UNSPSC 85482147: Excision of lumbar sympathetic nerve, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to excision of lumbar sympathetic nerve, 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 01BN4ZZ

UNSPSC 85482147 Excision of lumbar sympathetic nerve, percutaneous endoscopic approach (Commodity) does not align with the state and local procurement activity tagged under this code. Recent opportunities posted under this Commodity code involve occupational health surveillance, disability medical evaluations, pharmacy benefit management, temporary clinical staffing, surgical benefit carve-outs, and youth detention healthcare services—none of which constitute surgical procedures or match the code's nominal scope describing a specific surgical technique. The mismatch suggests either systematic miscoding by issuing bodies or a fundamental disconnect between the UNSPSC taxonomy as applied by state and local procurement offices and this code's intended definition.

The recent activity reflects healthcare services procurement by state agencies, county governments, and public health systems. The Washington State Department of Transportation (on behalf of Washington State Ferries) posted RFP20260825 for occupational medical surveillance services covering baseline and periodic examinations across 14 ferry system locations, with proposals due October 9, 2026. The City of Phoenix Retirement Office solicited independent medical evaluation services under RTMRFP26001 for disability determinations, with a maximum contract value of $750,000 over five years and proposals due October 16, 2026. The County of Santa Clara Health System established a multiple-award qualified vendor pool for temporary ancillary clinical staffing (audiology, cardiology, diagnostic imaging, orthopedics, and surgical services) under RFSQHHSFY270052, with proposals due October 7, 2026. Collier County issued RFP 25-8414 for pharmacy benefit management services covering 2,400 enrolled employees and approximately $8.7 million in annual spending, with an April 9, 2026 deadline. These solicitations originate primarily from California, Arizona, Washington, and Florida, with geographic spread across administrative and operational locations. The code shows no current alignment with its nominal surgical procedure scope and warrants recoding review.