UNSPSC 85733921: Bypass left ureter to colocutaneous with synthetic substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left ureter to colocutaneous with synthetic 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 0T174J9

UNSPSC 85733921, a Commodity code, nominally describes a specific urological surgical procedure (bypass left ureter to colocutaneous with synthetic substitute, percutaneous endoscopic approach), but recent state and local procurement activity tagged under this code does not reflect surgical device procurement or clinical procedure services aligned with that description. Instead, the recent opportunities characterize a mismatch between the code's nominal scope and actual purchasing behavior. The opportunities posted under this code span occupational medical surveillance, independent medical evaluation services for pension disability determinations, pharmacy benefit management administration, temporary health professional staffing coordination, surgical procedure center-of-excellence carve-out benefits management, and emergency medical services for detained youth—none of which correspond to the urological procedure the code nominally describes. This suggests either a systematic miscoding issue in state and local procurement systems or a data classification error in how the opportunities were tagged.

The issuing bodies across these misaligned opportunities include county health systems (Santa Clara), county pension boards (Phoenix), state transportation departments (Washington), county detention authorities (Harris County), county commissioners' offices (Collier County), and municipal employee benefit programs (Long Beach), reflecting broad state and local health services spending. Geographic activity spans Washington, Arizona, California, Texas, and Florida. Without a coherent set of opportunities aligned to the code's nominal surgical procedure scope, this Commodity code does not present a defensible procurement segment for targeted business development—the recent activity suggests either that the code is being misused in state and local systems or that the code definition itself diverges materially from operational buying practice.