UNSPSC 85714535: Destruction of left metacarpophalangeal joint, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to destruction of left metacarpophalangeal 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 0R5V4ZZ

UNSPSC 85714535 Destruction of left metacarpophalangeal joint, percutaneous endoscopic approach is a Commodity code that shows a significant mismatch between its clinical procedural nomenclature and the state and local procurement activity tagged under it. The six recent opportunities posted under this code involve occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, independent medical evaluations for pension disability determinations, surgical procedure carve-out benefits, and emergency medical services for youth in custody—none of which align with orthopedic surgical destruction of a specific joint. This systematic misclassification suggests the code has been misapplied as a catch-all for health services procurement rather than representing an actual surgical procedure market at the state and local level.

The issuing bodies span state health systems, county human resources and procurement offices, and specialized boards: the Washington State Department of Transportation (on behalf of Washington State Ferries), the County of Santa Clara Health System, Collier County Board of County Commissioners, the City of Phoenix Retirement Office, the City of Long Beach, and Harris County Juvenile Probation Department. Geographic activity appears concentrated in California, Arizona, Florida, and Washington, with a single Texas inquiry. Representative recent opportunities include the Washington State Ferries' RFP for occupational medical surveillance across 14 ferry system locations (proposals due October 9, 2026, pre-bid conference August 31, 2026); the City of Phoenix Retirement Office's RFP for independent medical evaluation services for disability pension determinations covering approximately 75 annual claims ($750,000 maximum over five years, proposals due October 16, 2026); the City of Long Beach's RFP for surgical procedure carve-out benefits through Centers of Excellence (proposals due October 7, 2026, contract anticipated April 1, 2027); and the County of Santa Clara Health System's RFQ for temporary health professional staffing across 13 ancillary clinical categories (proposals due October 7, 2026, non-exclusive qualified-list vehicle with no guaranteed volume). No active procurement under this code for the named surgical procedure exists in the source material.