UNSPSC 85404102: Diagnosis of atresia of oesophagus with tracheo-oesophageal fistula

This classification denotes the group of activities that yields a diagnosis of Atresia of oesophagus with tracheo-oesophageal fistula. Atresia of oesophagus with tracheo-oesophageal fistula 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 Q39. 1

UNSPSC 85404102, Diagnosis of atresia of oesophagus with tracheo-oesophageal fistula, is a Commodity code that shows minimal alignment between its nominal medical-diagnostic scope and the state and local contract activity actually tagged under it. The recent opportunities attributed to this code cover diagnostic imaging system infrastructure (a Picture Archiving and Communication System at San Mateo Medical Center), special education contracted services (audiologist, speech language therapy, occupational therapy, and related professional services at Birdville Independent School District in Texas), and temporary health professional staffing pools (ancillary clinical roles including audiology, diagnostic imaging, respiratory care, and sterile processing across Santa Clara County Health System). These solicitations span health system capital technology procurement, school district supplemental clinical services, and health authority temporary staffing qualification vehicles — none of which directly address diagnosis of congenital esophageal atresia with tracheo-esophageal fistula, the code's stated clinical category.

The issuing bodies are a county hospital system (San Mateo Medical Center), an independent school district (Birdville ISD in northeast Tarrant County, Texas), and a county health system (Santa Clara County Health System in California). Geographic activity appears in California and Texas based on these three recent notices. The San Mateo Medical Center RFP, due October 21, 2026, seeks PACS software and implementation with EPIC integration, data migration, and five-year support; San Mateo County offers a 5–10% local preference under Ordinance Chapter 2.89. The Birdville ISD special education services RFP, also due October 21, 2026, covers 23 line items of contracted ancillary clinical and therapeutic services across 30 campuses, with a base-year cost of $398,494.30 and a contract term running December 1, 2026 through November 30, 2027 plus three optional renewal years. The Santa Clara County Health System posted a non-exclusive multiple-award qualification vehicle on July 7, 2026 (due October 7, 2026) to establish a five-year qualified vendor pool for temporary health professional staffing, with self-selection by specialty category and no guaranteed volume. The code's nominal scope and the actual procurement activity show material divergence, suggesting either a data-taxonomy mismatch or limited genuine activity under this diagnosis-specific code in state and local purchasing.