UNSPSC 85491224: Bypass thoracic aorta to carotid with autologous venous tissue, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass thoracic aorta to carotid with autologous venous tissue, open 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 021W09D

UNSPSC 85491224 Bypass thoracic aorta to carotid with autologous venous tissue, open approach is a Commodity code nominally describing a specific cardiac surgical procedure, but recent state and local procurement activity under this code does not align with that scope. The most recent opportunities posted under this code include independent medical evaluation services for disability pension determinations, Centers of Excellence surgical benefit carve-outs for municipal employees, occupational medical surveillance for state transportation workers, emergency and specialty medical services for detained youth, pharmacy benefit management, and temporary health professional staffing—none of which involve the specific vascular bypass procedure the code nominally names. The mismatch suggests either systematic miscoding in state and local procurement systems or that the code has been applied as a catch-all for broader medical services procurement that does not map to the Commodity's technical definition.

The issuing bodies span municipal retirement offices (City of Phoenix), municipal health benefits offices (City of Long Beach), state transportation departments (Washington State Department of Transportation), county juvenile justice systems (Harris County), county commissioners (Collier County), and county health systems (Santa Clara County). Geographic activity appears across Arizona, California, Florida, and Washington, with no single state dominating recent filings. Representative opportunities include the City of Phoenix Retirement Office's RFP for independent medical evaluation services with a maximum contract value of $750,000 over five years (response due October 16, 2026), the Washington State Department of Transportation's RFP for occupational medical surveillance across 14 ferry terminals statewide (response due October 9, 2026), and the City of Long Beach's RFP for surgical procedure carve-out benefit management for approximately 3,800 enrolled employees (response due October 7, 2026). The code shows minimal recent relevant activity aligned to its nominal scope.