UNSPSC 85734239: Bypass right kidney pelvis to left kidney pelvis 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 left kidney pelvis 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 0T13474

UNSPSC 85734239 Bypass right kidney pelvis to left kidney pelvis with autologous tissue substitute, percutaneous endoscopic approach is a Commodity code that nominally describes a specific surgical procedure; however, recent state and local procurement activity under this code does not reflect purchase of that surgical service. Instead, issuing bodies are tagging a diverse set of health benefit administration, occupational health surveillance, and temporary clinical staffing services with this code, indicating a significant mismatch between the code's anatomical specificity and actual procurement use. The scope of work state and local governments are actually buying under this code encompasses independent medical evaluations for pension disability determinations, surgical procedure carve-out benefit programs, occupational medical surveillance for transportation workers, emergency and specialty hospital services for detained youth, pharmacy benefit management administration, and temporary ancillary health professional staffing across audiology, imaging, therapy, and surgical support categories. Issuing bodies include county boards of commissioners, state transportation departments, city retirement offices, county health systems, and county juvenile justice departments—a fragmented buyer base with no single repeat purchaser across recent opportunities.

Geographic spread covers Arizona, California, Florida, Texas, and Washington, with recent activity clustered in mid-August through mid-September 2026. Representative opportunities include the City of Phoenix Retirement Office requesting independent medical evaluation services (RFP RTMRFP26001, proposals due October 16, 2026, $750,000 over five years); the City of Long Beach soliciting surgical benefit carve-out program management for its health plan (RFP HR26753, proposals due October 7, 2026); the Washington State Department of Transportation seeking occupational medical surveillance services across 14 ferry terminal locations (RFP RFP20260825, proposals due October 9, 2026, pre-bid conference August 31, 2026); Harris County Juvenile Probation Department issuing an RFI for emergency and specialty hospital services for detained youth (071626BNM, responses due September 25, 2026); Collier County Board of County Commissioners requesting pharmacy benefit management services (RFP 25-8414, proposals due April 9, 2026, approximately $8.7 million historical annual spend); and the County of Santa Clara Health System establishing a multiple-award qualified vendor pool for temporary ancillary clinical staffing across 13 categories (RFSQHHSFY270052, proposals due October 7, 2026).