UNSPSC 85611860: Bypass cystic duct to left hepatic duct with intraluminal device, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass cystic duct to left hepatic duct with intraluminal device, 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 0F184D6

UNSPSC 85611860 Bypass cystic duct to left hepatic duct with intraluminal device, percutaneous endoscopic approach is a Commodity code that describes a specific surgical procedure, yet the recent state and local procurement activity tagged under this code does not align with surgical procedure procurement. Instead, state and local governments are using this code to solicit health professional staffing, medical evaluation services, pharmacy benefit management, occupational medical surveillance, and surgical carve-out benefit programs — none of which represent the procedure named in the code. The issuing bodies are diverse and include county health systems, city retirement offices, state transportation departments, county boards, and county probation departments. The scope of recent work spans independent medical evaluations for disability benefit determinations, temporary ancillary health professional staffing (including audiology, respiratory care, sterile processing, and therapy services), occupational medical examinations for transportation workers, emergency and specialty medical services for youth in custody, and surgical and medical procedure carve-out networks through Centers of Excellence. This suggests the code is being misapplied to health services contracting broadly rather than to the specific endoscopic surgical procedure the code nominally describes.

Recent opportunities have posted across multiple states and regions. The Washington State Department of Transportation issued an RFQ (RFP20260825) for occupational medical surveillance services for ferry workers across 14 Washington locations, with proposals due October 9, 2026. The City of Phoenix Retirement Office posted an RFP (RTMRFP26001) for independent medical evaluation services for disability benefit determinations, with proposals due October 16, 2026 and a maximum contract value of $750,000 over five years. The City of Long Beach issued an RFP (HR26753) for a surgical benefit carve-out program for approximately 3,800 employees and retirees, with proposals due October 7, 2026. The County of Santa Clara Health System solicited a qualified vendor pool (RFSQHHSFY270052) for temporary health professional staffing across multiple ancillary categories with proposals due October 7, 2026. The code shows little relevant recent activity for the procedure it nominally describes; the mismatch between the code's surgical specificity and the health services administration work actually being procured suggests either broad miscoding by procurement offices or inconsistent code assignment across multiple jurisdictions.