UNSPSC 85877221: Fluoroscopy of lumbosacral joint using low osmolar contrast

This classification denotes the group of activities that yields a imaging intervention or procedure to fluoroscopy of lumbosacral joint 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 BR1B1ZZ

UNSPSC 85877221 Fluoroscopy of lumbosacral joint using low osmolar contrast is a Commodity code that describes a specific diagnostic imaging procedure, yet recent state and local procurement activity under this code shows a mismatch between the code's nominal scope and actual buying patterns. The three recent opportunities posted to this code—a diagnostic imaging PACS system implementation (San Mateo Medical Center, RFP due August 7, 2026), ultrasound equipment procurement (Collier County, Florida, single-source notice), and blood draw services (Albuquerque Police Department, RFB due February 25, 2026)—span enterprise health IT infrastructure, portable diagnostic devices, and clinical laboratory services rather than fluoroscopy procedures themselves. State and local health systems, counties, and municipal public safety agencies are the primary issuing bodies, but the code shows little relevant recent activity that aligns with its stated definition of lumbosacral joint imaging with low osmolar contrast media.

Activity under this code appears geographically scattered, with recent opportunities in California (San Mateo County), Florida (Collier County), and New Mexico (Albuquerque), though the volume is sparse. The San Mateo Medical Center RFP represents the largest and most substantive opportunity, requesting enterprise PACS implementation supporting 65,000 annual radiology studies with EPIC integration, 99.9% uptime requirements, and a five-year agreement; evaluation emphasizes project approach (30 points), firm qualifications (25 points), team qualifications (20 points), and price (25 points), with local preference available for San Mateo County businesses under County Ordinance Chapter 2.89. The code's nominal definition and recent solicitation patterns diverge significantly, suggesting that either the code is being misapplied in state procurement databases or that actual fluoroscopy-specific contracting occurs under different codes at the state and local level.