UNSPSC 85571558: Destruction of carina, via natural or artificial opening

This classification denotes the group of activities that yields a surgical intervention or procedure to destruction of carina, via natural or artificial opening. 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 0B527ZZ

UNSPSC 85571558 Destruction of carina, via natural or artificial opening is a Commodity code that does not align with the state and local medical procurement opportunities recently tagged under it. The code's nominal scope—a specific surgical procedure involving destruction of the carina (the branching point of the trachea)—does not match the actual work being solicited, which spans occupational medical surveillance, disability benefit medical evaluations, surgery carve-out benefit program administration, pharmacy benefit management, temporary health professional staffing, and emergency/inpatient hospital services for detained youth. The recent opportunities reflect state and local health systems, retirement boards, county human resources functions, and detention facilities purchasing broad-spectrum medical administration, benefits management, and clinical staffing services rather than a narrowly defined surgical intervention.

Activity under this code is driven by state departments (Washington State Department of Transportation, Collier County), county governments (Harris County, Collier County, Santa Clara County), cities (Phoenix, Long Beach), and transit authorities (Washington State Ferries), with no clear concentration among repeat buyers. The geographic spread includes Arizona, California, Florida, Texas, and Washington. Representative recent solicitations include the City of Phoenix Retirement Office's RFP RTMRFP26001 (due October 16, 2026) for independent medical evaluation services supporting disability pension determinations; the Washington State Department of Transportation's RFP RFP20260825 (due October 9, 2026) for occupational medical surveillance across 14 ferry terminal and shipyard locations; and Santa Clara County Health System's RFSQHHSFY270052 (due October 7, 2026), a non-exclusive, multiple-award vendor-qualification vehicle for temporary ancillary clinical staffing. The mismatch between the code's nominal procedure-specific language and the actual scope of solicitations suggests that the code may be incorrectly applied to these opportunities or that state procurement databases are using this taxonomy entry for broader medical services without regard to its defined procedural focus.