UNSPSC 85491317: Bypass coronary artery, four or more sites from coronary artery with synthetic 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 coronary artery with synthetic 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 02130J3

UNSPSC 85491317 Bypass coronary artery, four or more sites from coronary artery with synthetic substitute, open approach is a Commodity code that nominally describes a specific surgical procedure, but recent state and local contract opportunities tagged to this code show little alignment with cardiac bypass work. Instead, the opportunities clustered under this code span occupational medical surveillance, independent medical evaluations for pension disability determinations, pharmacy benefit management, surgical procedure carve-out networks through Centers of Excellence, temporary health professional staffing placement, and emergency medical services for youth in custody. The issuing bodies include county health systems, county human resources departments, state transportation agencies, county juvenile probation authorities, and municipal retirement offices. The mismatch between the code's nominal scope and the actual work being solicited suggests either a systematic miscoding issue in the state and local procurement taxonomy application or a significant gap in UNSPSC alignment for medical and health services procurement at the state and local level.

Recent activity appears concentrated in Arizona, California, Florida, and Washington, with individual solicitations from the City of Phoenix Retirement Office (RFP for disability medical record summary and independent medical evaluation services, due October 16, 2026), the City of Long Beach (RFP for surgical procedure carve-out networks through Centers of Excellence with voluntary enrollment, due October 7, 2026), the Washington State Department of Transportation on behalf of Washington State Ferries (RFP for occupational medical surveillance with physician-led examinations across 14 ferry terminals, due October 9, 2026), Harris County Juvenile Probation Department (RFI for emergency and specialty medical services for detained youth, due September 25, 2026), the County of Santa Clara Health System (RFQ for temporary health professional staffing across multiple ancillary clinical categories, due October 7, 2026), and Collier County Board of County Commissioners (RFP for pharmacy benefit management services covering approximately 2,400 enrolled employees and 4,800 covered members with historical spending of approximately $8.7 million annually, due April 9, 2026). The code shows no clear pattern of repeat buyers or coherent procurement activity aligned to its stated commodity definition.