation RFP (due October 16, 2026) seeks comprehensive record review and independent medical examinations for approximately 75 annual disability benefit applications on a five-year, $750,000-maximum contract; the City of Long Beach surgical benefit program RFP (due October 7, 2026) targets Centers of Excellence networks for orthopedic, spine, and other specialty procedures across a 3,800-employee population. The code's assignment to these health-services and staffing procurements appears to be a cataloging mismatch rather than a signal of active purchasing for orthopedic surgical procedures under state and local RFP, IFB, or ITB vehicles.