UNSPSC 85874305: Fluoroscopy of dialysis shunt/fistula using low osmolar contrast

This classification denotes the group of activities that yields a imaging intervention or procedure to fluoroscopy of dialysis shunt/fistula using low osmolar contrast. This 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 B51W1ZZ

UNSPSC 85874305 Fluoroscopy of dialysis shunt/fistula using low osmolar contrast is a Commodity code that nominally describes a specific diagnostic imaging procedure. Recent state and local opportunities posted under this code, however, show little alignment with its stated scope. The three most recent solicitations—a diagnostic imaging PACS system upgrade at San Mateo Medical Center, special education contracted services across a Texas school district, and a temporary health professional staffing pool at Santa Clara County Health System—do not involve fluoroscopy of dialysis access or low osmolar contrast agents. The code appears to capture broad health system procurement activity rather than the narrow clinical procedure its name suggests, though the mismatch raises questions about whether this code is the appropriate classification for the opportunities being solicited.

The recent activity spans California and Texas county health systems and a school district. San Mateo County's RFP for diagnostic imaging PACS, posted October 7, 2026 with proposals due October 21, 2026, seeks enterprise-grade imaging system implementation with 99.9% uptime and EPIC integration to support 65,000 annual radiology studies and related imaging modalities across the public hospital system. Santa Clara County Health System's qualification vehicle, posted July 7, 2026 with proposals due October 7, 2026, establishes a non-exclusive, multiple-award vendor pool for temporary staffing in ancillary clinical categories including diagnostic imaging and radiology, with selection based on category-specific qualifications and case-by-case scope negotiation. Birdville Independent School District in northeast Texas solicited special education contracted services on an as-needed basis through October 21, 2026, covering 23 line items of clinical and therapeutic specialists. The code's recent activity does not support a clear pattern of state or regional concentration or a consistent procurement focus aligned with the code's nominal definition.