UNSPSC 85541809: Revision of synthetic substitute in thoracic duct, percutaneous approach

This classification denotes the group of activities that yields a surgical intervention or procedure to revision of synthetic substitute in thoracic duct, percutaneous 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 07WK3JZ

UNSPSC 85541809 Revision of synthetic substitute in thoracic duct, percutaneous approach is a Commodity code that shows limited alignment between its nominal medical-procedure scope and actual state and local purchasing activity. The recent opportunities posted under this code predominantly involve occupational and administrative health services — medical surveillance for state ferry workers, independent disability medical evaluations for public safety pension boards, surgical benefit management for municipal employees, specialty and emergency care coordination for detained youth, pharmacy benefit administration, and temporary ancillary clinical staffing — rather than thoracic duct surgical interventions. The issuing bodies span state departments, county governments, and cities with active health programs: the Washington State Department of Transportation (ferries division), the City of Phoenix Retirement Office, the City of Long Beach, Harris County Juvenile Probation Department, Collier County Board of County Commissioners, and the County of Santa Clara Health System.

Recent opportunities cluster geographically in Washington, Arizona, California, Florida, and Texas. The Washington State Department of Transportation posted a RFP for occupational medical surveillance services with responses due October 9, 2026, covering 14 ferry terminals and requiring baseline and periodic medical exams by physicians board-certified in occupational medicine. The City of Phoenix Retirement Office issued an RFP (RTMRFP26001) for independent medical evaluation services with proposals due October 16, 2026, supporting approximately 75 annual disability benefit applications for firefighters and police officers. The City of Long Beach solicited proposals for surgical and medical procedure carve-out benefits under its Anthem PPO plan, with responses due October 7, 2026. Collier County issued an RFP for pharmacy benefit management services covering approximately 7,200 members with historical annual spending near $8.7 million; that proposal deadline has passed. The code's mismatch with the actual work being procured — none of which involves thoracic surgical procedures — suggests misclassification in the source data rather than active market demand aligned with the Commodity code's stated scope.