UNSPSC 85734234: Bypass right kidney pelvis to ileum with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass right kidney pelvis to ileum 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 0T1347A

UNSPSC 85734234 Bypass right kidney pelvis to ileum with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure; however, state and local government procurement activity under this code does not align with that clinical scope. Recent solicitations posted under this code cover occupational medical surveillance, independent medical evaluations for disability determinations, pharmacy benefit management, temporary clinical staffing, Centers of Excellence networks for surgical procedures, and emergency medical services for detained youth — none of which involve the urological surgical procedure the code nominally names. The issuing bodies span state departments (Washington State Department of Transportation), county governments (Harris County, Collier County, Santa Clara County), and municipal authorities (City of Phoenix, City of Long Beach), with no single repeat buyer emerging across the sparse recent activity. The work being solicited reflects downstream healthcare administration and workforce support rather than the procedural intervention the code's nomenclature suggests, indicating either systematic miscoding at the state and local level or a fundamental mismatch between code intent and current procurement application.

Geographic activity appears concentrated in the Southwest and West Coast — Arizona (Phoenix), California (Long Beach, Santa Clara, Collier County), Washington (State Department of Transportation), and Texas (Harris County) — with no national pattern evident in the six opportunities posted since July 2026. Representative recent solicitations include the Washington State Department of Transportation's RFP for occupational medical surveillance services across 14 ferry system locations, due October 9, 2026, with a pre-bid conference scheduled for August 31, 2026; the City of Phoenix Retirement Office's RFP for independent medical evaluation services supporting disability benefit determinations for public safety pension boards, with a $750,000 maximum five-year contract and proposals due October 16, 2026; the City of Long Beach's RFP for surgical procedure carve-out benefits management, due October 7, 2026; and Santa Clara County Health System's non-exclusive multiple-award solicitation for temporary health professional staffing across ancillary clinical categories, due October 7, 2026. The code shows minimal decision relevance for vendors targeting state and local procurement under its stated clinical scope.