UNSPSC 85362804: Diagnosis of chronic kidney disease, stage 4

This classification denotes the group of activities that yields a diagnosis of Chronic kidney disease, stage 4. Chronic kidney disease, stage 4 is listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 as a four digit category under code N18. 4

UNSPSC 85362804, Diagnosis of chronic kidney disease, stage 4, is a Commodity code that shows a mismatch between its clinical nomenclature and recent state and local procurement activity posted under it. The three opportunities indexed to this code involve diagnostic imaging systems, special education contracted services, and temporary health professional staffing—none of which directly address chronic kidney disease diagnosis. The code's abstract scope does not align with the work state and local buyers are actually soliciting under this classification, suggesting either misapplication of the code by issuing bodies or that this particular Commodity is not actively procured through open solicitations in the current market.

Recent activity appears across California and Texas health systems and school districts, but the opportunities lack substantive relevance to the code's stated clinical focus. San Mateo Medical Center (SMMC) in San Mateo County, California, posted an RFP for a Diagnostic Imaging PACS system on October 7, 2026, with a deadline of October 21, 2026, requiring enterprise-grade implementation supporting radiology, cardiology, and dental imaging integrated with EPIC; the project scope and vendor qualifications center on imaging infrastructure rather than nephrology-specific diagnostic protocols. The County of Santa Clara Health System, also in California, solicited proposals on July 7, 2026, to establish a qualified vendor pool for temporary health professional staffing across ancillary clinical categories with a response deadline of October 7, 2026, explicitly excluding nursing and physician services and including audiology, diagnostic imaging, and therapy roles. Birdville Independent School District (BISD) in Tarrant County, Texas, posted a competitive sealed proposal on September 18, 2026, for special education contracted services with an October 21, 2026, deadline—entirely outside the clinical diagnostic domain. These opportunities suggest that this UNSPSC code either receives infrequent direct application or is being applied inconsistently by procurement offices.