UNSPSC 85714418: Insertion of external fixation device into left metacarpocarpal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to insertion of external fixation device into 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 0RHT45Z

UNSPSC 85714418 Insertion of external fixation device into left metacarpocarpal joint, percutaneous endoscopic approach is a Commodity code that shows minimal alignment between its nominal scope—a specific orthopedic surgical procedure—and the actual work state and local governments are buying under this code. The recent solicitations tagged to this code cover occupational medical surveillance, disability medical record review and independent medical evaluations, pharmacy benefit management, surgical benefit carve-outs for Centers of Excellence, temporary health professional staffing across ancillary clinical categories, and specialty and emergency medical services for youth in custody. None of these activities involve insertion of external fixation devices or orthopedic surgery procurement. The mismatch suggests either systematic miscoding in the procurement sources or that state and local agencies are using this code as a catch-all for medical services administration and temporary staffing outside its intended orthopedic procedure scope.

The issuing bodies span state health departments, county health systems, county human resources and benefits divisions, county probation departments, and city retirement offices across Arizona, California, Florida, and Washington. The Washington State Department of Transportation on behalf of Washington State Ferries solicited occupational medical surveillance services with a due date of October 9, 2026 (RFP20260825, pre-bid conference August 31, 2026). The City of Phoenix Retirement Office sought independent medical evaluation services for disability determinations with a $750,000 five-year maximum contract value and an October 16, 2026 proposal deadline (RTMRFP26001). The City of Long Beach pursued a surgical procedure carve-out benefit program with a due date of October 7, 2026 and contract execution targeted for April 1, 2027 (HR26753). Given the apparent miscoding, firms should verify code alignment in bid documents before pursuing opportunities under this Commodity code.