UNSPSC 85877436: Fluoroscopy of bilateral kidneys using high osmolar contrast

This classification denotes the group of activities that yields a imaging intervention or procedure to fluoroscopy of bilateral kidneys using high 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 BT130ZZ

UNSPSC 85877436 Fluoroscopy of bilateral kidneys using high osmolar contrast is a Commodity code that, based on recent state and local opportunities, shows a significant mismatch between its nominal scope and what is actually being procured. The code's title references a specific diagnostic imaging procedure, yet the recent opportunities posted under this code do not solicit fluoroscopy services or high osmolar contrast agents. Instead, San Mateo Medical Center (SMMC) is requesting proposals for a diagnostic imaging Picture Archiving and Communication System (PACS) supporting radiology, cardiology, and dental imaging with EPIC EHR integration—a capital software and implementation project rather than a clinical service or contrast medium. The other two opportunities (Birdville Independent School District special education contracted services and Santa Clara Health System temporary health professional staffing) are unrelated to diagnostic imaging or fluoroscopy. The code appears to have been applied incorrectly to the SMMC PACS solicitation, or state and local issuing bodies are tagging technology infrastructure and staffing opportunities under a narrow clinical procedure code.

Recent activity is concentrated in California and Texas. The most substantive opportunity is San Mateo Medical Center's RFP (due October 21, 2026) for PACS implementation supporting approximately 65,000 annual radiology studies, 5,000 cardiology studies, and 8,000 mammography interpretations, requiring enterprise-grade software with 99.9% uptime, data migration from a legacy ScImage system, and a five-year contract term with a 9–12 month implementation window. Santa Clara Health System posted a non-exclusive, multiple-award qualification RFQ (due October 7, 2026) to establish a vendor pool for temporary health professional staffing, including diagnostic imaging/radiology positions alongside audiology, cardiology, and therapy services. The code shows little relevant recent activity aligned with its stated scope of fluoroscopy procedures and contrast agents.