UNSPSC 85491310: Bypass coronary artery, four or more sites from right 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 right 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 02130K8

UNSPSC 85491310 Bypass coronary artery, four or more sites from right internal mammary with nonautologous tissue substitute, open approach is a Commodity code that describes a specific cardiac surgical procedure; however, the recent state and local opportunities posted under this code do not reflect the purchase of surgical procedures themselves. Instead, state and local agencies are using this code tag for occupational medical surveillance, disability medical evaluations, pharmacy benefit management, temporary health professional staffing, and surgical benefit carve-out programs — services that support health benefit administration, medical assessment, and workforce health compliance rather than the direct provision of coronary artery bypass surgery. The issuing bodies include county health systems, city retirement offices, state transportation departments, and county procurement divisions. The scope of work actually being solicited encompasses independent medical evaluations for public safety disability determinations, occupational health surveillance compliance across distributed work sites, pharmacy claims processing and formulary management, temporary clinical staffing across specialties, and Centers of Excellence networks for surgical procedures on a voluntary enrollment basis.

Recent opportunities are concentrated in Arizona, California, Florida, and Washington. The City of Phoenix Retirement Office requested independent medical evaluation services supporting disability benefit determinations for approximately 75 annual applications, with a maximum contract value of $750,000 over five years, due October 16, 2026 via RFP. The Washington State Department of Transportation, on behalf of Washington State Ferries, posted an RFQ for occupational medical surveillance services across 14 ferry locations, due October 9, 2026, requiring board certification in occupational medicine and on-site examinations aligned with state regulatory requirements. The City of Long Beach issued an RFP for a surgical and medical procedure carve-out benefit program covering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures through Centers of Excellence, due October 7, 2026, targeting approximately 3,800 active employees and retirees. The County of Santa Clara Health System established a non-exclusive qualified vendor pool for temporary health professional staffing across 13 clinical categories excluding nursing and physicians, due October 7, 2026. This code shows a notable mismatch between its nominal procedure-code designation and the administrative and occupational health services state and local agencies are actually procuring under it.