UNSPSC 85733831: Bypass bilateral ureters to left ureter 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 left ureter 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 0T18477

UNSPSC 85733831 Bypass bilateral ureters to left ureter with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code describing a highly specialized surgical procedure. The recent opportunities posted under this code show little alignment with the surgical intervention the code nominally names; instead, state and local governments are using this code to tag medical services and benefits administration work including independent medical evaluations, occupational health surveillance, surgical benefit management programs, pharmacy benefit administration, youth detention healthcare, and temporary health professional staffing. The issuing bodies span city and county health agencies, pension boards, state transportation departments, and county probation departments, indicating the code is being applied as a catch-all health services taxonomy entry rather than to procure a discrete surgical service line.

Recent activity concentrates in Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office posted an RFP (RTMRFP26001) on September 16, 2026 for independent medical evaluation services supporting disability benefit determinations under Arizona's Public Safety Personnel Retirement System, 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) on August 26, 2026 for surgical and medical procedure carve-out benefits management through Centers of Excellence networks, with responses due October 7, 2026 and contract go-live targeted for April 1, 2027. The Washington State Department of Transportation, on behalf of Washington State Ferries, posted an RFP (RFP20260825) on August 25, 2026 for occupational medical surveillance services across 14 ferry system locations, with proposals due October 9, 2026 and a pre-bid conference held August 31, 2026. Collier County, Florida issued an RFP (258414) for Pharmacy Benefit Management services covering approximately 2,400 employees and 4,800 covered members, with historical spending near $8.7 million annually. The Santa Clara County Health System established a qualified vendor pool (RFSQHHSFY270052) for temporary health professional staffing across thirteen ancillary clinical categories, with no guaranteed work volume. The mismatch between the code's procedural specification and the actual medical administration and staffing services being purchased suggests this code is not a reliable filter for surgical implant or procedure procurement activity at the state and local level.