UNSPSC 85714448: Fusion of left metacarpophalangeal joint with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left metacarpophalangeal joint with autologous 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 0RGV47Z

UNSPSC 85714448, a Commodity code, does not reflect the actual work being solicited by state and local governments in recent opportunities tagged under this code. The nominal UNSPSC descriptor—"Fusion of left metacarpophalangeal joint with autologous tissue substitute, percutaneous endoscopic approach"—is a specific orthopedic surgical procedure, yet the recent solicitations posted under this code span occupational medical surveillance, pharmacy benefit management, independent medical evaluations for pension disability determinations, surgical benefit carve-out programs, temporary health professional staffing, and acute care services for detained youth. The mismatch between the code's clinical procedure title and the breadth of medical administration and staffing services actually being procured suggests either a coding or categorization error at the source level. State and local governments using this code are not buying individual fusion procedures; they are contracting for medical program management, clinical staffing, and occupational health administration services.

The issuing bodies include county health systems (Santa Clara, Harris, Collier), municipal retirement boards (City of Phoenix), state departments of transportation (Washington State), and municipal employee benefits offices (City of Long Beach). Representative recent opportunities include the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry locations (due October 9, 2026), the City of Phoenix Retirement Office's RFP for independent medical evaluation services for public safety pension disability determinations with a $750,000 five-year maximum (due October 16, 2026), Collier County's RFP for pharmacy benefit management covering approximately 2,400 employees and 4,800 covered members with historical annual spending of $8.7 million (originally due April 9, 2026), and the County of Santa Clara Health System's RFSQ for temporary health professional staffing across 13 ancillary clinical categories (due October 7, 2026). Activity is concentrated in the Southwest (Arizona, California, Florida) and Pacific Northwest (Washington), with no identifiable geographic clustering beyond these regions in the recent record.