UNSPSC 85491410: Bypass coronary artery, three 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, three 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 02120K8

UNSPSC 85491410 Bypass coronary artery, three sites from right internal mammary with nonautologous tissue substitute, open approach is a Commodity code that nominally names a specific surgical procedure; however, the recent state and local opportunities tagged under this code show little alignment with the procedure itself. Instead, the recent solicitations frame medical and occupational health services broadly — independent medical evaluations for disability pension determinations, surgical benefits carve-out programs for municipal employees, occupational medical surveillance for transit workers, emergency and specialty care for youth in detention, pharmacy benefit management, temporary health professional staffing, and specialty center-of-excellence referrals. The mismatch suggests the code is being used as a catch-all for health services procurement rather than capturing the specific coronary bypass procedure named in the UNSPSC taxonomy. Issuing bodies include a state transportation department (Washington State Department of Transportation), county health systems and boards (Harris County Juvenile Probation Department, Collier County Board of County Commissioners, County of Santa Clara Health System), cities (City of Phoenix Retirement Office, City of Long Beach), and a city retirement office. Work spans disability medical record review and independent physician examinations, surgical benefit networks and bundled payment models, occupational health surveillance with regulatory compliance, emergency and specialty care delivery, pharmacy administration, and clinical staffing across ancillary categories.

Geographic activity centers on Arizona (City of Phoenix), California (City of Long Beach, County of Santa Clara), Washington State (Washington State Department of Transportation), Texas (Harris County), and Florida (Collier County). Representative recent opportunities include the City of Phoenix Retirement Office RFP for independent medical evaluations for 75 annual disability benefit applications (RTMRFP26001, due October 16, 2026, maximum contract value $750,000 over five years), the City of Long Beach RFP for surgical and medical procedure carve-out benefits through Centers of Excellence for knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures (HR26753, due October 7, 2026), and the Washington State Department of Transportation RFP for occupational medical surveillance services across 14 ferry system locations (RFP20260825, due October 9, 2026, pre-bid conference August 31, 2026). The recent opportunities show no pattern of coronary bypass procedure procurement and limited code relevance to the scope of work actually being solicited.