UNSPSC 85471831: Bypass spinal canal to pleural cavity with autologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass spinal canal to pleural cavity with autologous tissue substitute, open 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 001U074

UNSPSC 85471831 Bypass spinal canal to pleural cavity with autologous tissue substitute, open approach is a Commodity code that nominally describes a surgical procedure, but recent state and local opportunities solicited under this code show no alignment with spinal bypass surgery or orthopedic intervention. Instead, the code appears to be misapplied or systematically miscoded across state and local procurement systems to capture medical services that fall outside the code's intended scope: independent medical evaluation and disability determination services, occupational health surveillance programs, pharmacy benefit management, Centers of Excellence surgical carve-out programs, temporary health professional staffing pools, and youth detention medical services. The issuing bodies include city retirement offices (City of Phoenix), municipal governments (City of Long Beach), state transportation departments (Washington State Department of Transportation), county health systems (Santa Clara County Health System), county probation departments (Harris County Juvenile Probation Department), and county commissioners (Collier County). The work being procured ranges from administrative medical record review and scheduling for pension disability determinations to network-based specialty surgical care coordination, occupational medicine surveillance, and clinical staffing placement.

The geographic spread spans Arizona (Phoenix), California (Long Beach, Collier County), Washington (statewide WSF locations), Texas (Harris County), and additional activity across municipal and county health procurement nationally. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services for disability pension determinations, due October 16, 2026, with a maximum contract value of $750,000 over five years; the Washington State Department of Transportation's RFP for occupational medical surveillance services for ferry workers across 14 statewide locations, due October 9, 2026 with apparent successful bidder announcement October 20, 2026; the City of Long Beach's RFP for a surgical Centers of Excellence carve-out program for Anthem PPO members, due October 7, 2026 with contract execution targeted for April 1, 2027; and the County of Santa Clara Health System's non-exclusive multiple-award qualification vehicle for temporary health professional staffing in ancillary clinical categories, due October 7, 2026. The code shows active procurement volume but significant mismatch between the nominal commodity definition and actual state and local buying patterns, suggesting systemic miscoding or a classification gap in how jurisdictions tag healthcare services procurement.