UNSPSC 85603134: Resection of left large intestine, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to resection of left large intestine, 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 0DTG4ZZ

UNSPSC 85603134 Resection of left large intestine, percutaneous endoscopic approach is a Commodity code with a disconnect between its title and the work state and local governments are actually sourcing under it. The recent solicitations tagged to this code do not involve surgical procedures; instead, they reflect procurement of occupational medical surveillance, medical record review and disability evaluation, surgical benefit management carve-outs, pharmacy benefit administration, temporary health professional staffing, and emergency medical services for youth in detention. The code's nominal scope—a specific surgical procedure—does not align with the health services contracting activity appearing in the system today. State and local issuing bodies including cities (Phoenix, Long Beach), counties (Harris, Collier, Santa Clara), state departments (Washington Department of Transportation), and health systems are active in this classification, but none are procuring the procedure named in the code.

The recent opportunities span Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office is seeking independent medical evaluation services for disability benefits determinations (RFP, due October 16, 2026, $750,000 maximum over five years); the City of Long Beach is requesting proposals for a Centers of Excellence carve-out program for orthopedic, spine, cardiac, weight loss, and oncology procedures for its Anthem PPO plan (RFP, due October 7, 2026); the Washington State Department of Transportation is soliciting occupational medical surveillance for ferry workers across 14 locations (RFP, due October 9, 2026, pre-bid conference August 31, 2026); Harris County Juvenile Probation Department posted an RFI for emergency and specialty medical services for detained youth (due September 25, 2026); Collier County is requesting Pharmacy Benefit Management services covering approximately 2,400 employees and 4,800 members with historical spending near $8.7 million annually (RFP, due April 9, 2026); and Santa Clara County Health System is building a qualified vendor pool for temporary health professional staffing across ancillary clinical categories excluding nursing and physicians (RFP, due October 7, 2026, non-exclusive multiple-award). The code shows substantial recent activity, but the work being bought falls outside the surgical-procedure scope the code's name suggests—a signal that either the code is misapplied systematically by these jurisdictions or the taxonomy entry itself requires review.