UNSPSC 85714468: Fusion of right metacarpocarpal joint with internal fixation device, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to fusion of right metacarpocarpal joint with internal fixation device, 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 0RGS44Z

UNSPSC 85714468 Fusion of right metacarpocarpal joint with internal fixation device, percutaneous endoscopic approach is a Commodity code that shows little relevant recent activity — the code's nominal scope describes a specific surgical procedure, but the recent opportunities tagged to it span occupational health surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for pension disability determinations, surgical carve-out benefits, and youth detention medical services. None of these solicitations involve metacarpocarpal joint fusion or percutaneous endoscopic orthopedic procedures. The mismatch between the code's clinical specificity and the actual work being procured suggests either systematic miscoding at the tagging stage or that the code is used as a catch-all for health-related services outside its intended scope.

The issuing bodies across these opportunities span state departments, county governments, and municipal health systems — the Washington State Department of Transportation (occupational surveillance), Collier County (pharmacy benefits), Santa Clara County Health System (temporary health professional staffing), the City of Phoenix Retirement Office (independent medical evaluations), the City of Long Beach (surgical carve-out benefits), and Harris County Juvenile Probation Department (youth detention medical services). Geographic spread covers Washington, Florida, California, Arizona, and Texas. Representative recent opportunities include the Washington State Department of Transportation's occupational medical surveillance RFP (due October 9, 2026), the City of Phoenix Retirement Office's independent medical evaluation services RFP (due October 16, 2026 with a maximum contract value of $750,000 over five years), the City of Long Beach's surgical and medical procedure carve-out RFP (due October 7, 2026 with go-live targeted for April 1, 2027), and Collier County's pharmacy benefit management RFP (initially due April 9, 2026, with historical annual pharmacy spending of approximately $8.7 million). The disconnect between code assignment and actual procurement scope presents a material risk for business development targeting — vendors should verify whether opportunities tagged to this code genuinely match their service lines.