UNSPSC 85491309: Bypass coronary artery, four or more sites from left internal mammary with nonautologous tissue substitute, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to bypass coronary artery, four or more sites from left internal mammary with nonautologous tissue substitute, 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 02130K9

UNSPSC 85491309 Bypass coronary artery, four or more sites from left internal mammary with nonautologous tissue substitute, open approach is a Commodity code that represents a specific surgical procedure classification within a medical taxonomy; however, state and local procurement activity under this code shows a material mismatch between its nominal scope and the work actually being solicited. The recent opportunities tagged to this code do not involve surgical procurement or cardiovascular bypass procedures. Instead, they reflect broader health services contracting — occupational medical surveillance, independent medical evaluations for disability determinations, surgical benefit carve-out management through Centers of Excellence, temporary health professional staffing, pharmacy benefit management, and emergency medical services for detained youth. State and local buyers across this set include county governments, city retirement offices, state transportation departments, county health systems, juvenile probation departments, and municipal health plans. The jurisdictions issuing solicitations are geographically dispersed — Arizona (Phoenix), California (Long Beach and Santa Clara County), Washington State (ferries), Texas (Harris County), and Florida (Collier County) — with no single region or issuing body appearing as a repeat buyer under this code's recent activity.

The most substantive recent opportunities reflect health plan administration and occupational health services rather than surgical procedures. The City of Phoenix Retirement Office posted an RFP for independent medical evaluation services (RTMRFP26001, due October 16, 2026) worth a $750,000 five-year maximum to support disability benefit determinations for public safety personnel, requiring M.D. or D.O. licensure and five years' experience in disability medical record summary work. The Washington State Department of Transportation posted an IFB for occupational medical surveillance services across 14 ferry terminals (RFP20260825, due October 9, 2026), requiring a physician board-certified in occupational medicine to conduct baseline, periodic, and exit examinations for shipyard workers, engine crew, and asbestos teams across a two-year initial term with options to extend. The City of Long Beach issued an RFP for surgical and medical procedure carve-out benefit programs (HR26753, due October 7, 2026) managing Centers of Excellence for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures for approximately 3,800 enrolled employees and retirees. Activity under this code shows little alignment with its procedural classification and should be evaluated as a tagging anomaly rather than a meaningful procurement category for cardiovascular surgery supply or contracting.