UNSPSC 85611403: Restriction of ampulla of vater, via natural or artificial opening

This classification denotes the group of activities that yields a surgical intervention or procedure to restriction of ampulla of vater, 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 0FVC7ZZ

UNSPSC 85611403 Restriction of ampulla of vater, via natural or artificial opening is a Commodity code that shows a significant mismatch between its clinical procedure nomenclature and actual state and local procurement activity under the code. The recent opportunities tagged to this code do not involve restriction of the ampulla of vater, a specialized gastroenterological or surgical intervention. Instead, the solicitations cover occupational and disability medical evaluation services, employee health plan administration, pharmacy benefit management, and temporary health professional staffing — none of which involve the specific procedure the code nominally describes. The issuing bodies represent a diverse mix of municipalities, counties, state transportation agencies, and regional health systems: the City of Phoenix Retirement Office (Arizona), City of Long Beach (California), Washington State Department of Transportation, Harris County Juvenile Probation Department (Texas), Collier County Board of County Commissioners (Florida), and County of Santa Clara Health System (California). This geographic spread spans at least four states with no apparent regional concentration.

The representative opportunities illustrate the scope mismatch plainly. The City of Phoenix Retirement Office issued RFP RTMRFP26001 (due October 16, 2026) for independent medical evaluation services to support disability benefit determinations for public safety personnel, with a maximum contract value of $750,000 over five years. The Washington State Department of Transportation issued RFP RFP20260825 (due October 9, 2026) for occupational medical surveillance services for ferry workers across 14 locations statewide. The County of Santa Clara Health System issued RFSQHHSFY270052 (due October 7, 2026) to establish a qualified vendor pool for temporary staffing in ancillary clinical categories including audiology, cardiology, diagnostic imaging, and surgical services. These solicitations cluster around occupational health screening, disability and workers' compensation evaluation, health plan administration support, and temporary clinical staffing — none of which align with endoscopic or surgical procedures targeting the ampulla of vater. The code appears to be misapplied to these opportunities and warrants verification against actual commodity classification to assess whether current activity is decision-relevant for this specific clinical procedure code.