UNSPSC 85765267: Bypass left pleural cavity to peritoneal cavity with synthetic substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass left pleural cavity to peritoneal cavity 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 0W1B4JG

UNSPSC 85765267 Bypass left pleural cavity to peritoneal cavity with synthetic substitute, percutaneous endoscopic approach is a Commodity code that does not align with actual state and local government procurement activity. The code nominally describes a specific surgical procedure, yet recent state and local opportunities tagged to this code cover occupational medical surveillance, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, Centers of Excellence carve-out arrangements for surgical procedures, and emergency medical services for youth in detention. These opportunities span healthcare administration, benefits management, and clinical staffing services rather than implantable medical devices or surgical procedure codes. The issuing bodies include county health systems, county commissioners' procurement offices, city retirement boards, state departments of transportation, county juvenile probation departments, and counties operating health consortiums. The mismatch between the code's nominal scope and the actual work being procured signals that this code is not reliably used by state and local agencies to classify healthcare services and staffing opportunities.

The recent opportunities are geographically dispersed across Washington, Arizona, California, Florida, and Texas, with no concentration in any single state or region. Representative recent solicitations include the Washington State Department of Transportation's RFP for occupational medical surveillance services for ferry workers across 14 Washington locations, due October 9, 2026 (IFB with cost-based scoring); the City of Phoenix Retirement Office's RFP for independent medical evaluation services and disability medical record summary preparation for pension board applicants, due October 16, 2026; the City of Long Beach's RFP for surgical and medical procedure Centers of Excellence carve-out benefits for approximately 3,800 enrolled employees and retirees, due October 7, 2026; and Collier County's RFP for Pharmacy Benefit Management Services covering approximately 2,400 employees and 4,800 covered members, originally due April 9, 2026. The absence of direct alignment between the code's technical definition and the work actually being purchased suggests that state and local agencies are mistagging opportunities or that this Commodity code is not the appropriate classification for healthcare services procurement in the state and local market.