UNSPSC 85491327: Bypass coronary artery, four or more sites from left internal mammary with autologous venous tissue, 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 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 213099

UNSPSC 85491327 Bypass coronary artery, four or more sites from left internal mammary with autologous venous tissue, open approach is a Commodity code that, despite its clinical nomenclature, shows minimal alignment with recent state and local procurement activity. The code nominally describes a specific cardiac surgical procedure, yet the recent opportunities tagged to this code span occupational medical surveillance, pharmacy benefit management, temporary health professional staffing, independent disability medical evaluations, surgical benefit carve-out programs, and emergency youth detention healthcare — none of which constitute the procedure itself. State and local governments do not typically solicit or contract for individual cardiac surgical procedures as line items; these services flow through health plans, network providers, and episodic-care arrangements rather than direct procurement. The issuing bodies in the recent block include county governments (Santa Clara, Harris, Collier), cities (Phoenix, Long Beach), and a state transportation agency (Washington State Department of Transportation), suggesting broad but unfocused activity.

Recent opportunities show little geographic concentration and no meaningful activity directly related to bypass surgery procurement. The City of Phoenix Retirement Office issued an RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluation services to support disability benefit determinations for public safety personnel — a disability-assessment function rather than cardiac procedure sourcing. The Washington State Department of Transportation issued an RFP (RFP20260825, due October 9, 2026) for occupational medical surveillance services across 14 ferry terminals, and Santa Clara County Health System posted a solicitation (RFSQHHSFY270052, due October 7, 2026) for temporary ancillary health professional staffing. None of these opportunities involve contracting for or sourcing bypass coronary artery procedures. The mismatch between the code's procedural name and the administrative and staffing services tagged to it signals either a classification error in the source data or minimal relevant state and local procurement activity under this code.