UNSPSC 85714351: Removal of spacer from left carpal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to removal of spacer from left 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 0RPR48Z

UNSPSC 85714351 Removal of spacer from left carpal joint, percutaneous endoscopic approach is a Commodity code that describes a specific orthopedic surgical procedure; however, recent state and local procurement activity shows no purchases of this procedure itself. Instead, the code's recent activity reflects a fundamental mismatch between the code's scope and what state and local governments are actually buying. The six recent opportunities posted under this code relate to occupational medical surveillance services, independent disability medical evaluations, pharmacy benefit management, specialty surgical carve-out networks, temporary health professional staffing, and emergency medical services for detained youth — none of which involve joint spacer removal or percutaneous endoscopic carpal procedures. The issuing bodies include a state department (Washington State Department of Transportation), county governments (Harris County, Collier County, Santa Clara County), and a city retirement office (Phoenix), reflecting broad geographic and organizational spread across the public sector.

The mismatch between the Commodity code's clinical descriptor and the actual procurement activity suggests either a classification error in how opportunities were tagged or that the code's use in state and local systems differs substantially from its intended medical procedure classification. The code shows minimal relevant recent activity if the focus is carpal joint procedures; instead, it captures a diverse mix of health services contracting that spans occupational health compliance, benefit program administration, temporary staffing qualification pools, and youth detention medical care. Representative opportunities include the Washington State Department of Transportation's October 9, 2026 RFP for occupational medical surveillance services across 14 ferry terminals, the City of Phoenix Retirement Office's October 16, 2026 RFP for disability medical record summary and independent medical evaluation services ($750,000 over five years), and Collier County's Pharmacy Benefit Management Services RFP with historical annual spend near $8.7 million. Given the code's procedural specificity and the absence of matching procurement signals in recent state and local activity, this code warrants close monitoring to clarify whether the tagging represents consistent practice or isolated classification anomalies.