UNSPSC 85714180: Supplement right metacarpocarpal joint with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to supplement right metacarpocarpal joint with nonautologous tissue substitute, 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 0RUS4KZ

UNSPSC 85714180 Supplement right metacarpocarpal joint with nonautologous tissue substitute, percutaneous endoscopic approach is a Commodity code whose nominal scope describes an orthopedic surgical procedure, but recent state and local solicitations tagged under this code do not reflect that narrow medical-device or surgical-service definition. Instead, the recent opportunities show a much broader healthcare staffing, benefit administration, and medical evaluation procurement pattern driven by county, city, and regional health system purchasing offices. State and local governments are using this code to solicit independent medical evaluation services (including disability medical record review and scheduling of physician examinations), occupational medical surveillance services across multi-site ferry operations, specialty surgical and medical procedure networks delivered through Centers of Excellence, pharmacy benefit management administration, temporary ancillary clinical staffing across multiple categories (audiology, radiology, orthopedic, respiratory care, sterile processing, and surgical services), and emergency and specialty medical care for detained youth. The issuing-body mix spans municipal retirement offices (City of Phoenix), municipal employee-benefit purchasing (City of Long Beach), state transportation agencies (Washington State Department of Transportation), county probation departments (Harris County), county human-resources and benefits-consortium offices (Collier County), and county health systems (Santa Clara County Health System).

The code shows active recent solicitation across the Southwest, Pacific Northwest, Southeast, and California. Representative opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, proposals due October 16, 2026, $750,000 maximum over five years) supporting disability benefit determinations for public safety personnel; the Washington State Department of Transportation's RFP for occupational medical surveillance services (RFP20260825, proposals due October 9, 2026, performance at 14 ferry system locations statewide) requiring board-certified occupational medicine physicians; the City of Long Beach's RFP for a surgical and medical procedure carve-out benefit program (HR26753, proposals due October 7, 2026) offering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures through Centers of Excellence; and the County of Santa Clara Health System's solicitation for a qualified vendor pool for temporary health professional staffing (RFSQHHSFY270052, proposals due October 7, 2026) across thirteen ancillary clinical categories. The mismatch between the code's surgical-procedure title and the actual buying activity suggests the code may be incorrectly applied by issuing bodies or that the taxonomy entry does not reflect how state and local procurement systems currently classify healthcare staffing and benefits-administration services.