UNSPSC 85733830: Bypass bilateral ureters to colon with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass bilateral ureters to colon with autologous tissue substitute, 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 0T18478

UNSPSC 85733830 Bypass bilateral ureters to colon with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that shows a significant mismatch between its nominal scope and actual state and local procurement activity. The code's clinical-procedure name does not align with the work state and local buyers are actually soliciting. Recent opportunities tagged under this code span occupational medical surveillance, independent medical evaluation services for pension disability determinations, surgical benefit carve-out programs, specialty medical services for detained youth, pharmacy benefit management, and temporary health professional staffing — none of which involve urological surgical procedures. State and local issuing bodies applying this code include city retirement offices, transit authorities, county health systems, county juvenile justice departments, and county commissioners' offices, indicating the code is being used to tag general healthcare administration and medical staffing services rather than a specific surgical intervention.

Geographic spread covers Arizona, Washington State, California, Florida, and Texas based on recent solicitations from Phoenix, Washington State Ferries, Long Beach, Santa Clara County, Collier County, and Harris County. Representative recent opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) to conduct approximately 75 annual disability medical record reviews and psychiatric examinations for public safety pension applicants, valued at $750,000 over five years; the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026) requiring a board-certified occupational medicine physician; and Santa Clara County Health System's RFQ to establish a qualified vendor pool for temporary health professional staffing in ancillary clinical categories (RFSQHHSFY270052, due October 7, 2026). The code appears to be a taxonomy mismatch rather than a true signal of procurement activity in urological surgical procedures at the state and local level.