UNSPSC 85714515: Excision of left carpal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to excision of 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 0RBR4ZZ

UNSPSC 85714515 Excision of left carpal joint, percutaneous endoscopic approach is a Commodity code that does not reflect the actual work state and local governments are procuring under this designation. The five most recent opportunities tagged to this code span inmate medical and pharmacy services, pharmacy benefit management for county employees, virtual primary and urgent care services, peer support for behavioral health workers, and fire department medical director services — none of which involve carpal joint excision or surgical procedures. The code appears to be a medical procedure taxonomy entry misapplied to healthcare service contracting, creating a fundamental mismatch between the code's nominal scope and the procurement activity occurring beneath it.

State and local buyers across this code are counties and municipalities issuing RFPs for broad healthcare service delivery, administration, and clinical direction rather than specific medical procedures. Issuing bodies include Muscogee County in Georgia (inmate medical services), Collier County in Florida (pharmacy benefit management), Monroe County in Florida (virtual primary and urgent care), San Mateo County in California (behavioral health peer support), and Santa Monica in California (fire department medical director). Geographic activity centers in Florida and California, with secondary presence in Georgia and California. Recent representative opportunities include Muscogee County's RFP for comprehensive inmate medical and pharmacy services at a current monthly cost of $95,537.71 with a two-year initial term and up to three one-year renewals (due May 15, 2026); Collier County's RFP for pharmacy benefit management covering approximately 2,400 employees and 4,800 covered members with historical annual pharmacy spending of $8.7 million (due April 9, 2026); and Monroe County's RFP for virtual primary and urgent care services for approximately 2,300 county members on a Per Employee Per Month rate structure with contract award anticipated June 10, 2026, and an effective date of October 1, 2026. This code shows limited relevance to traditional vendor pursuit given the disconnect between the surgical procedure designation and the healthcare contracting activity tagged to it.