UNSPSC 85714458: Fusion of left metacarpocarpal joint with nonautologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of left 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 0RGT4KZ

UNSPSC 85714458 (Fusion of left metacarpocarpal joint with nonautologous tissue substitute, percutaneous endoscopic approach), a Commodity code, shows little relevant recent activity under its nominal clinical scope. The code describes a specific orthopedic surgical procedure, yet the recent state and local opportunities tagged to it do not center on that service. Instead, they reflect medical evaluation, occupational health surveillance, pharmacy benefit management, and temporary health professional staffing — none of which align with joint fusion surgery. The mismatch suggests either miscoding in source systems or repurposing of the code to span broader healthcare procurement categories that state and local agencies have reclassified under this taxonomy entry.

The recent opportunities originate from diverse issuing bodies: the City of Phoenix Retirement Office (independent medical evaluations for disability determinations), the City of Long Beach (surgical procedure carve-out networks for employee health plans), the Washington State Department of Transportation (occupational medical surveillance for ferry workers), Harris County Juvenile Probation Department (emergency and specialty medical services), Collier County (pharmacy benefit management), and the County of Santa Clara Health System (temporary ancillary health professional staffing). Activity spans Arizona, California, Florida, Texas, and Washington, with no clear geographic concentration. Representative recent opportunities include the Phoenix Retirement Office RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluations supporting public safety pension disability determinations at $750,000 over five years; the Washington State Department of Transportation RFP (RFP20260825, due October 9, 2026) for occupational medical surveillance across 14 ferry system locations with a pre-bid conference on August 31, 2026; and the Santa Clara Health System RFSQ (RFSQHHSFY270052, due October 7, 2026) establishing a non-exclusive vendor pool for temporary staffing across 13 ancillary clinical categories. None of these opportunities reflect joint surgery or related orthopedic procedures.